Insertion nontunneled centrally inserted central venous catheter >= 5 years old at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,553.65
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.
$8,878.00
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.
$214.93 with PGT vs $2,976.22 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 | $214.93 | ↓ -86% |
| BCBS | Medicare|All Plans | $219.31 | ↓ -86% |
| AETNA | Medicare|All Plans | $219.31 | ↓ -86% |
| UNITED | Medicare|All Plans | $223.70 | ↓ -86% |
| AMERIVANTAGE | Medicare|All Plans | $225.89 | ↓ -85% |
| SCANHealth | Medicare|All Plans | $234.67 | ↓ -85% |
| Ambetter | Commercial|All Plans | $318.00 | ↓ -80% |
| Wellpoint | Commercial|Exchange | $328.97 | ↓ -79% |
| Wellpoint | Medicaid|All Other Plans | $425.13 | ↓ -73% |
| Wellpoint | Medicaid|STAR | $584.55 | ↓ -62% |
| Bright Health | Commercial|All Plans | $630.61 | ↓ -59% |
| Ellwood | Commercial|All Plans | $657.93 | ↓ -58% |
| Entrust | Commercial|All Plans | $708.54 | ↓ -54% |
| NX Health | Commercial|All Plans | $712.76 | ↓ -54% |
| Health Smart | Commercial|All Plans | $927.85 | ↓ -40% |
| First Health | Commercial|All Plans | $1,012.20 | ↓ -35% |
| Humana | Commercial|All Plans | $1,029.07 | ↓ -34% |
| Cigna | Commercial|All Other Plans | $1,079.68 | ↓ -31% |
| Aetna | Commercial|All Plans | $1,113.42 | ↓ -28% |
| SUPERIOR | Medicaid|CHIP | $1,176.37 | ↓ -24% |
| UNITED | Medicaid|STARKIDS | $1,199.90 | ↓ -23% |
| UNITED | Medicaid|All Other Plans | $1,199.90 | ↓ -23% |
| BCBS | Medicaid|STARKIDS | $1,235.19 | ↓ -20% |
| SUPERIOR | Medicaid|All Other Plans | $1,235.19 | ↓ -20% |
| PHCS | Commercial|All Plans | $1,433.95 | ↓ -8% |
| United | Commercial|Exchange | $1,508.00 | ↓ -3% |
| Multiplan | Commercial|All Plans | $1,518.30 | ↓ -2% |
| BCBS-TX | Commercial|Ref Lab | $1,687.00 | ↑ +9% |
| SUPERIOR | Medicaid|STAR | $1,705.74 | ↑ +10% |
| BCBS-TX | Commercial|Blue Premier | $2,283.58 | ↑ +47% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,299.89 | ↑ +48% |
| BCBS-TX | Commercial|HMO | $2,446.70 | ↑ +57% |
| BCBS-TX | Commercial|PPO | $2,691.36 | ↑ +73% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +86% |
| SUPERIOR | Medicaid|STARPLUS | $2,917.40 | ↑ +88% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +91% |
| UNITED | Medicaid|STARPLUS | $2,976.22 | ↑ +92% |
Visitor-reported prices
Comments
Insertion nontunneled centrally inserted central venous catheter >= 5 years old at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $6,528.70 | $2,038.91 – $3,432.54 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,487.99 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,723.01 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,928.01 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,487.99 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,723.01 | $85.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,723.01 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,928.01 | $71.00 – $7,896.23 |