Implant cochlear osia osi300 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$12,552.75
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.
$71,730.00
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.
$551.77 with PGT vs $4,331.00 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 | $551.77 | ↓ -96% |
| BCBS | Medicare|All Plans | $563.03 | ↓ -96% |
| AETNA | Medicare|All Plans | $563.03 | ↓ -96% |
| UNITED | Medicare|All Plans | $574.30 | ↓ -95% |
| AMERIVANTAGE | Medicare|All Plans | $579.93 | ↓ -95% |
| SCANHealth | Medicare|All Plans | $602.45 | ↓ -95% |
| Ambetter | Commercial|All Plans | $816.40 | ↓ -93% |
| Wellpoint | Commercial|Exchange | $844.55 | ↓ -93% |
| United | Commercial|Exchange | $866.20 | ↓ -93% |
| BCBS-TX | Commercial|Blue Advantage HMO | $952.82 | ↓ -92% |
| BCBS-TX | Commercial|Blue Premier | $1,082.75 | ↓ -91% |
| Wellpoint | Medicaid|All Other Plans | $1,091.42 | ↓ -91% |
| Bright Health | Commercial|All Plans | $1,126.06 | ↓ -91% |
| BCBS-TX | Commercial|HMO | $1,169.37 | ↓ -91% |
| BCBS-TX | Commercial|PPO | $1,255.99 | ↓ -90% |
| Cigna | Commercial|Local Plus | $1,342.61 | ↓ -89% |
| United | Commercial|All Other Plans | $1,429.23 | ↓ -89% |
| Wellpoint | Medicaid|STAR | $1,500.70 | ↓ -88% |
| Ellwood | Commercial|All Plans | $1,689.09 | ↓ -87% |
| Entrust | Commercial|All Plans | $1,819.02 | ↓ -86% |
| NX Health | Commercial|All Plans | $1,829.85 | ↓ -85% |
| Health Smart | Commercial|All Plans | $2,382.05 | ↓ -81% |
| First Health | Commercial|All Plans | $2,598.60 | ↓ -79% |
| Humana | Commercial|All Plans | $2,641.91 | ↓ -79% |
| Cigna | Commercial|All Other Plans | $2,771.84 | ↓ -78% |
| Aetna | Commercial|All Plans | $2,858.46 | ↓ -77% |
| PHCS | Commercial|All Plans | $3,681.35 | ↓ -71% |
| Multiplan | Commercial|All Plans | $3,897.90 | ↓ -69% |
| BCBS-TX | Commercial|Ref Lab | $4,331.00 | ↓ -65% |
Visitor-reported prices
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Implant cochlear osia osi300 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $21,892.96 | $767.59 – $3,612.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $21,892.96 | $557.63 – $4,063.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,892.96 | $541.83 – $3,612.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $21,892.96 | $722.44 – $3,612.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $21,892.96 | $869.63 – $4,063.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $21,892.96 | $1,399.72 – $4,063.71 |
| Covenant Children's Hospital | Lubbock | $19,965.32 | not published |
| Baylor St Luke's Medical Center | Houston | $20,396.25 | $350.45 – $13,537.06 |