Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$620.20
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.
$3,544.00
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.
$278.96 with BCBS-TX vs $3,544.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $278.96 | ↓ -55% |
| BCBS-TX | Commercial|Blue Premier | $309.68 | ↓ -50% |
| BCBS-TX | Commercial|HMO | $329.35 | ↓ -47% |
| BCBS-TX | Commercial|PPO | $363.75 | ↓ -41% |
| PGT | Medicare|All Plans | $451.51 | ↓ -27% |
| BCBS | Medicare|All Plans | $460.72 | ↓ -26% |
| AETNA | Medicare|All Plans | $460.72 | ↓ -26% |
| UNITED | Medicare|All Plans | $469.94 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $474.55 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $492.98 | ↓ -21% |
| SUPERIOR | Medicaid|CHIP | $635.67 | ↑ +2% |
| UNITED | Medicaid|STARKIDS | $648.38 | ↑ +5% |
| UNITED | Medicaid|All Other Plans | $648.38 | ↑ +5% |
| BCBS | Medicaid|STARKIDS | $667.45 | ↑ +8% |
| SUPERIOR | Medicaid|All Other Plans | $667.45 | ↑ +8% |
| Ambetter | Commercial|All Plans | $668.05 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $691.08 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $893.09 | ↑ +44% |
| SUPERIOR | Medicaid|STAR | $921.72 | ↑ +49% |
| United | Commercial|Exchange | $1,117.00 | ↑ +80% |
| Wellpoint | Medicaid|STAR | $1,228.00 | ↑ +98% |
| Bright Health | Commercial|All Plans | $1,324.75 | ↑ +114% |
| Ellwood | Commercial|All Plans | $1,382.16 | ↑ +123% |
| Entrust | Commercial|All Plans | $1,488.48 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,497.34 | ↑ +141% |
| SUPERIOR | Medicaid|STARPLUS | $1,576.46 | ↑ +154% |
| UNITED | Medicaid|STARPLUS | $1,608.25 | ↑ +159% |
| Cigna | Commercial|Local Plus | $1,665.68 | ↑ +169% |
| Health Smart | Commercial|All Plans | $1,949.20 | ↑ +214% |
| First Health | Commercial|All Plans | $2,126.40 | ↑ +243% |
| Humana | Commercial|All Plans | $2,161.84 | ↑ +249% |
| United | Commercial|All Other Plans | $2,193.00 | ↑ +254% |
| Cigna | Commercial|All Other Plans | $2,268.16 | ↑ +266% |
| Aetna | Commercial|All Plans | $2,339.04 | ↑ +277% |
| PHCS | Commercial|All Plans | $3,012.40 | ↑ +386% |
| Multiplan | Commercial|All Plans | $3,189.60 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $3,544.00 | ↑ +471% |
Visitor-reported prices
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Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,698.91 | $176.09 – $2,123.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,698.91 | $349.69 – $2,548.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,698.91 | $176.09 – $2,123.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,698.91 | $176.09 – $2,123.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,698.91 | $188.42 – $2,548.36 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,698.91 | $176.09 – $2,548.36 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,698.91 | $176.09 – $2,548.36 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,698.91 | $176.09 – $2,123.63 |