Nasal/sinus endoscopy surg w/bx 31237 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

$69.48

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.

$397.00

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.

$50.58 with PGT vs $4,168.00 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 →

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
PGT Medicare|All Plans $50.58 ↓ -27%
BCBS Medicare|All Plans $51.61 ↓ -26%
AETNA Medicare|All Plans $51.61 ↓ -26%
UNITED Medicare|All Plans $52.65 ↓ -24%
AMERIVANTAGE Medicare|All Plans $53.16 ↓ -23%
SCANHealth Medicare|All Plans $55.23 ↓ -21%
Ambetter Commercial|All Plans $74.84 ↑ +8%
Wellpoint Commercial|Exchange $77.42 ↑ +11%
Wellpoint Medicaid|All Other Plans $100.05 ↑ +44%
Wellpoint Medicaid|STAR $137.57 ↑ +98%
Bright Health Commercial|All Plans $148.40 ↑ +114%
Ellwood Commercial|All Plans $154.83 ↑ +123%
Entrust Commercial|All Plans $166.74 ↑ +140%
NX Health Commercial|All Plans $167.74 ↑ +141%
Health Smart Commercial|All Plans $218.35 ↑ +214%
First Health Commercial|All Plans $238.20 ↑ +243%
Humana Commercial|All Plans $242.17 ↑ +249%
Cigna Commercial|All Other Plans $254.08 ↑ +266%
Aetna Commercial|All Plans $262.02 ↑ +277%
PHCS Commercial|All Plans $337.45 ↑ +386%
Multiplan Commercial|All Plans $357.30 ↑ +414%
BCBS-TX Commercial|Ref Lab $397.00 ↑ +471%
SUPERIOR Medicaid|CHIP $553.05 ↑ +696%
UNITED Medicaid|All Other Plans $564.11 ↑ +712%
UNITED Medicaid|STARKIDS $564.11 ↑ +712%
BCBS Medicaid|STARKIDS $580.70 ↑ +736%
SUPERIOR Medicaid|All Other Plans $580.70 ↑ +736%
SUPERIOR Medicaid|STAR $801.92 ↑ +1054%
SUPERIOR Medicaid|STARPLUS $1,371.56 ↑ +1874%
UNITED Medicaid|STARPLUS $1,399.22 ↑ +1914%
BCBS-TX Commercial|Blue Premier $2,002.85 ↑ +2783%
BCBS-TX Commercial|Blue Advantage HMO $2,017.16 ↑ +2803%
United Commercial|Exchange $2,124.00 ↑ +2957%
BCBS-TX Commercial|HMO $2,145.92 ↑ +2989%
BCBS-TX Commercial|PPO $2,360.51 ↑ +3297%
Cigna Commercial|Local Plus $3,346.00 ↑ +4716%
United Commercial|All Other Plans $4,168.00 ↑ +5899%

Visitor-reported prices

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Nasal/sinus endoscopy surg w/bx 31237 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,923.97 $525.71 – $4,204.56
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,850.66 $71.00 – $4,204.56
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,831.51 $71.00 – $4,204.56
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,923.97 $525.71 – $4,204.56
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,850.66 $85.00 – $4,204.56
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,850.66 $525.71 – $4,204.56
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $2,831.51 $71.00 – $4,247.27
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $1,923.97 $525.71 – $4,204.56

All Texas hospitals for this procedure →