Pr application of long arm splint at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$122.33
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.
$699.00
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.
$16.06 with PGT vs $2,960.00 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 →
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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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $16.06 | ↓ -87% |
| BCBS | Medicare|All Plans | $16.38 | ↓ -87% |
| AETNA | Medicare|All Plans | $16.38 | ↓ -87% |
| UNITED | Medicare|All Plans | $16.71 | ↓ -86% |
| AMERIVANTAGE | Medicare|All Plans | $16.88 | ↓ -86% |
| SCANHealth | Medicare|All Plans | $17.53 | ↓ -86% |
| Ambetter | Commercial|All Plans | $23.76 | ↓ -81% |
| Wellpoint | Commercial|Exchange | $24.57 | ↓ -80% |
| Wellpoint | Medicaid|All Other Plans | $31.76 | ↓ -74% |
| SUPERIOR | Medicaid|CHIP | $42.23 | ↓ -65% |
| UNITED | Medicaid|STARKIDS | $43.07 | ↓ -65% |
| UNITED | Medicaid|All Other Plans | $43.07 | ↓ -65% |
| Wellpoint | Medicaid|STAR | $43.66 | ↓ -64% |
| SUPERIOR | Medicaid|All Other Plans | $44.34 | ↓ -64% |
| BCBS | Medicaid|STARKIDS | $44.34 | ↓ -64% |
| Bright Health | Commercial|All Plans | $47.10 | ↓ -61% |
| Ellwood | Commercial|All Plans | $49.14 | ↓ -60% |
| Entrust | Commercial|All Plans | $52.92 | ↓ -57% |
| NX Health | Commercial|All Plans | $53.24 | ↓ -56% |
| SUPERIOR | Medicaid|STAR | $61.23 | ↓ -50% |
| Health Smart | Commercial|All Plans | $69.30 | ↓ -43% |
| BCBS-TX | Commercial|Blue Premier | $69.72 | ↓ -43% |
| BCBS-TX | Commercial|Blue Advantage HMO | $70.22 | ↓ -43% |
| BCBS-TX | Commercial|HMO | $74.70 | ↓ -39% |
| First Health | Commercial|All Plans | $75.60 | ↓ -38% |
| Humana | Commercial|All Plans | $76.86 | ↓ -37% |
| Cigna | Commercial|All Other Plans | $80.64 | ↓ -34% |
| BCBS-TX | Commercial|PPO | $82.17 | ↓ -33% |
| Aetna | Commercial|All Plans | $83.16 | ↓ -32% |
| SUPERIOR | Medicaid|STARPLUS | $104.73 | ↓ -14% |
| UNITED | Medicaid|STARPLUS | $106.84 | ↓ -13% |
| PHCS | Commercial|All Plans | $107.10 | ↓ -12% |
| Multiplan | Commercial|All Plans | $113.40 | ↓ -7% |
| BCBS-TX | Commercial|Ref Lab | $126.00 | ↑ +3% |
| Cigna | Commercial|Local Plus | $342.51 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1133% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2320% |
Visitor-reported prices
Comments
Pr application of long arm splint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,046.59 | $62.25 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $388.52 | $40.14 – $485.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $328.78 | $42.95 – $493.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $579.77 | $40.14 – $724.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $388.52 | $40.14 – $485.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $328.78 | $42.95 – $493.16 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $328.78 | $40.14 – $493.16 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $579.77 | $40.14 – $869.66 |