Injection epidural blood patch or clot at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$499.98
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.
$2,857.00
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.
$276.53 with SUPERIOR 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $276.53 | ↓ -45% |
| UNITED | Medicaid|All Other Plans | $282.06 | ↓ -44% |
| UNITED | Medicaid|STARKIDS | $282.06 | ↓ -44% |
| BCBS | Medicaid|STARKIDS | $290.36 | ↓ -42% |
| SUPERIOR | Medicaid|All Other Plans | $290.36 | ↓ -42% |
| PGT | Medicare|All Plans | $325.00 | ↓ -35% |
| AETNA | Medicare|All Plans | $331.63 | ↓ -34% |
| BCBS | Medicare|All Plans | $331.63 | ↓ -34% |
| UNITED | Medicare|All Plans | $338.27 | ↓ -32% |
| AMERIVANTAGE | Medicare|All Plans | $341.58 | ↓ -32% |
| SCANHealth | Medicare|All Plans | $354.85 | ↓ -29% |
| SUPERIOR | Medicaid|STAR | $400.97 | ↓ -20% |
| Ambetter | Commercial|All Plans | $480.87 | ↓ -4% |
| Wellpoint | Commercial|Exchange | $497.45 | ↓ -1% |
| Wellpoint | Medicaid|All Other Plans | $642.86 | ↑ +29% |
| SUPERIOR | Medicaid|STARPLUS | $685.79 | ↑ +37% |
| UNITED | Medicaid|STARPLUS | $699.62 | ↑ +40% |
| BCBS-TX | Commercial|Blue Premier | $875.07 | ↑ +75% |
| BCBS-TX | Commercial|Blue Advantage HMO | $881.32 | ↑ +76% |
| Wellpoint | Medicaid|STAR | $883.93 | ↑ +77% |
| BCBS-TX | Commercial|HMO | $937.58 | ↑ +88% |
| Bright Health | Commercial|All Plans | $953.57 | ↑ +91% |
| Ellwood | Commercial|All Plans | $994.89 | ↑ +99% |
| BCBS-TX | Commercial|PPO | $1,031.33 | ↑ +106% |
| Entrust | Commercial|All Plans | $1,071.42 | ↑ +114% |
| NX Health | Commercial|All Plans | $1,077.80 | ↑ +116% |
| Health Smart | Commercial|All Plans | $1,403.05 | ↑ +181% |
| United | Commercial|Exchange | $1,508.00 | ↑ +202% |
| First Health | Commercial|All Plans | $1,530.60 | ↑ +206% |
| Humana | Commercial|All Plans | $1,556.11 | ↑ +211% |
| Cigna | Commercial|All Other Plans | $1,632.64 | ↑ +227% |
| Aetna | Commercial|All Plans | $1,683.66 | ↑ +237% |
| PHCS | Commercial|All Plans | $2,168.35 | ↑ +334% |
| Multiplan | Commercial|All Plans | $2,295.90 | ↑ +359% |
| BCBS-TX | Commercial|Ref Lab | $2,551.00 | ↑ +410% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +478% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +492% |
Visitor-reported prices
Comments
Injection epidural blood patch or clot at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,790.34 | $262.86 – $2,237.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,094.67 | $71.00 – $3,142.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,942.35 | $71.00 – $2,427.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,790.34 | $262.86 – $2,237.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,094.67 | $85.00 – $3,142.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,094.67 | $262.86 – $3,142.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,942.35 | $71.00 – $2,913.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,790.34 | $262.86 – $2,237.93 |