Mayo serotonin at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$43.58
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.
$249.00
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.
$27.88 with United vs $224.10 with Multiplan — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $27.88 | ↓ -36% |
| PGT | Medicare|All Plans | $30.37 | ↓ -30% |
| BCBS | Medicare|All Plans | $30.98 | ↓ -29% |
| AETNA | Medicare|All Plans | $30.98 | ↓ -29% |
| UNITED | Medicare|All Plans | $31.60 | ↓ -27% |
| AMERIVANTAGE | Medicare|All Plans | $31.91 | ↓ -27% |
| SCANHealth | Medicare|All Plans | $33.15 | ↓ -24% |
| BCBS-TX | Commercial|Ref Lab | $33.74 | ↓ -23% |
| SUPERIOR | Medicaid|CHIP | $42.45 | ↓ -3% |
| UNITED | Medicaid|STARKIDS | $43.30 | ↓ -1% |
| UNITED | Medicaid|All Other Plans | $43.30 | ↓ -1% |
| SUPERIOR | Medicaid|All Other Plans | $44.57 | ↑ +2% |
| BCBS | Medicaid|STARKIDS | $44.57 | ↑ +2% |
| Ambetter | Commercial|All Plans | $44.92 | ↑ +3% |
| Wellpoint | Commercial|Exchange | $46.47 | ↑ +7% |
| Bright Health | Commercial|All Plans | $55.14 | ↑ +27% |
| United | Commercial|All Other Plans | $60.25 | ↑ +38% |
| SUPERIOR | Medicaid|STAR | $61.55 | ↑ +41% |
| Entrust | Commercial|All Plans | $61.96 | ↑ +42% |
| Wellpoint | Medicaid|All Other Plans | $62.75 | ↑ +44% |
| Cigna | Commercial|Local Plus | $67.95 | ↑ +56% |
| Wellpoint | Medicaid|STAR | $86.28 | ↑ +98% |
| Ellwood | Commercial|All Plans | $92.94 | ↑ +113% |
| NX Health | Commercial|All Plans | $100.69 | ↑ +131% |
| SUPERIOR | Medicaid|STARPLUS | $105.28 | ↑ +142% |
| UNITED | Medicaid|STARPLUS | $107.40 | ↑ +146% |
| BCBS-TX | Commercial|Blue Premier | $108.74 | ↑ +150% |
| BCBS-TX | Commercial|Blue Advantage HMO | $108.74 | ↑ +150% |
| BCBS-TX | Commercial|HMO | $110.91 | ↑ +154% |
| BCBS-TX | Commercial|PPO | $127.95 | ↑ +194% |
| Health Smart | Commercial|All Plans | $136.95 | ↑ +214% |
| First Health | Commercial|All Plans | $149.40 | ↑ +243% |
| Humana | Commercial|All Plans | $151.89 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $159.36 | ↑ +266% |
| Aetna | Commercial|All Plans | $164.34 | ↑ +277% |
| PHCS | Commercial|All Plans | $211.65 | ↑ +386% |
| Multiplan | Commercial|All Plans | $224.10 | ↑ +414% |
Visitor-reported prices
Comments
Mayo serotonin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $133.68 | $27.88 – $119.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $193.54 | $10.00 – $241.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $193.54 | $12.00 – $290.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $193.54 | $12.00 – $241.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $193.54 | $10.00 – $241.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $193.54 | $12.00 – $290.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $193.54 | $8.00 – $290.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $193.54 | $12.00 – $290.31 |