Intrvasc Ultrasound noncoronary addl vessel at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$985.43
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.
?
What you pay up front if you don't use insurance.
$5,631.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$683.00 with PGT vs $5,361.00 with BCBS-TX — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $683.00 | ↓ -31% |
| AETNA | Medicare|All Plans | $696.93 | ↓ -29% |
| BCBS | Medicare|All Plans | $696.93 | ↓ -29% |
| UNITED | Medicare|All Plans | $710.87 | ↓ -28% |
| AMERIVANTAGE | Medicare|All Plans | $717.84 | ↓ -27% |
| SCANHealth | Medicare|All Plans | $745.72 | ↓ -24% |
| Ambetter | Commercial|All Plans | $1,010.55 | ↑ +3% |
| Wellpoint | Commercial|Exchange | $1,045.40 | ↑ +6% |
| UNITED | Medicaid|All Other Plans | $1,312.38 | ↑ +33% |
| Wellpoint | Medicaid|All Other Plans | $1,350.98 | ↑ +37% |
| United | Commercial|Exchange | $1,508.00 | ↑ +53% |
| Wellpoint | Medicaid|STAR | $1,857.59 | ↑ +89% |
| Bright Health | Commercial|All Plans | $2,003.95 | ↑ +103% |
| Ellwood | Commercial|All Plans | $2,090.79 | ↑ +112% |
| Entrust | Commercial|All Plans | $2,251.62 | ↑ +128% |
| NX Health | Commercial|All Plans | $2,265.03 | ↑ +130% |
| Cigna | Commercial|Local Plus | $2,626.89 | ↑ +167% |
| Health Smart | Commercial|All Plans | $2,948.55 | ↑ +199% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +200% |
| First Health | Commercial|All Plans | $3,216.60 | ↑ +226% |
| UNITED | Medicaid|STARPLUS | $3,255.20 | ↑ +230% |
| Humana | Commercial|All Plans | $3,270.21 | ↑ +232% |
| Cigna | Commercial|All Other Plans | $3,431.04 | ↑ +248% |
| Aetna | Commercial|All Plans | $3,538.26 | ↑ +259% |
| PHCS | Commercial|All Plans | $4,556.85 | ↑ +362% |
| Multiplan | Commercial|All Plans | $4,824.90 | ↑ +390% |
| BCBS-TX | Commercial|Ref Lab | $5,361.00 | ↑ +444% |
Visitor-reported prices
Comments
Intrvasc Ultrasound noncoronary addl vessel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,360.00 | $1,235.33 – $6,176.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $565.51 | $116.40 – $848.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $526.65 | $105.33 – $658.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,360.00 | $1,162.67 – $6,176.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $565.51 | $181.53 – $848.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $565.51 | $292.18 – $1,667.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $526.65 | $175.55 – $789.98 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,360.00 | $1,162.67 – $6,176.67 |