Ipratropium bromide comp at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$1.05

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$6.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.06 with Cigna vs $6.00 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 →

Payer
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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
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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
Cigna Commercial|Local Plus $0.06 ↓ -94%
PGT Medicare|All Plans $0.77 ↓ -27%
BCBS Medicare|All Plans $0.78 ↓ -26%
AETNA Medicare|All Plans $0.78 ↓ -26%
UNITED Medicare|All Plans $0.80 ↓ -24%
AMERIVANTAGE Medicare|All Plans $0.81 ↓ -23%
SCANHealth Medicare|All Plans $0.84 ↓ -20%
Ambetter Commercial|All Plans $1.14 ↑ +9%
Wellpoint Commercial|Exchange $1.17 ↑ +11%
Wellpoint Medicaid|All Other Plans $1.52 ↑ +45%
Wellpoint Medicaid|STAR $2.08 ↑ +98%
Bright Health Commercial|All Plans $2.25 ↑ +114%
Ellwood Commercial|All Plans $2.34 ↑ +123%
Entrust Commercial|All Plans $2.52 ↑ +140%
NX Health Commercial|All Plans $2.54 ↑ +142%
Health Smart Commercial|All Plans $3.30 ↑ +214%
First Health Commercial|All Plans $3.60 ↑ +243%
Humana Commercial|All Plans $3.66 ↑ +249%
Cigna Commercial|All Other Plans $3.84 ↑ +266%
Aetna Commercial|All Plans $3.96 ↑ +277%
PHCS Commercial|All Plans $5.10 ↑ +386%
Multiplan Commercial|All Plans $5.40 ↑ +414%
BCBS-TX Commercial|Ref Lab $6.00 ↑ +471%

Visitor-reported prices

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Ipratropium bromide comp at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $7.34 $1.51 – $11.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $7.34 $1.47 – $9.17
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $7.34 $2.36 – $11.01
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $7.34 $3.79 – $11.01
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $7.34 $2.45 – $11.01
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $7.34 $1.47 – $10.40
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $7.34 $1.83 – $11.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100 $7.34 $1.35 – $11.01

All Texas hospitals for this procedure →