Icd cobalt xt dr MRI is1 df1 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$44,765.70
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.
$255,804.00
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.
$6,811.96 with PGT vs $53,469.00 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 | $6,811.96 | ↓ -85% |
| BCBS | Medicare|All Plans | $6,950.97 | ↓ -84% |
| AETNA | Medicare|All Plans | $6,950.97 | ↓ -84% |
| UNITED | Medicare|All Plans | $7,089.99 | ↓ -84% |
| AMERIVANTAGE | Medicare|All Plans | $7,159.50 | ↓ -84% |
| SCANHealth | Medicare|All Plans | $7,437.54 | ↓ -83% |
| Ambetter | Commercial|All Plans | $10,078.91 | ↓ -77% |
| Wellpoint | Commercial|Exchange | $10,426.46 | ↓ -77% |
| United | Commercial|Exchange | $10,693.80 | ↓ -76% |
| BCBS-TX | Commercial|Blue Advantage HMO | $11,763.18 | ↓ -74% |
| BCBS-TX | Commercial|Blue Premier | $13,367.25 | ↓ -70% |
| Wellpoint | Medicaid|All Other Plans | $13,474.19 | ↓ -70% |
| Bright Health | Commercial|All Plans | $13,901.94 | ↓ -69% |
| BCBS-TX | Commercial|HMO | $14,436.63 | ↓ -68% |
| BCBS-TX | Commercial|PPO | $15,506.01 | ↓ -65% |
| Cigna | Commercial|Local Plus | $16,575.39 | ↓ -63% |
| United | Commercial|All Other Plans | $17,644.77 | ↓ -61% |
| Wellpoint | Medicaid|STAR | $18,527.01 | ↓ -59% |
| Ellwood | Commercial|All Plans | $20,852.91 | ↓ -53% |
| Entrust | Commercial|All Plans | $22,456.98 | ↓ -50% |
| NX Health | Commercial|All Plans | $22,590.66 | ↓ -50% |
| Health Smart | Commercial|All Plans | $29,407.95 | ↓ -34% |
| First Health | Commercial|All Plans | $32,081.40 | ↓ -28% |
| Humana | Commercial|All Plans | $32,616.09 | ↓ -27% |
| Cigna | Commercial|All Other Plans | $34,220.16 | ↓ -24% |
| Aetna | Commercial|All Plans | $35,289.54 | ↓ -21% |
| PHCS | Commercial|All Plans | $45,448.65 | ↑ +2% |
| Multiplan | Commercial|All Plans | $48,122.10 | ↑ +7% |
| BCBS-TX | Commercial|Ref Lab | $53,469.00 | ↑ +19% |
Visitor-reported prices
Comments
Icd cobalt xt dr MRI is1 df1 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $35,816.55 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $166,489.63 | $995.56 – $3,555.57 |
| Baylor St Luke's Medical Center | Houston | $72,856.88 | $0.21 – $1.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $47,909.77 | $10,080.48 – $60,482.84 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $72,856.88 | $0.21 – $1.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $72,856.88 | $0.21 – $1.00 |
| St. Joseph Health College Station Hospital | College Station | $44,765.70 | $10,693.80 – $45,448.65 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $72,856.88 | $0.21 – $1.00 |