Methylprednisolone acetate 40 mg/ml suspension for injection at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$0.67
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.
$3.82
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.
$0.49 with PGT vs $3.82 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 | $0.49 | ↓ -27% |
| BCBS | Medicare|All Plans | $0.50 | ↓ -25% |
| AETNA | Medicare|All Plans | $0.50 | ↓ -25% |
| UNITED | Medicare|All Plans | $0.51 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $0.52 | ↓ -22% |
| SCANHealth | Medicare|All Plans | $0.54 | ↓ -19% |
| Cigna | Commercial|Local Plus | $0.65 | ↓ -3% |
| Ambetter | Commercial|All Plans | $0.73 | ↑ +9% |
| Wellpoint | Commercial|Exchange | $0.75 | ↑ +12% |
| United | Commercial|Exchange | $0.77 | ↑ +15% |
| Wellpoint | Medicaid|All Other Plans | $0.97 | ↑ +45% |
| Bright Health | Commercial|All Plans | $1.27 | ↑ +90% |
| Wellpoint | Medicaid|STAR | $1.33 | ↑ +99% |
| United | Commercial|All Other Plans | $1.38 | ↑ +106% |
| Ellwood | Commercial|All Plans | $1.49 | ↑ +122% |
| Entrust | Commercial|All Plans | $1.61 | ↑ +140% |
| NX Health | Commercial|All Plans | $1.62 | ↑ +142% |
| Health Smart | Commercial|All Plans | $2.11 | ↑ +215% |
| First Health | Commercial|All Plans | $2.30 | ↑ +243% |
| Humana | Commercial|All Plans | $2.34 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $2.45 | ↑ +266% |
| Aetna | Commercial|All Plans | $2.53 | ↑ +278% |
| PHCS | Commercial|All Plans | $3.25 | ↑ +385% |
| Multiplan | Commercial|All Plans | $3.44 | ↑ +413% |
| BCBS-TX | Commercial|Ref Lab | $3.82 | ↑ +470% |
Visitor-reported prices
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Methylprednisolone acetate 40 mg/ml suspension for injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $101.45 | $0.58 – $0.58 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $177.44 | $0.12 – $44.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $177.44 | $0.12 – $46.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $177.44 | $0.12 – $39.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $177.44 | $0.12 – $44.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $177.44 | $0.12 – $46.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $177.44 | $0.12 – $46.98 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $177.44 | $0.12 – $46.98 |