Ghs incision thrombosed ext hemorrhoid at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$125.30
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.
$716.00
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.
$28.54 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 | $28.54 | ↓ -77% |
| BCBS | Medicare|All Plans | $29.12 | ↓ -77% |
| AETNA | Medicare|All Plans | $29.12 | ↓ -77% |
| UNITED | Medicare|All Plans | $29.71 | ↓ -76% |
| AMERIVANTAGE | Medicare|All Plans | $30.00 | ↓ -76% |
| SCANHealth | Medicare|All Plans | $31.16 | ↓ -75% |
| Ambetter | Commercial|All Plans | $42.23 | ↓ -66% |
| Wellpoint | Commercial|Exchange | $43.68 | ↓ -65% |
| Wellpoint | Medicaid|All Other Plans | $56.45 | ↓ -55% |
| Wellpoint | Medicaid|STAR | $77.62 | ↓ -38% |
| Bright Health | Commercial|All Plans | $83.74 | ↓ -33% |
| Ellwood | Commercial|All Plans | $87.36 | ↓ -30% |
| Entrust | Commercial|All Plans | $94.08 | ↓ -25% |
| NX Health | Commercial|All Plans | $94.64 | ↓ -24% |
| SUPERIOR | Medicaid|CHIP | $115.88 | ↓ -8% |
| UNITED | Medicaid|STARKIDS | $118.20 | ↓ -6% |
| UNITED | Medicaid|All Other Plans | $118.20 | ↓ -6% |
| BCBS | Medicaid|STARKIDS | $121.67 | ↓ -3% |
| SUPERIOR | Medicaid|All Other Plans | $121.67 | ↓ -3% |
| Health Smart | Commercial|All Plans | $123.20 | ↓ -2% |
| First Health | Commercial|All Plans | $134.40 | ↑ +7% |
| Humana | Commercial|All Plans | $136.64 | ↑ +9% |
| Cigna | Commercial|All Other Plans | $143.36 | ↑ +14% |
| Aetna | Commercial|All Plans | $147.84 | ↑ +18% |
| BCBS-TX | Commercial|Blue Premier | $166.17 | ↑ +33% |
| BCBS-TX | Commercial|Blue Advantage HMO | $167.35 | ↑ +34% |
| SUPERIOR | Medicaid|STAR | $168.03 | ↑ +34% |
| BCBS-TX | Commercial|HMO | $178.04 | ↑ +42% |
| PHCS | Commercial|All Plans | $190.40 | ↑ +52% |
| BCBS-TX | Commercial|PPO | $195.84 | ↑ +56% |
| Multiplan | Commercial|All Plans | $201.60 | ↑ +61% |
| BCBS-TX | Commercial|Ref Lab | $224.00 | ↑ +79% |
| SUPERIOR | Medicaid|STARPLUS | $287.38 | ↑ +129% |
| UNITED | Medicaid|STARPLUS | $293.18 | ↑ +134% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1104% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +2205% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2262% |
Visitor-reported prices
Comments
Ghs incision thrombosed ext hemorrhoid at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $620.02 | $110.15 – $775.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $613.81 | $117.86 – $920.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $535.54 | $71.00 – $669.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $620.02 | $110.15 – $775.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $613.81 | $117.86 – $920.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $613.81 | $110.15 – $920.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $535.54 | $71.00 – $803.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $620.02 | $110.15 – $775.03 |