MRI w/cont, breast, uni at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$302.40
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.
?
What you pay up front if you don't use insurance.
$1,728.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$220.15 with PGT vs $3,947.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $220.15 | ↓ -27% |
| BCBS | Medicare|All Plans | $224.64 | ↓ -26% |
| AETNA | Medicare|All Plans | $224.64 | ↓ -26% |
| UNITED | Medicare|All Plans | $229.14 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $231.38 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $240.37 | ↓ -21% |
| Ambetter | Commercial|All Plans | $325.73 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $336.96 | ↑ +11% |
| BCBS-TX | Commercial|Blue Advantage HMO | $413.64 | ↑ +37% |
| Wellpoint | Medicaid|All Other Plans | $435.46 | ↑ +44% |
| BCBS-TX | Commercial|Blue Premier | $459.19 | ↑ +52% |
| BCBS-TX | Commercial|HMO | $488.35 | ↑ +61% |
| BCBS-TX | Commercial|PPO | $539.37 | ↑ +78% |
| Wellpoint | Medicaid|STAR | $598.76 | ↑ +98% |
| Bright Health | Commercial|All Plans | $645.93 | ↑ +114% |
| Ellwood | Commercial|All Plans | $673.92 | ↑ +123% |
| Entrust | Commercial|All Plans | $725.76 | ↑ +140% |
| NX Health | Commercial|All Plans | $730.08 | ↑ +141% |
| Health Smart | Commercial|All Plans | $950.40 | ↑ +214% |
| First Health | Commercial|All Plans | $1,036.80 | ↑ +243% |
| Cigna | Commercial|All Other Plans | $1,105.92 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,140.48 | ↑ +277% |
| Cigna | Commercial|Local Plus | $1,169.00 | ↑ +287% |
| Humana | Commercial|All Plans | $1,450.00 | ↑ +379% |
| PHCS | Commercial|All Plans | $1,468.80 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,555.20 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $1,728.00 | ↑ +471% |
| United | Commercial|Exchange | $2,011.00 | ↑ +565% |
| United | Commercial|All Other Plans | $3,947.00 | ↑ +1205% |
Visitor-reported prices
Comments
MRI w/cont, breast, uni at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $905.10 | $218.66 – $2,586.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $711.60 | $342.57 – $4,269.60 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $905.10 | $256.93 – $2,586.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $905.10 | $256.93 – $2,586.00 |
| St. Joseph Health College Station Hospital | College Station | $302.40 | $413.64 – $2,011.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $905.10 | $256.93 – $2,586.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $1,014.65 | $300.00 – $1,449.50 |
| St. Joseph Health Grimes Hospital | Navasota | $302.40 | $413.64 – $2,011.00 |