Incision & drainage hematoma/seroma/fluid collection at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,078.00
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.
$6,160.00
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.
$95.53 with SUPERIOR vs $4,565.00 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $95.53 | ↓ -91% |
| UNITED | Medicaid|STARKIDS | $97.44 | ↓ -91% |
| UNITED | Medicaid|All Other Plans | $97.44 | ↓ -91% |
| BCBS | Medicaid|STARKIDS | $100.31 | ↓ -91% |
| SUPERIOR | Medicaid|All Other Plans | $100.31 | ↓ -91% |
| SUPERIOR | Medicaid|STAR | $138.52 | ↓ -87% |
| BCBS-TX | Commercial|Blue Premier | $154.10 | ↓ -86% |
| BCBS-TX | Commercial|Blue Advantage HMO | $155.20 | ↓ -86% |
| BCBS-TX | Commercial|HMO | $165.11 | ↓ -85% |
| BCBS-TX | Commercial|PPO | $181.62 | ↓ -83% |
| SUPERIOR | Medicaid|STARPLUS | $236.91 | ↓ -78% |
| UNITED | Medicaid|STARPLUS | $241.69 | ↓ -78% |
| PGT | Medicare|All Plans | $581.59 | ↓ -46% |
| AETNA | Medicare|All Plans | $593.45 | ↓ -45% |
| BCBS | Medicare|All Plans | $593.45 | ↓ -45% |
| UNITED | Medicare|All Plans | $605.32 | ↓ -44% |
| AMERIVANTAGE | Medicare|All Plans | $611.26 | ↓ -43% |
| SCANHealth | Medicare|All Plans | $635.00 | ↓ -41% |
| Ambetter | Commercial|All Plans | $860.51 | ↓ -20% |
| Wellpoint | Commercial|Exchange | $890.18 | ↓ -17% |
| Wellpoint | Medicaid|All Other Plans | $1,150.38 | ↑ +7% |
| Wellpoint | Medicaid|STAR | $1,581.78 | ↑ +47% |
| Bright Health | Commercial|All Plans | $1,706.40 | ↑ +58% |
| Ellwood | Commercial|All Plans | $1,780.35 | ↑ +65% |
| Entrust | Commercial|All Plans | $1,917.30 | ↑ +78% |
| NX Health | Commercial|All Plans | $1,928.72 | ↑ +79% |
| United | Commercial|Exchange | $2,124.00 | ↑ +97% |
| Health Smart | Commercial|All Plans | $2,510.75 | ↑ +133% |
| First Health | Commercial|All Plans | $2,739.00 | ↑ +154% |
| Humana | Commercial|All Plans | $2,784.65 | ↑ +158% |
| Cigna | Commercial|All Other Plans | $2,921.60 | ↑ +171% |
| Aetna | Commercial|All Plans | $3,012.90 | ↑ +179% |
| Cigna | Commercial|Local Plus | $3,018.40 | ↑ +180% |
| PHCS | Commercial|All Plans | $3,880.25 | ↑ +260% |
| Multiplan | Commercial|All Plans | $4,108.50 | ↑ +281% |
| United | Commercial|All Other Plans | $4,168.00 | ↑ +287% |
| BCBS-TX | Commercial|Ref Lab | $4,565.00 | ↑ +323% |
Visitor-reported prices
Comments
Incision & drainage hematoma/seroma/fluid collection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $7,821.42 | $137.59 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,051.89 | $90.81 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,434.12 | $71.00 – $5,151.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,096.10 | $71.00 – $5,120.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,051.89 | $90.81 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,434.12 | $85.00 – $5,151.19 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,434.12 | $90.81 – $5,151.19 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,096.10 | $71.00 – $6,144.16 |