Leuprolide 30 mg (4 month) intramuscular syringe kit at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$237.14
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.
$1,355.07
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.
$44.98 with PGT vs $353.00 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 | $44.98 | ↓ -81% |
| BCBS | Medicare|All Plans | $45.89 | ↓ -81% |
| AETNA | Medicare|All Plans | $45.89 | ↓ -81% |
| UNITED | Medicare|All Plans | $46.81 | ↓ -80% |
| AMERIVANTAGE | Medicare|All Plans | $47.27 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $49.11 | ↓ -79% |
| Cigna | Commercial|Local Plus | $60.01 | ↓ -75% |
| Ambetter | Commercial|All Plans | $66.55 | ↓ -72% |
| Wellpoint | Commercial|Exchange | $68.84 | ↓ -71% |
| United | Commercial|Exchange | $70.60 | ↓ -70% |
| Wellpoint | Medicaid|All Other Plans | $88.96 | ↓ -62% |
| Bright Health | Commercial|All Plans | $116.49 | ↓ -51% |
| Wellpoint | Medicaid|STAR | $122.32 | ↓ -48% |
| United | Commercial|All Other Plans | $127.08 | ↓ -46% |
| Ellwood | Commercial|All Plans | $137.67 | ↓ -42% |
| Entrust | Commercial|All Plans | $148.26 | ↓ -37% |
| NX Health | Commercial|All Plans | $149.15 | ↓ -37% |
| Health Smart | Commercial|All Plans | $194.15 | ↓ -18% |
| First Health | Commercial|All Plans | $211.80 | ↓ -11% |
| Humana | Commercial|All Plans | $215.33 | ↓ -9% |
| Cigna | Commercial|All Other Plans | $225.92 | ↓ -5% |
| Aetna | Commercial|All Plans | $232.98 | ↓ -2% |
| PHCS | Commercial|All Plans | $300.05 | ↑ +27% |
| Multiplan | Commercial|All Plans | $317.70 | ↑ +34% |
| BCBS-TX | Commercial|Ref Lab | $353.00 | ↑ +49% |
| BCBS-TX | Commercial|Blue Premier | $353.00 | ↑ +49% |
| BCBS-TX | Commercial|Blue Advantage HMO | $353.00 | ↑ +49% |
| BCBS-TX | Commercial|HMO | $353.00 | ↑ +49% |
| BCBS-TX | Commercial|PPO | $353.00 | ↑ +49% |
Visitor-reported prices
Comments
Leuprolide 30 mg (4 month) intramuscular syringe kit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $4,678.01 | $172.29 – $2,224.71 |
| Covenant Children's Hospital | Lubbock | $6,750.79 | $543.97 – $1,752.81 |
| HCA HOUSTON KINGWOOD | HUMBLE | $15,852.39 | $170.78 – $2,224.71 |
| HCA HOUSTON NORTHWEST | SPRING | $15,752.19 | $172.29 – $2,224.71 |
| Baylor St Luke's Medical Center | Houston | $831.70 | $230.09 – $1,045.86 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $831.70 | $230.09 – $1,045.86 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $831.70 | $230.09 – $1,045.86 |
| St. Joseph Health College Station Hospital | College Station | $237.14 | $60.01 – $353.00 |