Graft xenmtrx sft rect 19x28cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,669.33
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.
$9,539.00
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.
$68.93 with PGT vs $541.00 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 | $68.93 | ↓ -96% |
| BCBS | Medicare|All Plans | $70.33 | ↓ -96% |
| AETNA | Medicare|All Plans | $70.33 | ↓ -96% |
| UNITED | Medicare|All Plans | $71.74 | ↓ -96% |
| AMERIVANTAGE | Medicare|All Plans | $72.44 | ↓ -96% |
| SCANHealth | Medicare|All Plans | $75.26 | ↓ -95% |
| Ambetter | Commercial|All Plans | $101.98 | ↓ -94% |
| Wellpoint | Commercial|Exchange | $105.50 | ↓ -94% |
| United | Commercial|Exchange | $108.20 | ↓ -94% |
| BCBS-TX | Commercial|Blue Advantage HMO | $119.02 | ↓ -93% |
| BCBS-TX | Commercial|Blue Premier | $135.25 | ↓ -92% |
| Wellpoint | Medicaid|All Other Plans | $136.34 | ↓ -92% |
| Bright Health | Commercial|All Plans | $140.66 | ↓ -92% |
| BCBS-TX | Commercial|HMO | $146.07 | ↓ -91% |
| BCBS-TX | Commercial|PPO | $156.89 | ↓ -91% |
| Cigna | Commercial|Local Plus | $167.71 | ↓ -90% |
| United | Commercial|All Other Plans | $178.53 | ↓ -89% |
| Wellpoint | Medicaid|STAR | $187.46 | ↓ -89% |
| Ellwood | Commercial|All Plans | $210.99 | ↓ -87% |
| Entrust | Commercial|All Plans | $227.22 | ↓ -86% |
| NX Health | Commercial|All Plans | $228.58 | ↓ -86% |
| Health Smart | Commercial|All Plans | $297.55 | ↓ -82% |
| First Health | Commercial|All Plans | $324.60 | ↓ -81% |
| Humana | Commercial|All Plans | $330.01 | ↓ -80% |
| Cigna | Commercial|All Other Plans | $346.24 | ↓ -79% |
| Aetna | Commercial|All Plans | $357.06 | ↓ -79% |
| PHCS | Commercial|All Plans | $459.85 | ↓ -72% |
| Multiplan | Commercial|All Plans | $486.90 | ↓ -71% |
| BCBS-TX | Commercial|Ref Lab | $541.00 | ↓ -68% |
Visitor-reported prices
Comments
Graft xenmtrx sft rect 19x28cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $4,134.06 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $349.50 | $66.60 – $237.83 |
| Baylor St Luke's Medical Center | Houston | $12,380.20 | $24.48 – $116.55 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,683.36 | $441.00 – $2,646.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $12,380.20 | $24.48 – $116.55 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $12,380.20 | $24.48 – $116.55 |
| St. Joseph Health College Station Hospital | College Station | $1,669.33 | $108.20 – $459.85 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $12,380.20 | $24.48 – $116.55 |