Pelvic CT scan (without contrast) at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$484.23
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.
$2,767.00
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.
$131.99 with SUPERIOR vs $3,289.00 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $131.99 | ↓ -73% |
| UNITED | Medicaid|All Other Plans | $134.63 | ↓ -72% |
| UNITED | Medicaid|STARKIDS | $134.63 | ↓ -72% |
| SUPERIOR | Medicaid|All Other Plans | $138.59 | ↓ -71% |
| BCBS | Medicaid|STARKIDS | $138.59 | ↓ -71% |
| SUPERIOR | Medicaid|STAR | $191.39 | ↓ -60% |
| BCBS-TX | Commercial|Blue Advantage HMO | $316.07 | ↓ -35% |
| SUPERIOR | Medicaid|STARPLUS | $327.34 | ↓ -32% |
| UNITED | Medicaid|STARPLUS | $333.93 | ↓ -31% |
| PGT | Medicare|All Plans | $352.52 | ↓ -27% |
| AETNA | Medicare|All Plans | $359.71 | ↓ -26% |
| BCBS | Medicare|All Plans | $359.71 | ↓ -26% |
| BCBS-TX | Commercial|Blue Premier | $365.38 | ↓ -25% |
| BCBS-TX | Commercial|HMO | $366.50 | ↓ -24% |
| UNITED | Medicare|All Plans | $366.91 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $370.51 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $384.89 | ↓ -21% |
| BCBS-TX | Commercial|PPO | $430.39 | ↓ -11% |
| Ambetter | Commercial|All Plans | $521.58 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $539.57 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $697.29 | ↑ +44% |
| Cigna | Commercial|Local Plus | $731.00 | ↑ +51% |
| Humana | Commercial|All Plans | $850.00 | ↑ +76% |
| Wellpoint | Medicaid|STAR | $958.77 | ↑ +98% |
| Bright Health | Commercial|All Plans | $1,034.31 | ↑ +114% |
| Ellwood | Commercial|All Plans | $1,079.13 | ↑ +123% |
| Entrust | Commercial|All Plans | $1,162.14 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,169.06 | ↑ +141% |
| Health Smart | Commercial|All Plans | $1,521.85 | ↑ +214% |
| First Health | Commercial|All Plans | $1,660.20 | ↑ +243% |
| United | Commercial|Exchange | $1,676.00 | ↑ +246% |
| Cigna | Commercial|All Other Plans | $1,770.88 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,826.22 | ↑ +277% |
| PHCS | Commercial|All Plans | $2,351.95 | ↑ +386% |
| Multiplan | Commercial|All Plans | $2,490.30 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $2,767.00 | ↑ +471% |
| United | Commercial|All Other Plans | $3,289.00 | ↑ +579% |
Visitor-reported prices
Comments
Pelvic CT scan (without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,981.50 | $522.29 – $522.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,621.86 | $99.77 – $2,027.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,456.33 | $141.23 – $2,184.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,890.36 | $99.77 – $2,362.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,621.86 | $99.77 – $2,027.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,456.33 | $99.77 – $2,184.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,456.33 | $104.75 – $2,184.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,890.36 | $99.77 – $2,835.54 |