Kit cath ivl 2.5x40mm 135cm shockwave s4 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$4,318.13
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.
$24,675.00
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.
$2,514.88 with PGT vs $19,740.00 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 | $2,514.88 | ↓ -42% |
| BCBS | Medicare|All Plans | $2,566.20 | ↓ -41% |
| AETNA | Medicare|All Plans | $2,566.20 | ↓ -41% |
| UNITED | Medicare|All Plans | $2,617.53 | ↓ -39% |
| AMERIVANTAGE | Medicare|All Plans | $2,643.19 | ↓ -39% |
| SCANHealth | Medicare|All Plans | $2,745.84 | ↓ -36% |
| Ambetter | Commercial|All Plans | $3,720.99 | ↓ -14% |
| Wellpoint | Commercial|Exchange | $3,849.30 | ↓ -11% |
| Wellpoint | Medicaid|All Other Plans | $4,974.48 | ↑ +15% |
| Wellpoint | Medicaid|STAR | $6,839.91 | ↑ +58% |
| Bright Health | Commercial|All Plans | $7,378.82 | ↑ +71% |
| Ellwood | Commercial|All Plans | $7,698.60 | ↑ +78% |
| Entrust | Commercial|All Plans | $8,290.80 | ↑ +92% |
| NX Health | Commercial|All Plans | $8,340.15 | ↑ +93% |
| Cigna | Commercial|Local Plus | $9,672.60 | ↑ +124% |
| Health Smart | Commercial|All Plans | $10,857.00 | ↑ +151% |
| First Health | Commercial|All Plans | $11,844.00 | ↑ +174% |
| Humana | Commercial|All Plans | $12,041.40 | ↑ +179% |
| Cigna | Commercial|All Other Plans | $12,633.60 | ↑ +193% |
| Aetna | Commercial|All Plans | $13,028.40 | ↑ +202% |
| PHCS | Commercial|All Plans | $16,779.00 | ↑ +289% |
| Multiplan | Commercial|All Plans | $17,766.00 | ↑ +311% |
| BCBS-TX | Commercial|Ref Lab | $19,740.00 | ↑ +357% |
Visitor-reported prices
Comments
Kit cath ivl 2.5x40mm 135cm shockwave s4 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $9,159.36 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $17,272.50 | $100.00 – $32,077.50 |
| Baylor St Luke's Medical Center | Houston | $17,272.50 | $100.00 – $24,373.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $7,402.82 | $100.00 – $26,296.71 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $17,272.50 | $100.00 – $24,373.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $17,272.50 | $100.00 – $24,373.00 |
| St. Joseph Health College Station Hospital | College Station | $4,318.13 | $9,672.60 – $19,740.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $17,272.50 | $100.00 – $24,373.00 |