Nivolumab 10 mg/ml intravenous solution (wrapper) at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,085.00
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.
$6,199.99
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.
$32.30 with United vs $1,096.74 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 |
|---|---|---|---|
| United | Commercial|Exchange | $32.30 | ↓ -97% |
| BCBS-TX | Commercial|Blue Advantage HMO | $37.91 | ↓ -97% |
| Cigna | Commercial|Local Plus | $44.77 | ↓ -96% |
| United | Commercial|All Other Plans | $53.30 | ↓ -95% |
| BCBS-TX | Commercial|Blue Premier | $61.81 | ↓ -94% |
| BCBS-TX | Commercial|HMO | $63.46 | ↓ -94% |
| BCBS-TX | Commercial|PPO | $72.52 | ↓ -93% |
| PGT | Medicare|All Plans | $139.73 | ↓ -87% |
| BCBS | Medicare|All Plans | $142.58 | ↓ -87% |
| AETNA | Medicare|All Plans | $142.58 | ↓ -87% |
| UNITED | Medicare|All Plans | $145.43 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $146.86 | ↓ -86% |
| SCANHealth | Medicare|All Plans | $152.56 | ↓ -86% |
| Ambetter | Commercial|All Plans | $206.74 | ↓ -81% |
| Wellpoint | Commercial|Exchange | $213.87 | ↓ -80% |
| Wellpoint | Medicaid|All Other Plans | $276.38 | ↓ -75% |
| Bright Health | Commercial|All Plans | $361.93 | ↓ -67% |
| Wellpoint | Medicaid|STAR | $380.03 | ↓ -65% |
| Ellwood | Commercial|All Plans | $427.73 | ↓ -61% |
| Entrust | Commercial|All Plans | $460.64 | ↓ -58% |
| NX Health | Commercial|All Plans | $463.38 | ↓ -57% |
| Health Smart | Commercial|All Plans | $603.21 | ↓ -44% |
| First Health | Commercial|All Plans | $658.05 | ↓ -39% |
| Humana | Commercial|All Plans | $669.02 | ↓ -38% |
| Cigna | Commercial|All Other Plans | $701.92 | ↓ -35% |
| Aetna | Commercial|All Plans | $723.85 | ↓ -33% |
| PHCS | Commercial|All Plans | $932.23 | ↓ -14% |
| Multiplan | Commercial|All Plans | $987.07 | ↓ -9% |
| BCBS-TX | Commercial|Ref Lab | $1,096.74 | ↑ +1% |
Visitor-reported prices
Comments
Nivolumab 10 mg/ml intravenous solution (wrapper) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $6,764.78 | $105.76 – $105.76 |
| Covenant Children's Hospital | Lubbock | $21,576.19 | $102.74 – $118.14 |
| Baylor St Luke's Medical Center | Houston | $8,149.04 | $24.72 – $9,541.58 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,103.97 | $10.47 – $67.31 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,149.04 | $29.94 – $9,541.58 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8,149.04 | $29.94 – $9,541.58 |
| St. Joseph Health College Station Hospital | College Station | $1,085.00 | $32.30 – $932.23 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $8,149.04 | $29.94 – $9,541.58 |