Pr removal foreign body external auditory canal without anesthesia at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$72.63
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.
$415.00
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.
$16.31 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 | $16.31 | ↓ -78% |
| BCBS | Medicare|All Plans | $16.64 | ↓ -77% |
| AETNA | Medicare|All Plans | $16.64 | ↓ -77% |
| UNITED | Medicare|All Plans | $16.98 | ↓ -77% |
| AMERIVANTAGE | Medicare|All Plans | $17.14 | ↓ -76% |
| SCANHealth | Medicare|All Plans | $17.81 | ↓ -75% |
| Ambetter | Commercial|All Plans | $24.13 | ↓ -67% |
| Wellpoint | Commercial|Exchange | $24.96 | ↓ -66% |
| Wellpoint | Medicaid|All Other Plans | $32.26 | ↓ -56% |
| Wellpoint | Medicaid|STAR | $44.36 | ↓ -39% |
| Bright Health | Commercial|All Plans | $47.85 | ↓ -34% |
| Ellwood | Commercial|All Plans | $49.92 | ↓ -31% |
| Entrust | Commercial|All Plans | $53.76 | ↓ -26% |
| NX Health | Commercial|All Plans | $54.08 | ↓ -26% |
| Health Smart | Commercial|All Plans | $70.40 | ↓ -3% |
| First Health | Commercial|All Plans | $76.80 | ↑ +6% |
| Humana | Commercial|All Plans | $78.08 | ↑ +8% |
| Cigna | Commercial|All Other Plans | $81.92 | ↑ +13% |
| Aetna | Commercial|All Plans | $84.48 | ↑ +16% |
| SUPERIOR | Medicaid|CHIP | $99.60 | ↑ +37% |
| UNITED | Medicaid|STARKIDS | $101.60 | ↑ +40% |
| UNITED | Medicaid|All Other Plans | $101.60 | ↑ +40% |
| BCBS | Medicaid|STARKIDS | $104.58 | ↑ +44% |
| SUPERIOR | Medicaid|All Other Plans | $104.58 | ↑ +44% |
| PHCS | Commercial|All Plans | $108.80 | ↑ +50% |
| Multiplan | Commercial|All Plans | $115.20 | ↑ +59% |
| BCBS-TX | Commercial|Ref Lab | $128.00 | ↑ +76% |
| SUPERIOR | Medicaid|STAR | $144.42 | ↑ +99% |
| BCBS-TX | Commercial|Blue Premier | $152.64 | ↑ +110% |
| BCBS-TX | Commercial|Blue Advantage HMO | $153.73 | ↑ +112% |
| BCBS-TX | Commercial|HMO | $163.55 | ↑ +125% |
| BCBS-TX | Commercial|PPO | $179.90 | ↑ +148% |
| Cigna | Commercial|Local Plus | $203.35 | ↑ +180% |
| SUPERIOR | Medicaid|STARPLUS | $247.01 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $251.99 | ↑ +247% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1976% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +3975% |
Visitor-reported prices
Comments
Pr removal foreign body external auditory canal without anesthesia at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $765.81 | $136.29 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $280.79 | $79.56 – $350.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $198.45 | $40.85 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $292.10 | $58.42 – $365.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $280.79 | $74.88 – $350.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $198.45 | $63.70 – $316.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $198.45 | $102.53 – $316.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $292.10 | $71.00 – $438.16 |