Meperidine (pf) 25 mg/ml injection (wrapper) 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

$0.16

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.

$0.91

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.

$0.12 with BCBS vs $11.48 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
BCBS Medicare|All Plans $0.12 ↓ -25%
AETNA Medicare|All Plans $0.12 ↓ -25%
UNITED Medicare|All Plans $0.12 ↓ -25%
PGT Medicare|All Plans $0.12 ↓ -25%
AMERIVANTAGE Medicare|All Plans $0.13 ↓ -19%
SCANHealth Medicare|All Plans $0.13 ↓ -19%
Ambetter Commercial|All Plans $0.17 ↑ +6%
Wellpoint Commercial|Exchange $0.18 ↑ +13%
Wellpoint Medicaid|All Other Plans $0.23 ↑ +44%
Wellpoint Medicaid|STAR $0.32 ↑ +100%
Bright Health Commercial|All Plans $0.34 ↑ +113%
Ellwood Commercial|All Plans $0.36 ↑ +125%
Entrust Commercial|All Plans $0.38 ↑ +138%
NX Health Commercial|All Plans $0.39 ↑ +144%
Health Smart Commercial|All Plans $0.50 ↑ +213%
First Health Commercial|All Plans $0.54 ↑ +238%
Humana Commercial|All Plans $0.55 ↑ +244%
Cigna Commercial|All Other Plans $0.58 ↑ +263%
Aetna Commercial|All Plans $0.60 ↑ +275%
PHCS Commercial|All Plans $0.77 ↑ +381%
Multiplan Commercial|All Plans $0.81 ↑ +406%
BCBS-TX Commercial|Blue Advantage HMO $0.90 ↑ +463%
BCBS-TX Commercial|PPO $0.90 ↑ +463%
BCBS-TX Commercial|HMO $0.90 ↑ +463%
Cigna Commercial|Local Plus $0.90 ↑ +463%
BCBS-TX Commercial|Blue Premier $0.90 ↑ +463%
BCBS-TX Commercial|Ref Lab $0.90 ↑ +463%
United Commercial|Exchange $6.96 ↑ +4250%
United Commercial|All Other Plans $11.48 ↑ +7075%

Visitor-reported prices

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Meperidine (pf) 25 mg/ml injection (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $63.51 $7.01 – $7.01
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $30.79 $3.61 – $18.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $30.79 $1.60 – $11.65
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $30.79 $1.55 – $9.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $30.79 $3.40 – $18.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $30.79 $2.49 – $11.65
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $30.79 $4.01 – $11.65
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $30.79 $2.59 – $11.65

All Texas hospitals for this procedure →