Puncture aspiration abscess/hematoma/bulla/cyst at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$86.45
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.
$494.00
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.
$22.68 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 | $22.68 | ↓ -74% |
| BCBS | Medicare|All Plans | $23.14 | ↓ -73% |
| AETNA | Medicare|All Plans | $23.14 | ↓ -73% |
| UNITED | Medicare|All Plans | $23.61 | ↓ -73% |
| AMERIVANTAGE | Medicare|All Plans | $23.84 | ↓ -72% |
| SCANHealth | Medicare|All Plans | $24.76 | ↓ -71% |
| Ambetter | Commercial|All Plans | $33.56 | ↓ -61% |
| Wellpoint | Commercial|Exchange | $34.71 | ↓ -60% |
| Wellpoint | Medicaid|All Other Plans | $44.86 | ↓ -48% |
| Wellpoint | Medicaid|STAR | $61.68 | ↓ -29% |
| Bright Health | Commercial|All Plans | $66.54 | ↓ -23% |
| Ellwood | Commercial|All Plans | $69.42 | ↓ -20% |
| SUPERIOR | Medicaid|CHIP | $71.36 | ↓ -17% |
| UNITED | Medicaid|STARKIDS | $72.79 | ↓ -16% |
| UNITED | Medicaid|All Other Plans | $72.79 | ↓ -16% |
| Entrust | Commercial|All Plans | $74.76 | ↓ -14% |
| BCBS | Medicaid|STARKIDS | $74.93 | ↓ -13% |
| SUPERIOR | Medicaid|All Other Plans | $74.93 | ↓ -13% |
| NX Health | Commercial|All Plans | $75.21 | ↓ -13% |
| Health Smart | Commercial|All Plans | $97.90 | ↑ +13% |
| SUPERIOR | Medicaid|STAR | $103.47 | ↑ +20% |
| First Health | Commercial|All Plans | $106.80 | ↑ +24% |
| Humana | Commercial|All Plans | $108.58 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $113.92 | ↑ +32% |
| BCBS-TX | Commercial|Blue Premier | $116.72 | ↑ +35% |
| Aetna | Commercial|All Plans | $117.48 | ↑ +36% |
| BCBS-TX | Commercial|Blue Advantage HMO | $117.55 | ↑ +36% |
| BCBS-TX | Commercial|HMO | $125.06 | ↑ +45% |
| BCBS-TX | Commercial|PPO | $137.56 | ↑ +59% |
| PHCS | Commercial|All Plans | $151.30 | ↑ +75% |
| Multiplan | Commercial|All Plans | $160.20 | ↑ +85% |
| SUPERIOR | Medicaid|STARPLUS | $176.97 | ↑ +105% |
| BCBS-TX | Commercial|Ref Lab | $178.00 | ↑ +106% |
| UNITED | Medicaid|STARPLUS | $180.54 | ↑ +109% |
| Cigna | Commercial|Local Plus | $242.06 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1644% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +3324% |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $645.13 | $67.83 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $581.36 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $673.86 | $67.83 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $645.13 | $67.83 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $581.36 | $72.58 – $987.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $581.36 | $67.83 – $987.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $673.86 | $67.83 – $1,010.79 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $645.13 | $67.83 – $987.79 |