Prq card stent/ath/angio at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$2,044.53
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.
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What you pay up front if you don't use insurance.
$11,683.00
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.
$1,488.42 with PGT vs $12,398.00 with Cigna — 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 | $1,488.42 | ↓ -27% |
| AETNA | Medicare|All Plans | $1,518.79 | ↓ -26% |
| BCBS | Medicare|All Plans | $1,518.79 | ↓ -26% |
| UNITED | Medicare|All Plans | $1,549.17 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $1,564.36 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $1,625.11 | ↓ -21% |
| Ambetter | Commercial|All Plans | $2,202.25 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $2,278.19 | ↑ +11% |
| UNITED | Medicaid|All Other Plans | $2,860.00 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $2,944.12 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $4,048.16 | ↑ +98% |
| Bright Health | Commercial|All Plans | $4,367.11 | ↑ +114% |
| Ellwood | Commercial|All Plans | $4,556.37 | ↑ +123% |
| Entrust | Commercial|All Plans | $4,906.86 | ↑ +140% |
| NX Health | Commercial|All Plans | $4,936.07 | ↑ +141% |
| United | Commercial|Exchange | $5,281.00 | ↑ +158% |
| Health Smart | Commercial|All Plans | $6,425.65 | ↑ +214% |
| First Health | Commercial|All Plans | $7,009.80 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $7,093.92 | ↑ +247% |
| Humana | Commercial|All Plans | $7,126.63 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $7,477.12 | ↑ +266% |
| Aetna | Commercial|All Plans | $7,710.78 | ↑ +277% |
| PHCS | Commercial|All Plans | $9,930.55 | ↑ +386% |
| United | Commercial|All Other Plans | $10,363.00 | ↑ +407% |
| Multiplan | Commercial|All Plans | $10,514.70 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $11,683.00 | ↑ +471% |
| Cigna | Commercial|Local Plus | $12,398.00 | ↑ +506% |
Visitor-reported prices
Comments
Prq card stent/ath/angio at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,817.96 | $3,065.09 – $15,325.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,735.07 | $2,621.30 – $19,102.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,371.82 | $2,674.36 – $16,714.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,817.96 | $2,884.79 – $16,180.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,735.07 | $4,087.96 – $19,102.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,735.07 | $6,579.78 – $19,102.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,371.82 | $4,457.27 – $20,057.72 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,817.96 | $2,884.79 – $16,180.00 |