General health panel at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$296.45
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.
$1,694.00
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.
$26.84 with BCBS-TX vs $1,524.60 with Multiplan — 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Ref Lab | $26.84 | ↓ -91% |
| United | Commercial|Exchange | $37.06 | ↓ -87% |
| United | Commercial|All Other Plans | $82.62 | ↓ -72% |
| Cigna | Commercial|Local Plus | $89.85 | ↓ -70% |
| BCBS-TX | Commercial|Blue Premier | $123.97 | ↓ -58% |
| BCBS-TX | Commercial|Blue Advantage HMO | $123.97 | ↓ -58% |
| BCBS-TX | Commercial|HMO | $126.45 | ↓ -57% |
| BCBS-TX | Commercial|PPO | $145.87 | ↓ -51% |
| PGT | Medicare|All Plans | $215.82 | ↓ -27% |
| BCBS | Medicare|All Plans | $220.22 | ↓ -26% |
| AETNA | Medicare|All Plans | $220.22 | ↓ -26% |
| UNITED | Medicare|All Plans | $224.63 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $226.83 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $235.64 | ↓ -21% |
| Ambetter | Commercial|All Plans | $319.32 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $330.33 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $426.89 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $586.98 | ↑ +98% |
| Bright Health | Commercial|All Plans | $633.22 | ↑ +114% |
| Ellwood | Commercial|All Plans | $660.66 | ↑ +123% |
| Entrust | Commercial|All Plans | $711.48 | ↑ +140% |
| NX Health | Commercial|All Plans | $715.72 | ↑ +141% |
| Health Smart | Commercial|All Plans | $931.70 | ↑ +214% |
| First Health | Commercial|All Plans | $1,016.40 | ↑ +243% |
| Humana | Commercial|All Plans | $1,033.34 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,084.16 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,118.04 | ↑ +277% |
| PHCS | Commercial|All Plans | $1,439.90 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,524.60 | ↑ +414% |
Visitor-reported prices
Comments
General health panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $531.10 | $135.98 – $135.98 |
| Covenant Children's Hospital | Lubbock | $1,695.54 | $99.05 – $154.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,952.91 | $45.36 – $482.25 |
| St. Joseph Health College Station Hospital | College Station | $296.45 | $26.84 – $1,439.90 |
| St. Joseph Health Grimes Hospital | Navasota | $296.45 | $26.84 – $1,880.34 |
| Covenant Medical Center | Lubbock | $1,695.54 | $56.41 – $164.24 |
| St. Joseph Health Burleson Hospital | Caldwell | $296.45 | $26.84 – $1,524.60 |
| Covenant Hospital Plainview | Plainview | $244.02 | $130.68 – $130.68 |