Prq card revasc mi 1 vsl at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$5,489.75
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.
$31,370.00
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.
$1,991.58 with BCBS-TX vs $31,370.00 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 | $1,991.58 | ↓ -64% |
| BCBS-TX | Commercial|Blue Premier | $2,375.92 | ↓ -57% |
| BCBS-TX | Commercial|HMO | $2,508.69 | ↓ -54% |
| BCBS-TX | Commercial|PPO | $2,795.20 | ↓ -49% |
| PGT | Medicare|All Plans | $3,996.54 | ↓ -27% |
| BCBS | Medicare|All Plans | $4,078.10 | ↓ -26% |
| AETNA | Medicare|All Plans | $4,078.10 | ↓ -26% |
| UNITED | Medicare|All Plans | $4,159.67 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $4,200.45 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $4,363.57 | ↓ -21% |
| United | Commercial|Exchange | $5,281.00 | ↓ -4% |
| Ambetter | Commercial|All Plans | $5,913.25 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $6,117.15 | ↑ +11% |
| UNITED | Medicaid|All Other Plans | $7,679.38 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $7,905.24 | ↑ +44% |
| United | Commercial|All Other Plans | $10,363.00 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $10,869.71 | ↑ +98% |
| Bright Health | Commercial|All Plans | $11,726.11 | ↑ +114% |
| Ellwood | Commercial|All Plans | $12,234.30 | ↑ +123% |
| Cigna | Commercial|Local Plus | $12,398.00 | ↑ +126% |
| Entrust | Commercial|All Plans | $13,175.40 | ↑ +140% |
| NX Health | Commercial|All Plans | $13,253.83 | ↑ +141% |
| Health Smart | Commercial|All Plans | $17,253.50 | ↑ +214% |
| First Health | Commercial|All Plans | $18,822.00 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $19,047.87 | ↑ +247% |
| Humana | Commercial|All Plans | $19,135.70 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $20,076.80 | ↑ +266% |
| Aetna | Commercial|All Plans | $20,704.20 | ↑ +277% |
| PHCS | Commercial|All Plans | $26,664.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $28,233.00 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $31,370.00 | ↑ +471% |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,392.20 | $1,726.04 – $26,055.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16,678.62 | $1,921.70 – $25,017.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $17,636.90 | $1,921.70 – $22,046.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,392.20 | $1,509.41 – $26,055.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $16,678.62 | $2,347.97 – $25,017.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $16,678.62 | $8,617.29 – $25,017.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $17,636.90 | $1,921.70 – $26,455.36 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $18,392.20 | $1,726.04 – $26,055.62 |