Paring/cutting benign hyperkeratotic lesion single at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$77.53
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.
$443.00
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.
$9.43 with PGT vs $2,960.00 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 | $9.43 | ↓ -88% |
| BCBS | Medicare|All Plans | $9.62 | ↓ -88% |
| AETNA | Medicare|All Plans | $9.62 | ↓ -88% |
| UNITED | Medicare|All Plans | $9.82 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $9.91 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $10.30 | ↓ -87% |
| Ambetter | Commercial|All Plans | $13.95 | ↓ -82% |
| Wellpoint | Commercial|Exchange | $14.43 | ↓ -81% |
| Wellpoint | Medicaid|All Other Plans | $18.65 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $25.65 | ↓ -67% |
| Bright Health | Commercial|All Plans | $27.67 | ↓ -64% |
| Ellwood | Commercial|All Plans | $28.86 | ↓ -63% |
| Entrust | Commercial|All Plans | $31.08 | ↓ -60% |
| NX Health | Commercial|All Plans | $31.27 | ↓ -60% |
| Health Smart | Commercial|All Plans | $40.70 | ↓ -48% |
| First Health | Commercial|All Plans | $44.40 | ↓ -43% |
| Humana | Commercial|All Plans | $45.14 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $47.36 | ↓ -39% |
| Aetna | Commercial|All Plans | $48.84 | ↓ -37% |
| PHCS | Commercial|All Plans | $62.90 | ↓ -19% |
| Multiplan | Commercial|All Plans | $66.60 | ↓ -14% |
| BCBS-TX | Commercial|Ref Lab | $74.00 | ↓ -5% |
| SUPERIOR | Medicaid|CHIP | $106.32 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $108.45 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $108.45 | ↑ +40% |
| SUPERIOR | Medicaid|All Other Plans | $111.64 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $111.64 | ↑ +44% |
| SUPERIOR | Medicaid|STAR | $154.17 | ↑ +99% |
| Cigna | Commercial|Local Plus | $217.07 | ↑ +180% |
| BCBS-TX | Commercial|Blue Premier | $244.62 | ↑ +216% |
| BCBS-TX | Commercial|Blue Advantage HMO | $246.37 | ↑ +218% |
| BCBS-TX | Commercial|HMO | $262.10 | ↑ +238% |
| SUPERIOR | Medicaid|STARPLUS | $263.68 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $268.99 | ↑ +247% |
| BCBS-TX | Commercial|PPO | $288.30 | ↑ +272% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1845% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +3718% |
Visitor-reported prices
Comments
Paring/cutting benign hyperkeratotic lesion single at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $429.38 | $218.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $285.93 | $81.01 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $300.87 | $61.93 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $275.89 | $55.18 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $285.93 | $76.25 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $300.87 | $85.00 – $495.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $300.87 | $155.45 – $495.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $275.89 | $71.00 – $495.95 |