Inj intralesional <= 7 lsn(s) at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$40.25
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.
$230.00
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.
$9.81 with PGT vs $2,960.00 with United — 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 | $9.81 | ↓ -76% |
| BCBS | Medicare|All Plans | $10.01 | ↓ -75% |
| AETNA | Medicare|All Plans | $10.01 | ↓ -75% |
| UNITED | Medicare|All Plans | $10.22 | ↓ -75% |
| AMERIVANTAGE | Medicare|All Plans | $10.32 | ↓ -74% |
| SCANHealth | Medicare|All Plans | $10.72 | ↓ -73% |
| Ambetter | Commercial|All Plans | $14.52 | ↓ -64% |
| Wellpoint | Commercial|Exchange | $15.02 | ↓ -63% |
| Wellpoint | Medicaid|All Other Plans | $19.41 | ↓ -52% |
| Wellpoint | Medicaid|STAR | $26.69 | ↓ -34% |
| Bright Health | Commercial|All Plans | $28.79 | ↓ -28% |
| Ellwood | Commercial|All Plans | $30.03 | ↓ -25% |
| Entrust | Commercial|All Plans | $32.34 | ↓ -20% |
| NX Health | Commercial|All Plans | $32.54 | ↓ -19% |
| Health Smart | Commercial|All Plans | $42.35 | ↑ +5% |
| First Health | Commercial|All Plans | $46.20 | ↑ +15% |
| Humana | Commercial|All Plans | $46.97 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $49.28 | ↑ +22% |
| Aetna | Commercial|All Plans | $50.82 | ↑ +26% |
| SUPERIOR | Medicaid|CHIP | $55.20 | ↑ +37% |
| UNITED | Medicaid|STARKIDS | $56.31 | ↑ +40% |
| UNITED | Medicaid|All Other Plans | $56.31 | ↑ +40% |
| BCBS | Medicaid|STARKIDS | $57.96 | ↑ +44% |
| SUPERIOR | Medicaid|All Other Plans | $57.96 | ↑ +44% |
| PHCS | Commercial|All Plans | $65.45 | ↑ +63% |
| Multiplan | Commercial|All Plans | $69.30 | ↑ +72% |
| BCBS-TX | Commercial|Ref Lab | $77.00 | ↑ +91% |
| SUPERIOR | Medicaid|STAR | $80.04 | ↑ +99% |
| Cigna | Commercial|Local Plus | $112.70 | ↑ +180% |
| SUPERIOR | Medicaid|STARPLUS | $136.90 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $139.66 | ↑ +247% |
| BCBS-TX | Commercial|Blue Premier | $244.62 | ↑ +508% |
| BCBS-TX | Commercial|Blue Advantage HMO | $246.37 | ↑ +512% |
| BCBS-TX | Commercial|HMO | $262.10 | ↑ +551% |
| BCBS-TX | Commercial|PPO | $288.30 | ↑ +616% |
| United | Commercial|Exchange | $1,508.00 | ↑ +3647% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +7254% |
Visitor-reported prices
Comments
Inj intralesional <= 7 lsn(s) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $238.77 | $67.65 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $255.02 | $52.49 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $255.02 | $51.00 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $238.77 | $63.67 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $255.02 | $81.86 – $495.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $255.02 | $131.76 – $495.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $255.02 | $71.00 – $495.95 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $238.77 | $63.67 – $495.95 |