Ghs moderate sedation ea addtl 15 min, other at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$32.73
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.
$187.00
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.
$10.71 with PGT vs $1,316.00 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 | $10.71 | ↓ -67% |
| BCBS | Medicare|All Plans | $10.92 | ↓ -67% |
| AETNA | Medicare|All Plans | $10.92 | ↓ -67% |
| UNITED | Medicare|All Plans | $11.14 | ↓ -66% |
| AMERIVANTAGE | Medicare|All Plans | $11.25 | ↓ -66% |
| SCANHealth | Medicare|All Plans | $11.69 | ↓ -64% |
| Ambetter | Commercial|All Plans | $15.84 | ↓ -52% |
| Wellpoint | Commercial|Exchange | $16.38 | ↓ -50% |
| Wellpoint | Medicaid|All Other Plans | $21.17 | ↓ -35% |
| Wellpoint | Medicaid|STAR | $29.11 | ↓ -11% |
| Bright Health | Commercial|All Plans | $31.40 | ↓ -4% |
| Ellwood | Commercial|All Plans | $32.76 | ↑ +0% |
| Entrust | Commercial|All Plans | $35.28 | ↑ +8% |
| NX Health | Commercial|All Plans | $35.49 | ↑ +8% |
| Cigna | Commercial|Local Plus | $41.16 | ↑ +26% |
| SUPERIOR | Medicaid|CHIP | $44.88 | ↑ +37% |
| UNITED | Medicaid|STARKIDS | $45.78 | ↑ +40% |
| UNITED | Medicaid|All Other Plans | $45.78 | ↑ +40% |
| Health Smart | Commercial|All Plans | $46.20 | ↑ +41% |
| SUPERIOR | Medicaid|All Other Plans | $47.13 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $47.13 | ↑ +44% |
| First Health | Commercial|All Plans | $50.40 | ↑ +54% |
| Humana | Commercial|All Plans | $51.24 | ↑ +57% |
| Cigna | Commercial|All Other Plans | $53.76 | ↑ +64% |
| Aetna | Commercial|All Plans | $55.44 | ↑ +69% |
| SUPERIOR | Medicaid|STAR | $65.08 | ↑ +99% |
| PHCS | Commercial|All Plans | $71.40 | ↑ +118% |
| Multiplan | Commercial|All Plans | $75.60 | ↑ +131% |
| BCBS-TX | Commercial|Blue Premier | $84.00 | ↑ +157% |
| BCBS-TX | Commercial|PPO | $84.00 | ↑ +157% |
| BCBS-TX | Commercial|HMO | $84.00 | ↑ +157% |
| BCBS-TX | Commercial|Blue Advantage HMO | $84.00 | ↑ +157% |
| BCBS-TX | Commercial|Ref Lab | $84.00 | ↑ +157% |
| SUPERIOR | Medicaid|STARPLUS | $111.31 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $113.55 | ↑ +247% |
| United | Commercial|Exchange | $670.00 | ↑ +1947% |
| United | Commercial|All Other Plans | $1,316.00 | ↑ +3921% |
Visitor-reported prices
Comments
Ghs moderate sedation ea addtl 15 min, other at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $322.73 | $252.52 – $252.52 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $107.42 | $30.44 – $201.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $70.05 | $14.42 – $105.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $115.81 | $23.16 – $198.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $107.42 | $28.64 – $153.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $70.05 | $22.49 – $242.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $70.05 | $36.19 – $105.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $115.81 | $38.60 – $198.08 |