Low cost skin substitute app at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$140.88

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$805.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$102.56 with PGT vs $2,960.00 with United — 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 →

Payer
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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
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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 $102.56 ↓ -27%
BCBS Medicare|All Plans $104.65 ↓ -26%
AETNA Medicare|All Plans $104.65 ↓ -26%
UNITED Medicare|All Plans $106.75 ↓ -24%
AMERIVANTAGE Medicare|All Plans $107.79 ↓ -23%
SCANHealth Medicare|All Plans $111.98 ↓ -21%
Ambetter Commercial|All Plans $151.75 ↑ +8%
Wellpoint Commercial|Exchange $156.98 ↑ +11%
SUPERIOR Medicaid|CHIP $193.20 ↑ +37%
UNITED Medicaid|All Other Plans $197.07 ↑ +40%
UNITED Medicaid|STARKIDS $197.07 ↑ +40%
SUPERIOR Medicaid|All Other Plans $202.86 ↑ +44%
BCBS Medicaid|STARKIDS $202.86 ↑ +44%
Wellpoint Medicaid|All Other Plans $202.86 ↑ +44%
Wellpoint Medicaid|STAR $278.94 ↑ +98%
SUPERIOR Medicaid|STAR $280.14 ↑ +99%
Bright Health Commercial|All Plans $300.91 ↑ +114%
Ellwood Commercial|All Plans $313.95 ↑ +123%
Entrust Commercial|All Plans $338.10 ↑ +140%
NX Health Commercial|All Plans $340.12 ↑ +141%
Health Smart Commercial|All Plans $442.75 ↑ +214%
SUPERIOR Medicaid|STARPLUS $479.14 ↑ +240%
First Health Commercial|All Plans $483.00 ↑ +243%
UNITED Medicaid|STARPLUS $488.80 ↑ +247%
Humana Commercial|All Plans $491.05 ↑ +249%
Cigna Commercial|All Other Plans $515.20 ↑ +266%
Aetna Commercial|All Plans $531.30 ↑ +277%
PHCS Commercial|All Plans $684.25 ↑ +386%
BCBS-TX Commercial|Blue Premier $695.83 ↑ +394%
BCBS-TX Commercial|Blue Advantage HMO $700.80 ↑ +397%
Multiplan Commercial|All Plans $724.50 ↑ +414%
BCBS-TX Commercial|HMO $745.53 ↑ +429%
BCBS-TX Commercial|Ref Lab $805.00 ↑ +471%
BCBS-TX Commercial|PPO $820.08 ↑ +482%
United Commercial|Exchange $1,508.00 ↑ +970%
Cigna Commercial|Local Plus $2,888.00 ↑ +1950%
United Commercial|All Other Plans $2,960.00 ↑ +2001%

Visitor-reported prices

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Low cost skin substitute app at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $818.58 $507.58 – $4,524.00
St. Luke's Health - Patients Medical Center Pasadena $288.05 $54.73 – $617.25
Baylor St Luke's Medical Center Houston $518.00 $100.00 – $1,480.00
St. Luke's Health Memorial Lufkin Lufkin $393.75 $525.00 – $2,362.50
St. Luke's Health - Springwoods Village Hospital Spring $518.00 $90.00 – $1,480.00
St. Luke's Health - Sugar Land Hospital Sugar Land $518.00 $90.00 – $1,480.00
St. Joseph Health College Station Hospital College Station $140.88 $442.75 – $805.00
St. Luke's Health - Lakeside Hospital The Woodlands $518.00 $90.00 – $1,480.00

All Texas hospitals for this procedure →