Grfg autol soft tiss dir exc at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$95.38
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.
?
What you pay up front if you don't use insurance.
$545.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$69.44 with PGT vs $11,861.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $69.44 | ↓ -27% |
| BCBS | Medicare|All Plans | $70.85 | ↓ -26% |
| AETNA | Medicare|All Plans | $70.85 | ↓ -26% |
| UNITED | Medicare|All Plans | $72.27 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $72.98 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $75.81 | ↓ -21% |
| Ambetter | Commercial|All Plans | $102.74 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $106.28 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $137.34 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $188.85 | ↑ +98% |
| Bright Health | Commercial|All Plans | $203.73 | ↑ +114% |
| Ellwood | Commercial|All Plans | $212.55 | ↑ +123% |
| Entrust | Commercial|All Plans | $228.90 | ↑ +140% |
| NX Health | Commercial|All Plans | $230.27 | ↑ +141% |
| Health Smart | Commercial|All Plans | $299.75 | ↑ +214% |
| First Health | Commercial|All Plans | $327.00 | ↑ +243% |
| Humana | Commercial|All Plans | $332.45 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $348.80 | ↑ +266% |
| Aetna | Commercial|All Plans | $359.70 | ↑ +277% |
| PHCS | Commercial|All Plans | $463.25 | ↑ +386% |
| Multiplan | Commercial|All Plans | $490.50 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $545.00 | ↑ +471% |
| SUPERIOR | Medicaid|CHIP | $1,533.42 | ↑ +1508% |
| UNITED | Medicaid|All Other Plans | $1,564.09 | ↑ +1540% |
| UNITED | Medicaid|STARKIDS | $1,564.09 | ↑ +1540% |
| BCBS | Medicaid|STARKIDS | $1,610.09 | ↑ +1588% |
| SUPERIOR | Medicaid|All Other Plans | $1,610.09 | ↑ +1588% |
| SUPERIOR | Medicaid|STAR | $2,223.46 | ↑ +2231% |
| SUPERIOR | Medicaid|STARPLUS | $3,802.88 | ↑ +3887% |
| UNITED | Medicaid|STARPLUS | $3,879.55 | ↑ +3967% |
| BCBS-TX | Commercial|Blue Premier | $4,168.21 | ↑ +4270% |
| BCBS-TX | Commercial|Blue Advantage HMO | $4,197.98 | ↑ +4301% |
| BCBS-TX | Commercial|HMO | $4,465.94 | ↑ +4582% |
| BCBS-TX | Commercial|PPO | $4,912.53 | ↑ +5050% |
| United | Commercial|Exchange | $6,045.00 | ↑ +6238% |
| Cigna | Commercial|Local Plus | $7,855.00 | ↑ +8135% |
| United | Commercial|All Other Plans | $11,861.00 | ↑ +12336% |
Visitor-reported prices
Comments
Grfg autol soft tiss dir exc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $3,721.61 – $8,715.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $1,457.62 – $10,795.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | not published | $1,559.65 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | not published | $1,457.62 – $10,795.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $1,559.65 – $8,887.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | not published | $1,457.62 – $10,795.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | not published | $1,457.62 – $10,795.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | not published | $1,457.62 – $8,887.48 |