Mesh tiss ovitex lpr 15x15x25cm 6mm oval at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$17,726.10
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.
$101,292.00
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.
$20.78 with Cigna vs $6,847.00 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 |
|---|---|---|---|
| Cigna | Commercial|Local Plus | $20.78 | ↓ -100% |
| PGT | Medicare|All Plans | $872.31 | ↓ -95% |
| AETNA | Medicare|All Plans | $890.11 | ↓ -95% |
| BCBS | Medicare|All Plans | $890.11 | ↓ -95% |
| UNITED | Medicare|All Plans | $907.92 | ↓ -95% |
| AMERIVANTAGE | Medicare|All Plans | $916.82 | ↓ -95% |
| SCANHealth | Medicare|All Plans | $952.42 | ↓ -95% |
| Ambetter | Commercial|All Plans | $1,290.66 | ↓ -93% |
| Wellpoint | Commercial|Exchange | $1,335.17 | ↓ -92% |
| United | Commercial|Exchange | $1,369.40 | ↓ -92% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,506.34 | ↓ -92% |
| BCBS-TX | Commercial|Blue Premier | $1,711.75 | ↓ -90% |
| Wellpoint | Medicaid|All Other Plans | $1,725.45 | ↓ -90% |
| Bright Health | Commercial|All Plans | $1,780.22 | ↓ -90% |
| BCBS-TX | Commercial|HMO | $1,848.69 | ↓ -90% |
| BCBS-TX | Commercial|PPO | $1,985.63 | ↓ -89% |
| United | Commercial|All Other Plans | $2,259.51 | ↓ -87% |
| Wellpoint | Medicaid|STAR | $2,372.49 | ↓ -87% |
| Ellwood | Commercial|All Plans | $2,670.33 | ↓ -85% |
| Entrust | Commercial|All Plans | $2,875.74 | ↓ -84% |
| NX Health | Commercial|All Plans | $2,892.86 | ↓ -84% |
| Health Smart | Commercial|All Plans | $3,765.85 | ↓ -79% |
| First Health | Commercial|All Plans | $4,108.20 | ↓ -77% |
| Humana | Commercial|All Plans | $4,176.67 | ↓ -76% |
| Cigna | Commercial|All Other Plans | $4,382.08 | ↓ -75% |
| Aetna | Commercial|All Plans | $4,519.02 | ↓ -75% |
| PHCS | Commercial|All Plans | $5,819.95 | ↓ -67% |
| Multiplan | Commercial|All Plans | $6,162.30 | ↓ -65% |
| BCBS-TX | Commercial|Ref Lab | $6,847.00 | ↓ -61% |
Visitor-reported prices
Comments
Mesh tiss ovitex lpr 15x15x25cm 6mm oval at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $662.00 | $44.50 – $44.50 |
| Baylor St Luke's Medical Center | Houston | $51,414.28 | $54.25 – $11,500.55 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $51,414.28 | $54.25 – $11,500.55 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $51,414.28 | $54.25 – $11,500.55 |
| St. Joseph Health College Station Hospital | College Station | $17,726.10 | $20.78 – $5,819.95 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $51,414.28 | $54.25 – $11,500.55 |
| St. Joseph Health Grimes Hospital | Navasota | $17,726.10 | $20.78 – $7,600.17 |
| St. Luke's Health - The Vintage Hospital | Houston | $51,414.28 | $54.25 – $11,500.55 |