Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$22,270.50
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.
$127,260.00
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.
$1,562.82 with PGT vs $12,267.00 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $1,562.82 | ↓ -93% |
| BCBS | Medicare|All Plans | $1,594.71 | ↓ -93% |
| AETNA | Medicare|All Plans | $1,594.71 | ↓ -93% |
| UNITED | Medicare|All Plans | $1,626.61 | ↓ -93% |
| AMERIVANTAGE | Medicare|All Plans | $1,642.56 | ↓ -93% |
| SCANHealth | Medicare|All Plans | $1,706.34 | ↓ -92% |
| Ambetter | Commercial|All Plans | $2,312.33 | ↓ -90% |
| Wellpoint | Commercial|Exchange | $2,392.07 | ↓ -89% |
| United | Commercial|Exchange | $2,453.40 | ↓ -89% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,698.74 | ↓ -88% |
| BCBS-TX | Commercial|Blue Premier | $3,066.75 | ↓ -86% |
| Wellpoint | Medicaid|All Other Plans | $3,091.29 | ↓ -86% |
| Bright Health | Commercial|All Plans | $3,189.42 | ↓ -86% |
| BCBS-TX | Commercial|HMO | $3,312.09 | ↓ -85% |
| BCBS-TX | Commercial|PPO | $3,557.43 | ↓ -84% |
| Cigna | Commercial|Local Plus | $3,802.77 | ↓ -83% |
| United | Commercial|All Other Plans | $4,048.11 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $4,250.52 | ↓ -81% |
| Ellwood | Commercial|All Plans | $4,784.13 | ↓ -79% |
| Entrust | Commercial|All Plans | $5,152.14 | ↓ -77% |
| NX Health | Commercial|All Plans | $5,182.81 | ↓ -77% |
| Health Smart | Commercial|All Plans | $6,746.85 | ↓ -70% |
| First Health | Commercial|All Plans | $7,360.20 | ↓ -67% |
| Humana | Commercial|All Plans | $7,482.87 | ↓ -66% |
| Cigna | Commercial|All Other Plans | $7,850.88 | ↓ -65% |
| Aetna | Commercial|All Plans | $8,096.22 | ↓ -64% |
| PHCS | Commercial|All Plans | $10,426.95 | ↓ -53% |
| Multiplan | Commercial|All Plans | $11,040.30 | ↓ -50% |
| BCBS-TX | Commercial|Ref Lab | $12,267.00 | ↓ -45% |
Visitor-reported prices
Comments
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $43,599.44 | not published |
| HCA HOUSTON CONROE | CONROE | $44,102.00 | $209.78 – $209.78 |
| Baylor St Luke's Medical Center | Houston | $40,756.80 | $2,187.02 – $9,941.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $3,691.64 | $3,445.53 – $22,149.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $40,756.80 | $2,187.02 – $9,941.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $40,756.80 | $2,187.02 – $9,941.00 |
| St. Joseph Health College Station Hospital | College Station | $22,270.50 | $2,453.40 – $10,426.95 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $40,756.80 | $2,187.02 – $9,941.00 |