Mannitol 12.5 gm/50 ml inj at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$0.74
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.
$4.19
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.
$0.54 with PGT vs $4.19 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 | $0.54 | ↓ -27% |
| BCBS | Medicare|All Plans | $0.55 | ↓ -26% |
| AETNA | Medicare|All Plans | $0.55 | ↓ -26% |
| UNITED | Medicare|All Plans | $0.56 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $0.57 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $0.59 | ↓ -20% |
| Ambetter | Commercial|All Plans | $0.79 | ↑ +7% |
| Wellpoint | Commercial|Exchange | $0.82 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $1.06 | ↑ +43% |
| Wellpoint | Medicaid|STAR | $1.46 | ↑ +97% |
| Bright Health | Commercial|All Plans | $1.57 | ↑ +112% |
| Ellwood | Commercial|All Plans | $1.64 | ↑ +122% |
| Entrust | Commercial|All Plans | $1.76 | ↑ +138% |
| NX Health | Commercial|All Plans | $1.78 | ↑ +141% |
| Health Smart | Commercial|All Plans | $2.31 | ↑ +212% |
| First Health | Commercial|All Plans | $2.52 | ↑ +241% |
| United | Commercial|Exchange | $2.54 | ↑ +243% |
| Humana | Commercial|All Plans | $2.56 | ↑ +246% |
| Cigna | Commercial|All Other Plans | $2.69 | ↑ +264% |
| Aetna | Commercial|All Plans | $2.77 | ↑ +274% |
| Cigna | Commercial|Local Plus | $2.95 | ↑ +299% |
| PHCS | Commercial|All Plans | $3.57 | ↑ +382% |
| Multiplan | Commercial|All Plans | $3.78 | ↑ +411% |
| BCBS-TX | Commercial|Blue Advantage HMO | $4.19 | ↑ +466% |
| BCBS-TX | Commercial|Ref Lab | $4.19 | ↑ +466% |
| BCBS-TX | Commercial|PPO | $4.19 | ↑ +466% |
| United | Commercial|All Other Plans | $4.19 | ↑ +466% |
| BCBS-TX | Commercial|HMO | $4.19 | ↑ +466% |
| BCBS-TX | Commercial|Blue Premier | $4.19 | ↑ +466% |
Visitor-reported prices
Comments
Mannitol 12.5 gm/50 ml inj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $95.92 | $11.82 – $11.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $17.82 | $5.05 – $25.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $17.82 | $3.67 – $26.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $17.82 | $3.56 – $22.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $17.82 | $4.75 – $25.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $17.82 | $5.72 – $26.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $17.82 | $9.21 – $26.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $17.82 | $5.94 – $26.73 |