Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$2,177.70
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.
$12,444.00
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.
$138.75 with United vs $3,691.00 with BCBS-TX — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $138.75 | ↓ -94% |
| Cigna | Commercial|Local Plus | $154.76 | ↓ -93% |
| United | Commercial|All Other Plans | $228.94 | ↓ -89% |
| PGT | Medicare|All Plans | $470.24 | ↓ -78% |
| BCBS | Medicare|All Plans | $479.83 | ↓ -78% |
| AETNA | Medicare|All Plans | $479.83 | ↓ -78% |
| UNITED | Medicare|All Plans | $489.43 | ↓ -78% |
| AMERIVANTAGE | Medicare|All Plans | $494.23 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $513.42 | ↓ -76% |
| Ambetter | Commercial|All Plans | $695.76 | ↓ -68% |
| Wellpoint | Commercial|Exchange | $719.75 | ↓ -67% |
| Wellpoint | Medicaid|All Other Plans | $930.14 | ↓ -57% |
| Bright Health | Commercial|All Plans | $1,218.03 | ↓ -44% |
| Wellpoint | Medicaid|STAR | $1,278.94 | ↓ -41% |
| Ellwood | Commercial|All Plans | $1,439.49 | ↓ -34% |
| Entrust | Commercial|All Plans | $1,550.22 | ↓ -29% |
| NX Health | Commercial|All Plans | $1,559.45 | ↓ -28% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,756.04 | ↓ -19% |
| BCBS-TX | Commercial|Blue Premier | $1,995.50 | ↓ -8% |
| Health Smart | Commercial|All Plans | $2,030.05 | ↓ -7% |
| BCBS-TX | Commercial|HMO | $2,155.14 | ↓ -1% |
| First Health | Commercial|All Plans | $2,214.60 | ↑ +2% |
| Humana | Commercial|All Plans | $2,251.51 | ↑ +3% |
| BCBS-TX | Commercial|PPO | $2,314.78 | ↑ +6% |
| Cigna | Commercial|All Other Plans | $2,362.24 | ↑ +8% |
| Aetna | Commercial|All Plans | $2,436.06 | ↑ +12% |
| PHCS | Commercial|All Plans | $3,137.35 | ↑ +44% |
| Multiplan | Commercial|All Plans | $3,321.90 | ↑ +53% |
| BCBS-TX | Commercial|Ref Lab | $3,691.00 | ↑ +69% |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $820.00 | $136.37 – $1,283.63 |
| HCA HOUSTON MEDICAL CENTER | Houston | $6,023.00 | $136.37 – $1,283.63 |
| Covenant Children's Hospital | Lubbock | $17,161.20 | $476.62 – $518.02 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,031.00 | $209.78 – $1,283.63 |
| St. Luke's Health - Patients Medical Center | Pasadena | $4,325.48 | $87.98 – $314.22 |
| St. Joseph Health College Station Hospital | College Station | $2,177.70 | $138.75 – $5,587.40 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $9,795.72 | $157.50 – $4,648.77 |
| St. Joseph Health Grimes Hospital | Navasota | $2,177.70 | $138.75 – $5,587.40 |