Prq trluml c angiop 1art&/br at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$2,650.20
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.
$15,144.00
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.
$1,929.35 with PGT vs $19,815.64 with BCBS-TX — 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 | $1,929.35 | ↓ -27% |
| AETNA | Medicare|All Plans | $1,968.72 | ↓ -26% |
| BCBS | Medicare|All Plans | $1,968.72 | ↓ -26% |
| UNITED | Medicare|All Plans | $2,008.10 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $2,027.79 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $2,106.54 | ↓ -21% |
| Ambetter | Commercial|All Plans | $2,854.65 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $2,953.08 | ↑ +11% |
| UNITED | Medicaid|All Other Plans | $3,707.26 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $3,816.29 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $5,247.40 | ↑ +98% |
| United | Commercial|Exchange | $5,281.00 | ↑ +99% |
| Bright Health | Commercial|All Plans | $5,660.83 | ↑ +114% |
| Ellwood | Commercial|All Plans | $5,906.16 | ↑ +123% |
| Entrust | Commercial|All Plans | $6,360.48 | ↑ +140% |
| NX Health | Commercial|All Plans | $6,398.34 | ↑ +141% |
| Health Smart | Commercial|All Plans | $8,329.20 | ↑ +214% |
| First Health | Commercial|All Plans | $9,086.40 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $9,195.44 | ↑ +247% |
| Humana | Commercial|All Plans | $9,237.84 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $9,692.16 | ↑ +266% |
| Aetna | Commercial|All Plans | $9,995.04 | ↑ +277% |
| United | Commercial|All Other Plans | $10,363.00 | ↑ +291% |
| Cigna | Commercial|Local Plus | $12,398.00 | ↑ +368% |
| PHCS | Commercial|All Plans | $12,872.40 | ↑ +386% |
| Multiplan | Commercial|All Plans | $13,629.60 | ↑ +414% |
| BCBS-TX | Commercial|Blue Advantage HMO | $14,118.64 | ↑ +433% |
| BCBS-TX | Commercial|Ref Lab | $15,144.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $16,843.29 | ↑ +536% |
| BCBS-TX | Commercial|HMO | $17,784.54 | ↑ +571% |
| BCBS-TX | Commercial|PPO | $19,815.64 | ↑ +648% |
Visitor-reported prices
Comments
Prq trluml c angiop 1art&/br at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,569.50 | $3,561.36 – $15,711.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,597.94 | $2,593.08 – $18,896.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,333.02 | $2,466.60 – $15,416.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,569.50 | $3,351.87 – $16,180.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,597.94 | $4,043.94 – $18,896.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,597.94 | $6,508.94 – $18,896.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $12,333.02 | $4,111.01 – $18,499.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $12,569.50 | $3,351.87 – $16,180.00 |