Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$71.23
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.
$407.00
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.
$47.34 with BCBS-TX vs $407.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $47.34 | ↓ -34% |
| PGT | Medicare|All Plans | $51.86 | ↓ -27% |
| AETNA | Medicare|All Plans | $52.91 | ↓ -26% |
| BCBS | Medicare|All Plans | $52.91 | ↓ -26% |
| UNITED | Medicare|All Plans | $53.97 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $54.50 | ↓ -23% |
| BCBS-TX | Commercial|Blue Premier | $55.67 | ↓ -22% |
| SCANHealth | Medicare|All Plans | $56.62 | ↓ -21% |
| BCBS-TX | Commercial|HMO | $59.00 | ↓ -17% |
| BCBS-TX | Commercial|PPO | $65.66 | ↓ -8% |
| Ambetter | Commercial|All Plans | $76.72 | ↑ +8% |
| United | Commercial|Exchange | $77.00 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $79.37 | ↑ +11% |
| SUPERIOR | Medicaid|CHIP | $97.68 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $99.64 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $99.64 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $102.57 | ↑ +44% |
| SUPERIOR | Medicaid|All Other Plans | $102.57 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $102.57 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $141.03 | ↑ +98% |
| SUPERIOR | Medicaid|STAR | $141.64 | ↑ +99% |
| United | Commercial|All Other Plans | $152.00 | ↑ +113% |
| Bright Health | Commercial|All Plans | $152.14 | ↑ +114% |
| Ellwood | Commercial|All Plans | $158.73 | ↑ +123% |
| Entrust | Commercial|All Plans | $170.94 | ↑ +140% |
| NX Health | Commercial|All Plans | $171.96 | ↑ +141% |
| Cigna | Commercial|Local Plus | $199.43 | ↑ +180% |
| Health Smart | Commercial|All Plans | $223.85 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $242.25 | ↑ +240% |
| First Health | Commercial|All Plans | $244.20 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $247.14 | ↑ +247% |
| Humana | Commercial|All Plans | $248.27 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $260.48 | ↑ +266% |
| Aetna | Commercial|All Plans | $268.62 | ↑ +277% |
| PHCS | Commercial|All Plans | $345.95 | ↑ +386% |
| Multiplan | Commercial|All Plans | $366.30 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $407.00 | ↑ +471% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $541.16 | $91.59 – $91.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $216.67 | $61.39 – $306.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $211.78 | $43.59 – $317.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $325.54 | $65.11 – $406.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $216.67 | $55.67 – $306.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $211.78 | $67.98 – $317.66 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $211.78 | $109.42 – $317.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $325.54 | $71.85 – $488.31 |