Ghs inj transforaminal cerv ea add bil at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$146.13
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.
$835.00
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.
$18.22 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 | $18.22 | ↓ -88% |
| BCBS | Medicare|All Plans | $18.59 | ↓ -87% |
| AETNA | Medicare|All Plans | $18.59 | ↓ -87% |
| UNITED | Medicare|All Plans | $18.97 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $19.15 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $19.90 | ↓ -86% |
| Ambetter | Commercial|All Plans | $26.96 | ↓ -82% |
| Wellpoint | Commercial|Exchange | $27.89 | ↓ -81% |
| Wellpoint | Medicaid|All Other Plans | $36.04 | ↓ -75% |
| Wellpoint | Medicaid|STAR | $49.55 | ↓ -66% |
| BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | ↓ -66% |
| Bright Health | Commercial|All Plans | $53.46 | ↓ -63% |
| Ellwood | Commercial|All Plans | $55.77 | ↓ -62% |
| BCBS-TX | Commercial|Blue Premier | $56.00 | ↓ -62% |
| BCBS-TX | Commercial|HMO | $59.00 | ↓ -60% |
| Entrust | Commercial|All Plans | $60.06 | ↓ -59% |
| NX Health | Commercial|All Plans | $60.42 | ↓ -59% |
| BCBS-TX | Commercial|PPO | $66.00 | ↓ -55% |
| Health Smart | Commercial|All Plans | $78.65 | ↓ -46% |
| First Health | Commercial|All Plans | $85.80 | ↓ -41% |
| Humana | Commercial|All Plans | $87.23 | ↓ -40% |
| Cigna | Commercial|All Other Plans | $91.52 | ↓ -37% |
| Aetna | Commercial|All Plans | $94.38 | ↓ -35% |
| PHCS | Commercial|All Plans | $121.55 | ↓ -17% |
| Multiplan | Commercial|All Plans | $128.70 | ↓ -12% |
| BCBS-TX | Commercial|Ref Lab | $143.00 | ↓ -2% |
| SUPERIOR | Medicaid|CHIP | $200.40 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $204.41 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $204.41 | ↑ +40% |
| SUPERIOR | Medicaid|All Other Plans | $210.42 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $210.42 | ↑ +44% |
| SUPERIOR | Medicaid|STAR | $290.58 | ↑ +99% |
| Cigna | Commercial|Local Plus | $409.15 | ↑ +180% |
| SUPERIOR | Medicaid|STARPLUS | $497.00 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $507.02 | ↑ +247% |
| United | Commercial|Exchange | $1,508.00 | ↑ +932% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +1926% |
Visitor-reported prices
Comments
Ghs inj transforaminal cerv ea add bil at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,282.59 | $363.40 – $1,817.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $717.10 | $71.00 – $1,075.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $685.80 | $71.00 – $857.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,282.59 | $342.02 – $1,817.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $717.10 | $85.00 – $1,075.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $717.10 | $370.50 – $1,075.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $685.80 | $71.00 – $1,028.70 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,282.59 | $342.02 – $1,817.00 |