Ghs ng placement w fluoro guidance at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$303.10
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.
$1,732.00
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.
$118.18 with SUPERIOR 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $118.18 | ↓ -61% |
| UNITED | Medicaid|All Other Plans | $120.54 | ↓ -60% |
| UNITED | Medicaid|STARKIDS | $120.54 | ↓ -60% |
| SUPERIOR | Medicaid|All Other Plans | $124.09 | ↓ -59% |
| BCBS | Medicaid|STARKIDS | $124.09 | ↓ -59% |
| SUPERIOR | Medicaid|STAR | $171.36 | ↓ -43% |
| PGT | Medicare|All Plans | $210.09 | ↓ -31% |
| BCBS | Medicare|All Plans | $214.37 | ↓ -29% |
| AETNA | Medicare|All Plans | $214.37 | ↓ -29% |
| UNITED | Medicare|All Plans | $218.66 | ↓ -28% |
| AMERIVANTAGE | Medicare|All Plans | $220.81 | ↓ -27% |
| SCANHealth | Medicare|All Plans | $229.38 | ↓ -24% |
| SUPERIOR | Medicaid|STARPLUS | $293.09 | ↓ -3% |
| UNITED | Medicaid|STARPLUS | $299.00 | ↓ -1% |
| Ambetter | Commercial|All Plans | $310.84 | ↑ +3% |
| Wellpoint | Commercial|Exchange | $321.56 | ↑ +6% |
| Wellpoint | Medicaid|All Other Plans | $415.55 | ↑ +37% |
| BCBS-TX | Commercial|Blue Premier | $509.03 | ↑ +68% |
| BCBS-TX | Commercial|Blue Advantage HMO | $512.66 | ↑ +69% |
| BCBS-TX | Commercial|HMO | $545.39 | ↑ +80% |
| Wellpoint | Medicaid|STAR | $571.38 | ↑ +89% |
| BCBS-TX | Commercial|PPO | $599.92 | ↑ +98% |
| Bright Health | Commercial|All Plans | $616.40 | ↑ +103% |
| Ellwood | Commercial|All Plans | $643.11 | ↑ +112% |
| Entrust | Commercial|All Plans | $692.58 | ↑ +128% |
| NX Health | Commercial|All Plans | $696.71 | ↑ +130% |
| Cigna | Commercial|Local Plus | $808.01 | ↑ +167% |
| Health Smart | Commercial|All Plans | $906.95 | ↑ +199% |
| First Health | Commercial|All Plans | $989.40 | ↑ +226% |
| Humana | Commercial|All Plans | $1,005.89 | ↑ +232% |
| Cigna | Commercial|All Other Plans | $1,055.36 | ↑ +248% |
| Aetna | Commercial|All Plans | $1,088.34 | ↑ +259% |
| PHCS | Commercial|All Plans | $1,401.65 | ↑ +362% |
| Multiplan | Commercial|All Plans | $1,484.10 | ↑ +390% |
| United | Commercial|Exchange | $1,508.00 | ↑ +398% |
| BCBS-TX | Commercial|Ref Lab | $1,649.00 | ↑ +444% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +877% |
Visitor-reported prices
Comments
Ghs ng placement w fluoro guidance at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $423.76 | $111.00 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $390.24 | $80.32 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $404.41 | $85.00 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $423.76 | $111.00 – $987.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $390.24 | $85.00 – $987.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $390.24 | $112.34 – $987.04 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $404.41 | $85.00 – $987.04 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $423.76 | $111.00 – $987.04 |