Gemcitabine 1 gram intravenous solution at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$4.66
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$26.58
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1.04 with PGT vs $8.09 with BCBS-TX — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| PGT | Medicare|All Plans | $1.04 | ↓ -78% |
| BCBS | Medicare|All Plans | $1.06 | ↓ -77% |
| AETNA | Medicare|All Plans | $1.06 | ↓ -77% |
| UNITED | Medicare|All Plans | $1.08 | ↓ -77% |
| AMERIVANTAGE | Medicare|All Plans | $1.09 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $1.13 | ↓ -76% |
| Cigna | Commercial|Local Plus | $1.38 | ↓ -70% |
| Ambetter | Commercial|All Plans | $1.53 | ↓ -67% |
| Wellpoint | Commercial|Exchange | $1.58 | ↓ -66% |
| United | Commercial|Exchange | $1.62 | ↓ -65% |
| Wellpoint | Medicaid|All Other Plans | $2.04 | ↓ -56% |
| Bright Health | Commercial|All Plans | $2.67 | ↓ -43% |
| Wellpoint | Medicaid|STAR | $2.81 | ↓ -40% |
| United | Commercial|All Other Plans | $2.92 | ↓ -37% |
| Ellwood | Commercial|All Plans | $3.16 | ↓ -32% |
| Entrust | Commercial|All Plans | $3.40 | ↓ -27% |
| NX Health | Commercial|All Plans | $3.42 | ↓ -27% |
| Health Smart | Commercial|All Plans | $4.45 | ↓ -5% |
| First Health | Commercial|All Plans | $4.86 | ↑ +4% |
| Humana | Commercial|All Plans | $4.94 | ↑ +6% |
| Cigna | Commercial|All Other Plans | $5.18 | ↑ +11% |
| Aetna | Commercial|All Plans | $5.34 | ↑ +15% |
| PHCS | Commercial|All Plans | $6.88 | ↑ +48% |
| BCBS-TX | Commercial|Blue Advantage HMO | $7.04 | ↑ +51% |
| Multiplan | Commercial|All Plans | $7.29 | ↑ +56% |
| BCBS-TX | Commercial|Ref Lab | $8.09 | ↑ +74% |
| BCBS-TX | Commercial|Blue Premier | $8.09 | ↑ +74% |
| BCBS-TX | Commercial|HMO | $8.09 | ↑ +74% |
| BCBS-TX | Commercial|PPO | $8.09 | ↑ +74% |
Visitor-reported prices
Comments
Gemcitabine 1 gram intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $142.21 | $19.64 – $19.64 |
| Covenant Children's Hospital | Lubbock | $458.87 | $10.35 – $20.36 |
| HCA HOUSTON CONROE | CONROE | $2,393.98 | $3.59 – $72.37 |
| HCA HOUSTON KINGWOOD | HUMBLE | $180.14 | $3.59 – $72.37 |
| Baylor St Luke's Medical Center | Houston | $1,678.16 | $4.59 – $404.48 |
| St. Luke's Health Memorial Lufkin | Lufkin | $2,571.40 | $3.93 – $191.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,678.16 | $4.10 – $404.48 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,678.16 | $4.10 – $404.48 |