Guided cath fluid drainage 10030 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$236.60
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.
$1,352.00
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.
$104.73 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 | $104.73 | ↓ -56% |
| BCBS | Medicare|All Plans | $106.86 | ↓ -55% |
| AETNA | Medicare|All Plans | $106.86 | ↓ -55% |
| UNITED | Medicare|All Plans | $109.00 | ↓ -54% |
| AMERIVANTAGE | Medicare|All Plans | $110.07 | ↓ -53% |
| SCANHealth | Medicare|All Plans | $114.35 | ↓ -52% |
| Ambetter | Commercial|All Plans | $154.95 | ↓ -35% |
| Wellpoint | Commercial|Exchange | $160.29 | ↓ -32% |
| Wellpoint | Medicaid|All Other Plans | $207.15 | ↓ -12% |
| SUPERIOR | Medicaid|CHIP | $271.00 | ↑ +15% |
| UNITED | Medicaid|STARKIDS | $276.42 | ↑ +17% |
| UNITED | Medicaid|All Other Plans | $276.42 | ↑ +17% |
| SUPERIOR | Medicaid|All Other Plans | $284.55 | ↑ +20% |
| BCBS | Medicaid|STARKIDS | $284.55 | ↑ +20% |
| Wellpoint | Medicaid|STAR | $284.83 | ↑ +20% |
| Bright Health | Commercial|All Plans | $307.27 | ↑ +30% |
| Ellwood | Commercial|All Plans | $320.58 | ↑ +35% |
| Entrust | Commercial|All Plans | $345.24 | ↑ +46% |
| NX Health | Commercial|All Plans | $347.30 | ↑ +47% |
| SUPERIOR | Medicaid|STAR | $392.95 | ↑ +66% |
| Health Smart | Commercial|All Plans | $452.10 | ↑ +91% |
| First Health | Commercial|All Plans | $493.20 | ↑ +108% |
| Humana | Commercial|All Plans | $501.42 | ↑ +112% |
| Cigna | Commercial|All Other Plans | $526.08 | ↑ +122% |
| Aetna | Commercial|All Plans | $542.52 | ↑ +129% |
| Cigna | Commercial|Local Plus | $662.48 | ↑ +180% |
| SUPERIOR | Medicaid|STARPLUS | $672.08 | ↑ +184% |
| UNITED | Medicaid|STARPLUS | $685.63 | ↑ +190% |
| PHCS | Commercial|All Plans | $698.70 | ↑ +195% |
| Multiplan | Commercial|All Plans | $739.80 | ↑ +213% |
| BCBS-TX | Commercial|Ref Lab | $822.00 | ↑ +247% |
| BCBS-TX | Commercial|Blue Premier | $854.01 | ↑ +261% |
| BCBS-TX | Commercial|Blue Advantage HMO | $860.11 | ↑ +264% |
| BCBS-TX | Commercial|HMO | $915.02 | ↑ +287% |
| BCBS-TX | Commercial|PPO | $1,006.52 | ↑ +325% |
| United | Commercial|Exchange | $1,508.00 | ↑ +537% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +1151% |
Visitor-reported prices
Comments
Guided cath fluid drainage 10030 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,270.09 | $111.00 – $2,837.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,218.98 | $71.00 – $1,828.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,026.01 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,270.09 | $257.60 – $2,837.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,218.98 | $85.00 – $1,828.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,218.98 | $257.60 – $1,828.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,026.01 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,270.09 | $111.00 – $2,837.61 |