Hemorrhoidectomy intrnl lig rbbr band ligations at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$211.40
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.
$1,208.00
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.
$47.14 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 | $47.14 | ↓ -78% |
| BCBS | Medicare|All Plans | $48.10 | ↓ -77% |
| AETNA | Medicare|All Plans | $48.10 | ↓ -77% |
| UNITED | Medicare|All Plans | $49.07 | ↓ -77% |
| AMERIVANTAGE | Medicare|All Plans | $49.55 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $51.47 | ↓ -76% |
| Ambetter | Commercial|All Plans | $69.75 | ↓ -67% |
| Wellpoint | Commercial|Exchange | $72.15 | ↓ -66% |
| Wellpoint | Medicaid|All Other Plans | $93.24 | ↓ -56% |
| Wellpoint | Medicaid|STAR | $128.21 | ↓ -39% |
| Bright Health | Commercial|All Plans | $138.31 | ↓ -35% |
| Ellwood | Commercial|All Plans | $144.30 | ↓ -32% |
| Entrust | Commercial|All Plans | $155.40 | ↓ -26% |
| NX Health | Commercial|All Plans | $156.33 | ↓ -26% |
| SUPERIOR | Medicaid|CHIP | $172.13 | ↓ -19% |
| UNITED | Medicaid|STARKIDS | $175.57 | ↓ -17% |
| UNITED | Medicaid|All Other Plans | $175.57 | ↓ -17% |
| BCBS | Medicaid|STARKIDS | $180.74 | ↓ -15% |
| SUPERIOR | Medicaid|All Other Plans | $180.74 | ↓ -15% |
| Health Smart | Commercial|All Plans | $203.50 | ↓ -4% |
| First Health | Commercial|All Plans | $222.00 | ↑ +5% |
| Humana | Commercial|All Plans | $225.70 | ↑ +7% |
| Cigna | Commercial|All Other Plans | $236.80 | ↑ +12% |
| Aetna | Commercial|All Plans | $244.20 | ↑ +16% |
| SUPERIOR | Medicaid|STAR | $249.59 | ↑ +18% |
| BCBS-TX | Commercial|Blue Premier | $260.71 | ↑ +23% |
| BCBS-TX | Commercial|Blue Advantage HMO | $262.57 | ↑ +24% |
| BCBS-TX | Commercial|HMO | $279.33 | ↑ +32% |
| BCBS-TX | Commercial|PPO | $307.26 | ↑ +45% |
| PHCS | Commercial|All Plans | $314.50 | ↑ +49% |
| Multiplan | Commercial|All Plans | $333.00 | ↑ +58% |
| BCBS-TX | Commercial|Ref Lab | $370.00 | ↑ +75% |
| SUPERIOR | Medicaid|STARPLUS | $426.88 | ↑ +102% |
| UNITED | Medicaid|STARPLUS | $435.49 | ↑ +106% |
| United | Commercial|Exchange | $1,508.00 | ↑ +613% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +1266% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +1300% |
Visitor-reported prices
Comments
Hemorrhoidectomy intrnl lig rbbr band ligations at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $254.60 | $152.76 – $3,693.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,178.02 | $175.07 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,137.61 | $163.62 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $254.60 | $163.62 – $3,693.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,178.02 | $175.07 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,178.02 | $163.62 – $2,501.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,137.61 | $163.62 – $2,975.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $254.60 | $163.62 – $3,693.00 |