Inj, bezlotoxumab, 10 mg at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$665.00
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.
$3,799.95
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.
$39.87 with United vs $3,799.95 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 |
|---|---|---|---|
| United | Commercial|Exchange | $39.87 | ↓ -94% |
| Cigna | Commercial|Local Plus | $45.04 | ↓ -93% |
| BCBS-TX | Commercial|Blue Advantage HMO | $52.44 | ↓ -92% |
| United | Commercial|All Other Plans | $65.79 | ↓ -90% |
| BCBS-TX | Commercial|Blue Premier | $85.50 | ↓ -87% |
| BCBS-TX | Commercial|HMO | $87.78 | ↓ -87% |
| BCBS-TX | Commercial|PPO | $100.32 | ↓ -85% |
| PGT | Medicare|All Plans | $484.12 | ↓ -27% |
| BCBS | Medicare|All Plans | $494.00 | ↓ -26% |
| AETNA | Medicare|All Plans | $494.00 | ↓ -26% |
| UNITED | Medicare|All Plans | $503.88 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $508.82 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $528.58 | ↓ -21% |
| Ambetter | Commercial|All Plans | $716.30 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $741.00 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $957.59 | ↑ +44% |
| Bright Health | Commercial|All Plans | $1,253.99 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $1,316.69 | ↑ +98% |
| Ellwood | Commercial|All Plans | $1,481.99 | ↑ +123% |
| Entrust | Commercial|All Plans | $1,595.98 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,605.48 | ↑ +141% |
| Health Smart | Commercial|All Plans | $2,089.98 | ↑ +214% |
| First Health | Commercial|All Plans | $2,279.97 | ↑ +243% |
| Humana | Commercial|All Plans | $2,317.97 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $2,431.97 | ↑ +266% |
| Aetna | Commercial|All Plans | $2,507.97 | ↑ +277% |
| PHCS | Commercial|All Plans | $3,229.96 | ↑ +386% |
| Multiplan | Commercial|All Plans | $3,419.96 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $3,799.95 | ↑ +471% |
Visitor-reported prices
Comments
Inj, bezlotoxumab, 10 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $6,126.42 | $146.30 – $146.30 |
| Covenant Children's Hospital | Lubbock | $24,931.65 | $139.39 – $151.72 |
| Baylor St Luke's Medical Center | Houston | $9,702.65 | $34.20 – $27,721.83 |
| St. Luke's Health Memorial Lufkin | Lufkin | $329.69 | $41.04 – $1,978.13 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $9,702.65 | $41.42 – $27,721.83 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $9,702.65 | $41.42 – $27,721.83 |
| St. Joseph Health College Station Hospital | College Station | $665.00 | $39.87 – $3,229.96 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $9,702.65 | $41.42 – $27,721.83 |