Lead acuity x4 spiral l 86cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$10,666.78
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.
$60,953.00
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.
$857.92 with PGT vs $6,734.00 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 | $857.92 | ↓ -92% |
| BCBS | Medicare|All Plans | $875.42 | ↓ -92% |
| AETNA | Medicare|All Plans | $875.42 | ↓ -92% |
| UNITED | Medicare|All Plans | $892.93 | ↓ -92% |
| AMERIVANTAGE | Medicare|All Plans | $901.69 | ↓ -92% |
| SCANHealth | Medicare|All Plans | $936.70 | ↓ -91% |
| Ambetter | Commercial|All Plans | $1,269.36 | ↓ -88% |
| Wellpoint | Commercial|Exchange | $1,313.13 | ↓ -88% |
| United | Commercial|Exchange | $1,346.80 | ↓ -87% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,481.48 | ↓ -86% |
| BCBS-TX | Commercial|Blue Premier | $1,683.50 | ↓ -84% |
| Wellpoint | Medicaid|All Other Plans | $1,696.97 | ↓ -84% |
| Bright Health | Commercial|All Plans | $1,750.84 | ↓ -84% |
| BCBS-TX | Commercial|HMO | $1,818.18 | ↓ -83% |
| BCBS-TX | Commercial|PPO | $1,952.86 | ↓ -82% |
| Cigna | Commercial|Local Plus | $2,087.54 | ↓ -80% |
| United | Commercial|All Other Plans | $2,222.22 | ↓ -79% |
| Wellpoint | Medicaid|STAR | $2,333.34 | ↓ -78% |
| Ellwood | Commercial|All Plans | $2,626.26 | ↓ -75% |
| Entrust | Commercial|All Plans | $2,828.28 | ↓ -73% |
| NX Health | Commercial|All Plans | $2,845.12 | ↓ -73% |
| Health Smart | Commercial|All Plans | $3,703.70 | ↓ -65% |
| First Health | Commercial|All Plans | $4,040.40 | ↓ -62% |
| Humana | Commercial|All Plans | $4,107.74 | ↓ -61% |
| Cigna | Commercial|All Other Plans | $4,309.76 | ↓ -60% |
| Aetna | Commercial|All Plans | $4,444.44 | ↓ -58% |
| PHCS | Commercial|All Plans | $5,723.90 | ↓ -46% |
| Multiplan | Commercial|All Plans | $6,060.60 | ↓ -43% |
| BCBS-TX | Commercial|Ref Lab | $6,734.00 | ↓ -37% |
Visitor-reported prices
Comments
Lead acuity x4 spiral l 86cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $50,985.00 | $414.20 – $1,949.20 |
| Covenant Children's Hospital | Lubbock | $3,934.60 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $5,987.68 | $1,280.67 – $4,573.80 |
| Baylor St Luke's Medical Center | Houston | $9,555.00 | $0.21 – $1.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $9,747.68 | $1,378.29 – $8,269.70 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $9,555.00 | $0.21 – $1.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $9,555.00 | $0.21 – $1.00 |
| St. Joseph Health College Station Hospital | College Station | $10,666.78 | $1,346.80 – $5,723.90 |