IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$84.35
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.
$482.00
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.
$61.28 with PGT vs $481.00 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $61.28 | ↓ -27% |
| AETNA | Medicare|All Plans | $62.53 | ↓ -26% |
| BCBS | Medicare|All Plans | $62.53 | ↓ -26% |
| BCBS-TX | Commercial|Blue Advantage HMO | $63.10 | ↓ -25% |
| UNITED | Medicare|All Plans | $63.79 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $64.41 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $66.91 | ↓ -21% |
| BCBS-TX | Commercial|Blue Premier | $74.20 | ↓ -12% |
| BCBS-TX | Commercial|HMO | $78.64 | ↓ -7% |
| BCBS-TX | Commercial|PPO | $87.52 | ↑ +4% |
| United | Commercial|Exchange | $89.00 | ↑ +6% |
| Ambetter | Commercial|All Plans | $90.67 | ↑ +7% |
| Wellpoint | Commercial|Exchange | $93.80 | ↑ +11% |
| SUPERIOR | Medicaid|CHIP | $115.44 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $117.75 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $117.75 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $121.22 | ↑ +44% |
| SUPERIOR | Medicaid|All Other Plans | $121.22 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $121.22 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $166.67 | ↑ +98% |
| SUPERIOR | Medicaid|STAR | $167.39 | ↑ +98% |
| United | Commercial|All Other Plans | $175.00 | ↑ +107% |
| Bright Health | Commercial|All Plans | $179.80 | ↑ +113% |
| Ellwood | Commercial|All Plans | $187.59 | ↑ +122% |
| Entrust | Commercial|All Plans | $202.02 | ↑ +140% |
| NX Health | Commercial|All Plans | $203.23 | ↑ +141% |
| Cigna | Commercial|Local Plus | $235.69 | ↑ +179% |
| Health Smart | Commercial|All Plans | $264.55 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $286.30 | ↑ +239% |
| First Health | Commercial|All Plans | $288.60 | ↑ +242% |
| UNITED | Medicaid|STARPLUS | $292.07 | ↑ +246% |
| Humana | Commercial|All Plans | $293.41 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $307.84 | ↑ +265% |
| Aetna | Commercial|All Plans | $317.46 | ↑ +276% |
| PHCS | Commercial|All Plans | $408.85 | ↑ +385% |
| Multiplan | Commercial|All Plans | $432.90 | ↑ +413% |
| BCBS-TX | Commercial|Ref Lab | $481.00 | ↑ +470% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,833.06 | $122.08 – $122.08 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $280.91 | $68.71 – $351.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $243.30 | $50.08 – $364.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $230.40 | $46.08 – $288.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $280.91 | $68.71 – $351.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $243.30 | $68.71 – $364.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $243.30 | $125.70 – $364.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $230.40 | $68.71 – $345.60 |