Ghs corneal fb without slit lamp bilat at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$107.45
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.
$614.00
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.
$78.23 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 | $78.23 | ↓ -27% |
| BCBS | Medicare|All Plans | $79.82 | ↓ -26% |
| AETNA | Medicare|All Plans | $79.82 | ↓ -26% |
| UNITED | Medicare|All Plans | $81.42 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $82.22 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $85.41 | ↓ -21% |
| Ambetter | Commercial|All Plans | $115.74 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $119.73 | ↑ +11% |
| SUPERIOR | Medicaid|CHIP | $147.36 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $150.31 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $150.31 | ↑ +40% |
| SUPERIOR | Medicaid|All Other Plans | $154.73 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $154.73 | ↑ +44% |
| Wellpoint | Medicaid|All Other Plans | $154.73 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $212.76 | ↑ +98% |
| SUPERIOR | Medicaid|STAR | $213.68 | ↑ +99% |
| Bright Health | Commercial|All Plans | $229.52 | ↑ +114% |
| Ellwood | Commercial|All Plans | $239.46 | ↑ +123% |
| Entrust | Commercial|All Plans | $257.88 | ↑ +140% |
| NX Health | Commercial|All Plans | $259.42 | ↑ +141% |
| Cigna | Commercial|Local Plus | $300.86 | ↑ +180% |
| Health Smart | Commercial|All Plans | $337.70 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $365.46 | ↑ +240% |
| First Health | Commercial|All Plans | $368.40 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $372.83 | ↑ +247% |
| Humana | Commercial|All Plans | $374.54 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $392.96 | ↑ +266% |
| Aetna | Commercial|All Plans | $405.24 | ↑ +277% |
| BCBS-TX | Commercial|Blue Premier | $509.03 | ↑ +374% |
| BCBS-TX | Commercial|Blue Advantage HMO | $512.66 | ↑ +377% |
| PHCS | Commercial|All Plans | $521.90 | ↑ +386% |
| BCBS-TX | Commercial|HMO | $545.39 | ↑ +408% |
| Multiplan | Commercial|All Plans | $552.60 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $599.92 | ↑ +458% |
| BCBS-TX | Commercial|Ref Lab | $614.00 | ↑ +471% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1303% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2655% |
Visitor-reported prices
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Ghs corneal fb without slit lamp bilat at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,557.44 | $454.49 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $435.07 | $123.27 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $381.91 | $71.00 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $485.68 | $71.00 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $435.07 | $116.02 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $381.91 | $85.00 – $987.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $381.91 | $197.32 – $987.04 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $485.68 | $71.00 – $987.04 |