Ghs nerve blk intercostal, single level at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$369.43
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.
$2,111.00
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.
$240.15 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 | $240.15 | ↓ -35% |
| AETNA | Medicare|All Plans | $245.05 | ↓ -34% |
| BCBS | Medicare|All Plans | $245.05 | ↓ -34% |
| UNITED | Medicare|All Plans | $249.96 | ↓ -32% |
| AMERIVANTAGE | Medicare|All Plans | $252.41 | ↓ -32% |
| SCANHealth | Medicare|All Plans | $262.21 | ↓ -29% |
| SUPERIOR | Medicaid|CHIP | $276.53 | ↓ -25% |
| UNITED | Medicaid|All Other Plans | $282.06 | ↓ -24% |
| UNITED | Medicaid|STARKIDS | $282.06 | ↓ -24% |
| SUPERIOR | Medicaid|All Other Plans | $290.36 | ↓ -21% |
| BCBS | Medicaid|STARKIDS | $290.36 | ↓ -21% |
| Ambetter | Commercial|All Plans | $355.33 | ↓ -4% |
| Wellpoint | Commercial|Exchange | $367.58 | ↓ -1% |
| SUPERIOR | Medicaid|STAR | $400.97 | ↑ +9% |
| Wellpoint | Medicaid|All Other Plans | $475.02 | ↑ +29% |
| Wellpoint | Medicaid|STAR | $653.16 | ↑ +77% |
| SUPERIOR | Medicaid|STARPLUS | $685.79 | ↑ +86% |
| UNITED | Medicaid|STARPLUS | $699.62 | ↑ +89% |
| Bright Health | Commercial|All Plans | $704.62 | ↑ +91% |
| Ellwood | Commercial|All Plans | $735.15 | ↑ +99% |
| Entrust | Commercial|All Plans | $791.70 | ↑ +114% |
| NX Health | Commercial|All Plans | $796.42 | ↑ +116% |
| BCBS-TX | Commercial|Blue Premier | $875.07 | ↑ +137% |
| BCBS-TX | Commercial|Blue Advantage HMO | $881.32 | ↑ +139% |
| BCBS-TX | Commercial|HMO | $937.58 | ↑ +154% |
| BCBS-TX | Commercial|PPO | $1,031.33 | ↑ +179% |
| Health Smart | Commercial|All Plans | $1,036.75 | ↑ +181% |
| First Health | Commercial|All Plans | $1,131.00 | ↑ +206% |
| Humana | Commercial|All Plans | $1,149.85 | ↑ +211% |
| Cigna | Commercial|All Other Plans | $1,206.40 | ↑ +227% |
| Aetna | Commercial|All Plans | $1,244.10 | ↑ +237% |
| United | Commercial|Exchange | $1,508.00 | ↑ +308% |
| PHCS | Commercial|All Plans | $1,602.25 | ↑ +334% |
| Multiplan | Commercial|All Plans | $1,696.50 | ↑ +359% |
| BCBS-TX | Commercial|Ref Lab | $1,885.00 | ↑ +410% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +682% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +701% |
Visitor-reported prices
Comments
Ghs nerve blk intercostal, single level at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,232.23 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,405.99 | $71.00 – $2,108.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,303.74 | $71.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,232.23 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,405.99 | $85.00 – $2,108.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,405.99 | $262.86 – $2,108.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,303.74 | $71.00 – $1,955.61 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,232.23 | $262.86 – $1,713.14 |