Insert tunneled cv 2cath 2sits without port/pmp 36565 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$519.40
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.
$2,968.00
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.
$374.31 with PGT vs $11,861.00 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 | $374.31 | ↓ -28% |
| BCBS | Medicare|All Plans | $381.94 | ↓ -26% |
| AETNA | Medicare|All Plans | $381.94 | ↓ -26% |
| UNITED | Medicare|All Plans | $389.58 | ↓ -25% |
| AMERIVANTAGE | Medicare|All Plans | $393.40 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $408.68 | ↓ -21% |
| Ambetter | Commercial|All Plans | $553.82 | ↑ +7% |
| Wellpoint | Commercial|Exchange | $572.91 | ↑ +10% |
| Wellpoint | Medicaid|All Other Plans | $740.38 | ↑ +43% |
| Wellpoint | Medicaid|STAR | $1,018.02 | ↑ +96% |
| Bright Health | Commercial|All Plans | $1,098.23 | ↑ +111% |
| Ellwood | Commercial|All Plans | $1,145.82 | ↑ +121% |
| SUPERIOR | Medicaid|CHIP | $1,176.37 | ↑ +126% |
| UNITED | Medicaid|STARKIDS | $1,199.90 | ↑ +131% |
| UNITED | Medicaid|All Other Plans | $1,199.90 | ↑ +131% |
| Entrust | Commercial|All Plans | $1,233.96 | ↑ +138% |
| BCBS | Medicaid|STARKIDS | $1,235.19 | ↑ +138% |
| SUPERIOR | Medicaid|All Other Plans | $1,235.19 | ↑ +138% |
| NX Health | Commercial|All Plans | $1,241.31 | ↑ +139% |
| Health Smart | Commercial|All Plans | $1,615.90 | ↑ +211% |
| SUPERIOR | Medicaid|STAR | $1,705.74 | ↑ +228% |
| First Health | Commercial|All Plans | $1,762.80 | ↑ +239% |
| Humana | Commercial|All Plans | $1,792.18 | ↑ +245% |
| Cigna | Commercial|All Other Plans | $1,880.32 | ↑ +262% |
| Aetna | Commercial|All Plans | $1,939.08 | ↑ +273% |
| PHCS | Commercial|All Plans | $2,497.30 | ↑ +381% |
| Multiplan | Commercial|All Plans | $2,644.20 | ↑ +409% |
| SUPERIOR | Medicaid|STARPLUS | $2,917.40 | ↑ +462% |
| BCBS-TX | Commercial|Ref Lab | $2,938.00 | ↑ +466% |
| UNITED | Medicaid|STARPLUS | $2,976.22 | ↑ +473% |
| Cigna | Commercial|Local Plus | $3,711.00 | ↑ +614% |
| BCBS-TX | Commercial|Blue Premier | $3,879.79 | ↑ +647% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,907.50 | ↑ +652% |
| BCBS-TX | Commercial|HMO | $4,156.92 | ↑ +700% |
| BCBS-TX | Commercial|PPO | $4,572.61 | ↑ +780% |
| United | Commercial|Exchange | $6,045.00 | ↑ +1064% |
| United | Commercial|All Other Plans | $11,861.00 | ↑ +2184% |
Visitor-reported prices
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Insert tunneled cv 2cath 2sits without port/pmp 36565 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,112.03 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,256.31 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,800.20 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,112.03 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,256.31 | $85.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,256.31 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,800.20 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,112.03 | $1,118.22 – $7,896.23 |