MRI w/cont, breast, bi at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$472.50
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.
$2,700.00
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.
$343.98 with PGT vs $3,947.00 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 →
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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 | $343.98 | ↓ -27% |
| AETNA | Medicare|All Plans | $351.00 | ↓ -26% |
| BCBS | Medicare|All Plans | $351.00 | ↓ -26% |
| UNITED | Medicare|All Plans | $358.02 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $361.53 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $375.57 | ↓ -21% |
| Ambetter | Commercial|All Plans | $508.95 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $526.50 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $680.40 | ↑ +44% |
| BCBS-TX | Commercial|Blue Advantage HMO | $866.80 | ↑ +83% |
| Wellpoint | Medicaid|STAR | $935.55 | ↑ +98% |
| BCBS-TX | Commercial|Blue Premier | $962.26 | ↑ +104% |
| Bright Health | Commercial|All Plans | $1,009.26 | ↑ +114% |
| BCBS-TX | Commercial|HMO | $1,023.36 | ↑ +117% |
| Ellwood | Commercial|All Plans | $1,053.00 | ↑ +123% |
| BCBS-TX | Commercial|PPO | $1,130.28 | ↑ +139% |
| Entrust | Commercial|All Plans | $1,134.00 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,140.75 | ↑ +141% |
| Cigna | Commercial|Local Plus | $1,169.00 | ↑ +147% |
| Humana | Commercial|All Plans | $1,450.00 | ↑ +207% |
| Health Smart | Commercial|All Plans | $1,485.00 | ↑ +214% |
| First Health | Commercial|All Plans | $1,620.00 | ↑ +243% |
| Cigna | Commercial|All Other Plans | $1,728.00 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,782.00 | ↑ +277% |
| United | Commercial|Exchange | $2,011.00 | ↑ +326% |
| PHCS | Commercial|All Plans | $2,295.00 | ↑ +386% |
| Multiplan | Commercial|All Plans | $2,430.00 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $2,700.00 | ↑ +471% |
| United | Commercial|All Other Plans | $3,947.00 | ↑ +735% |
Visitor-reported prices
Comments
MRI w/cont, breast, bi at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $13,295.12 | $672.06 – $699.43 |
| HCA HOUSTON MEDICAL CENTER | Houston | $17,966.06 | $672.06 – $699.43 |
| Baylor St Luke's Medical Center | Houston | $1,885.45 | $458.22 – $5,387.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $674.85 | $400.00 – $4,049.10 |
| HCA HOUSTON PEARLAND | Pearland | $10,610.87 | $672.06 – $699.43 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,885.45 | $538.41 – $5,387.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,885.45 | $538.41 – $5,387.00 |
| St. Joseph Health College Station Hospital | College Station | $472.50 | $866.80 – $2,295.00 |