IV infusion therapy/prophylaxis/diagnosis concurrent infusion at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$102.73
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.
$587.00
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.
$42.31 with BCBS-TX vs $587.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $42.31 | ↓ -59% |
| BCBS-TX | Commercial|Blue Premier | $49.75 | ↓ -52% |
| BCBS-TX | Commercial|HMO | $52.72 | ↓ -49% |
| BCBS-TX | Commercial|PPO | $58.68 | ↓ -43% |
| PGT | Medicare|All Plans | $74.79 | ↓ -27% |
| AETNA | Medicare|All Plans | $76.31 | ↓ -26% |
| BCBS | Medicare|All Plans | $76.31 | ↓ -26% |
| UNITED | Medicare|All Plans | $77.84 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $78.60 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $81.66 | ↓ -21% |
| United | Commercial|Exchange | $89.00 | ↓ -13% |
| Ambetter | Commercial|All Plans | $110.65 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $114.47 | ↑ +11% |
| SUPERIOR | Medicaid|CHIP | $140.88 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $143.70 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $143.70 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $147.93 | ↑ +44% |
| SUPERIOR | Medicaid|All Other Plans | $147.93 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $147.93 | ↑ +44% |
| United | Commercial|All Other Plans | $175.00 | ↑ +70% |
| Wellpoint | Medicaid|STAR | $203.40 | ↑ +98% |
| SUPERIOR | Medicaid|STAR | $204.28 | ↑ +99% |
| Bright Health | Commercial|All Plans | $219.43 | ↑ +114% |
| Ellwood | Commercial|All Plans | $228.93 | ↑ +123% |
| Entrust | Commercial|All Plans | $246.54 | ↑ +140% |
| NX Health | Commercial|All Plans | $248.01 | ↑ +141% |
| Cigna | Commercial|Local Plus | $287.63 | ↑ +180% |
| Health Smart | Commercial|All Plans | $322.85 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $349.39 | ↑ +240% |
| First Health | Commercial|All Plans | $352.20 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $356.43 | ↑ +247% |
| Humana | Commercial|All Plans | $358.07 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $375.68 | ↑ +266% |
| Aetna | Commercial|All Plans | $387.42 | ↑ +277% |
| PHCS | Commercial|All Plans | $498.95 | ↑ +386% |
| Multiplan | Commercial|All Plans | $528.30 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $587.00 | ↑ +471% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis concurrent infusion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $357.20 | $81.85 – $81.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $235.84 | $65.27 – $334.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.85 | $49.57 – $361.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $300.32 | $60.06 – $375.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $235.84 | $49.75 – $334.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.85 | $77.31 – $361.27 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.85 | $124.44 – $361.27 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $300.32 | $64.21 – $450.49 |