In-111 oxyquinolin per 0.5 mci at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$456.58
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.
$2,609.00
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.
$332.39 with PGT vs $2,609.00 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 | $332.39 | ↓ -27% |
| AETNA | Medicare|All Plans | $339.17 | ↓ -26% |
| BCBS | Medicare|All Plans | $339.17 | ↓ -26% |
| UNITED | Medicare|All Plans | $345.96 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $349.35 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $362.92 | ↓ -21% |
| Ambetter | Commercial|All Plans | $491.80 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $508.76 | ↑ +11% |
| United | Commercial|Exchange | $521.80 | ↑ +14% |
| Wellpoint | Medicaid|All Other Plans | $657.47 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $904.02 | ↑ +98% |
| United | Commercial|All Other Plans | $939.24 | ↑ +106% |
| Bright Health | Commercial|All Plans | $975.25 | ↑ +114% |
| Ellwood | Commercial|All Plans | $1,017.51 | ↑ +123% |
| Entrust | Commercial|All Plans | $1,095.78 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,102.31 | ↑ +141% |
| Cigna | Commercial|Local Plus | $1,278.41 | ↑ +180% |
| Health Smart | Commercial|All Plans | $1,434.95 | ↑ +214% |
| First Health | Commercial|All Plans | $1,565.40 | ↑ +243% |
| Humana | Commercial|All Plans | $1,591.49 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,669.76 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,721.94 | ↑ +277% |
| PHCS | Commercial|All Plans | $2,217.65 | ↑ +386% |
| Multiplan | Commercial|All Plans | $2,348.10 | ↑ +414% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,457.74 | ↑ +438% |
| BCBS-TX | Commercial|Ref Lab | $2,609.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $2,609.00 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $2,609.00 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $2,609.00 | ↑ +471% |
Visitor-reported prices
Comments
In-111 oxyquinolin per 0.5 mci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $9,053.47 | $1,371.91 – $20,899.60 |
| HCA HOUSTON KINGWOOD | HUMBLE | $9,252.22 | $1,371.91 – $20,899.60 |
| St. Joseph Health College Station Hospital | College Station | $456.58 | $521.80 – $2,457.74 |
| HCA HOUSTON SOUTHEAST | PASADENA | $15,961.38 | $1,371.91 – $20,899.60 |
| St. Joseph Health Grimes Hospital | Navasota | $456.58 | $521.80 – $2,895.99 |
| St. Joseph Health Burleson Hospital | Caldwell | $456.58 | $521.80 – $2,457.74 |
| Adventhealth Rollins Brook | Lampasas | not published | $6,856.73 – $6,856.73 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,371.91 – $20,899.60 |