Ghs conjunctiva foreign body-superf bil at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$51.10
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.
$292.00
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.
$9.94 with PGT vs $2,960.00 with United — 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 | $9.94 | ↓ -81% |
| BCBS | Medicare|All Plans | $10.14 | ↓ -80% |
| AETNA | Medicare|All Plans | $10.14 | ↓ -80% |
| UNITED | Medicare|All Plans | $10.35 | ↓ -80% |
| AMERIVANTAGE | Medicare|All Plans | $10.45 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $10.85 | ↓ -79% |
| Ambetter | Commercial|All Plans | $14.71 | ↓ -71% |
| Wellpoint | Commercial|Exchange | $15.21 | ↓ -70% |
| Wellpoint | Medicaid|All Other Plans | $19.66 | ↓ -62% |
| Wellpoint | Medicaid|STAR | $27.03 | ↓ -47% |
| Bright Health | Commercial|All Plans | $29.16 | ↓ -43% |
| Ellwood | Commercial|All Plans | $30.42 | ↓ -40% |
| Entrust | Commercial|All Plans | $32.76 | ↓ -36% |
| NX Health | Commercial|All Plans | $32.96 | ↓ -35% |
| Health Smart | Commercial|All Plans | $42.90 | ↓ -16% |
| First Health | Commercial|All Plans | $46.80 | ↓ -8% |
| Humana | Commercial|All Plans | $47.58 | ↓ -7% |
| Cigna | Commercial|All Other Plans | $49.92 | ↓ -2% |
| Aetna | Commercial|All Plans | $51.48 | ↑ +1% |
| PHCS | Commercial|All Plans | $66.30 | ↑ +30% |
| SUPERIOR | Medicaid|CHIP | $70.08 | ↑ +37% |
| Multiplan | Commercial|All Plans | $70.20 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $71.49 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $71.49 | ↑ +40% |
| SUPERIOR | Medicaid|All Other Plans | $73.59 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $73.59 | ↑ +44% |
| BCBS-TX | Commercial|Ref Lab | $78.00 | ↑ +53% |
| SUPERIOR | Medicaid|STAR | $101.62 | ↑ +99% |
| Cigna | Commercial|Local Plus | $143.08 | ↑ +180% |
| BCBS-TX | Commercial|Blue Premier | $152.64 | ↑ +199% |
| BCBS-TX | Commercial|Blue Advantage HMO | $153.73 | ↑ +201% |
| BCBS-TX | Commercial|HMO | $163.55 | ↑ +220% |
| SUPERIOR | Medicaid|STARPLUS | $173.80 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $177.31 | ↑ +247% |
| BCBS-TX | Commercial|PPO | $179.90 | ↑ +252% |
| United | Commercial|Exchange | $1,508.00 | ↑ +2851% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +5693% |
Visitor-reported prices
Comments
Ghs conjunctiva foreign body-superf bil at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $774.66 | $136.29 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $383.78 | $108.74 – $479.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $376.96 | $71.00 – $565.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $329.84 | $65.97 – $412.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $383.78 | $102.34 – $479.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $376.96 | $85.00 – $565.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $376.96 | $194.76 – $565.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $329.84 | $71.00 – $494.77 |