Ghs inj neurolytic intercostal nerve at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$361.20
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.
$2,064.00
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.
$33.51 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 | $33.51 | ↓ -91% |
| BCBS | Medicare|All Plans | $34.19 | ↓ -91% |
| AETNA | Medicare|All Plans | $34.19 | ↓ -91% |
| UNITED | Medicare|All Plans | $34.88 | ↓ -90% |
| AMERIVANTAGE | Medicare|All Plans | $35.22 | ↓ -90% |
| SCANHealth | Medicare|All Plans | $36.59 | ↓ -90% |
| Ambetter | Commercial|All Plans | $49.58 | ↓ -86% |
| Wellpoint | Commercial|Exchange | $51.29 | ↓ -86% |
| Wellpoint | Medicaid|All Other Plans | $66.28 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $91.13 | ↓ -75% |
| Bright Health | Commercial|All Plans | $98.31 | ↓ -73% |
| Ellwood | Commercial|All Plans | $102.57 | ↓ -72% |
| Entrust | Commercial|All Plans | $110.46 | ↓ -69% |
| NX Health | Commercial|All Plans | $111.12 | ↓ -69% |
| Health Smart | Commercial|All Plans | $144.65 | ↓ -60% |
| First Health | Commercial|All Plans | $157.80 | ↓ -56% |
| Humana | Commercial|All Plans | $160.43 | ↓ -56% |
| Cigna | Commercial|All Other Plans | $168.32 | ↓ -53% |
| Aetna | Commercial|All Plans | $173.58 | ↓ -52% |
| PHCS | Commercial|All Plans | $223.55 | ↓ -38% |
| Multiplan | Commercial|All Plans | $236.70 | ↓ -34% |
| BCBS-TX | Commercial|Ref Lab | $263.00 | ↓ -27% |
| SUPERIOR | Medicaid|CHIP | $358.49 | ↓ -1% |
| UNITED | Medicaid|All Other Plans | $365.66 | ↑ +1% |
| UNITED | Medicaid|STARKIDS | $365.66 | ↑ +1% |
| BCBS | Medicaid|STARKIDS | $376.41 | ↑ +4% |
| SUPERIOR | Medicaid|All Other Plans | $376.41 | ↑ +4% |
| SUPERIOR | Medicaid|STAR | $519.81 | ↑ +44% |
| SUPERIOR | Medicaid|STARPLUS | $889.06 | ↑ +146% |
| UNITED | Medicaid|STARPLUS | $906.98 | ↑ +151% |
| BCBS-TX | Commercial|Blue Premier | $1,136.87 | ↑ +215% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,144.99 | ↑ +217% |
| BCBS-TX | Commercial|HMO | $1,218.08 | ↑ +237% |
| BCBS-TX | Commercial|PPO | $1,339.88 | ↑ +271% |
| United | Commercial|Exchange | $1,508.00 | ↑ +317% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +700% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +719% |
Visitor-reported prices
Comments
Ghs inj neurolytic intercostal nerve at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,047.92 | $340.77 – $2,559.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,369.98 | $71.00 – $3,554.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,245.97 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,047.92 | $340.77 – $2,559.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,369.98 | $85.00 – $3,554.96 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,369.98 | $340.77 – $3,554.96 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,245.97 | $71.00 – $3,368.96 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,047.92 | $340.77 – $2,559.90 |