Ghs peritonsillar abscess i andd at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$133.18
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.
$761.00
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 | ↓ -75% |
| BCBS | Medicare|All Plans | $34.19 | ↓ -74% |
| AETNA | Medicare|All Plans | $34.19 | ↓ -74% |
| UNITED | Medicare|All Plans | $34.88 | ↓ -74% |
| AMERIVANTAGE | Medicare|All Plans | $35.22 | ↓ -74% |
| SCANHealth | Medicare|All Plans | $36.59 | ↓ -73% |
| Ambetter | Commercial|All Plans | $49.58 | ↓ -63% |
| Wellpoint | Commercial|Exchange | $51.29 | ↓ -61% |
| Wellpoint | Medicaid|All Other Plans | $66.28 | ↓ -50% |
| Wellpoint | Medicaid|STAR | $91.13 | ↓ -32% |
| SUPERIOR | Medicaid|CHIP | $92.13 | ↓ -31% |
| UNITED | Medicaid|STARKIDS | $93.97 | ↓ -29% |
| UNITED | Medicaid|All Other Plans | $93.97 | ↓ -29% |
| SUPERIOR | Medicaid|All Other Plans | $96.74 | ↓ -27% |
| BCBS | Medicaid|STARKIDS | $96.74 | ↓ -27% |
| Bright Health | Commercial|All Plans | $98.31 | ↓ -26% |
| Ellwood | Commercial|All Plans | $102.57 | ↓ -23% |
| Entrust | Commercial|All Plans | $110.46 | ↓ -17% |
| NX Health | Commercial|All Plans | $111.12 | ↓ -17% |
| SUPERIOR | Medicaid|STAR | $133.59 | ↑ +0% |
| Health Smart | Commercial|All Plans | $144.65 | ↑ +9% |
| First Health | Commercial|All Plans | $157.80 | ↑ +18% |
| Humana | Commercial|All Plans | $160.43 | ↑ +20% |
| Cigna | Commercial|All Other Plans | $168.32 | ↑ +26% |
| Aetna | Commercial|All Plans | $173.58 | ↑ +30% |
| PHCS | Commercial|All Plans | $223.55 | ↑ +68% |
| SUPERIOR | Medicaid|STARPLUS | $228.48 | ↑ +72% |
| UNITED | Medicaid|STARPLUS | $233.09 | ↑ +75% |
| Multiplan | Commercial|All Plans | $236.70 | ↑ +78% |
| BCBS-TX | Commercial|Ref Lab | $263.00 | ↑ +97% |
| BCBS-TX | Commercial|Blue Premier | $285.10 | ↑ +114% |
| BCBS-TX | Commercial|Blue Advantage HMO | $287.13 | ↑ +116% |
| BCBS-TX | Commercial|HMO | $305.46 | ↑ +129% |
| BCBS-TX | Commercial|PPO | $336.01 | ↑ +152% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1032% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +2068% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2123% |
Visitor-reported prices
Comments
Ghs peritonsillar abscess i andd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,646.52 | $254.55 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,453.82 | $87.58 – $1,817.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $867.02 | $71.00 – $1,300.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $844.18 | $71.00 – $1,055.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,453.82 | $87.58 – $1,817.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $867.02 | $85.00 – $1,300.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $867.02 | $87.58 – $1,300.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $844.18 | $71.00 – $1,266.26 |