Radphm lcl tomogr sgl area sgl day at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$2,718.45
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.
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What you pay up front if you don't use insurance.
$15,534.00
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.
$681.48 with BCBS-TX vs $5,873.00 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 | $681.48 | ↓ -75% |
| PGT | Medicare|All Plans | $748.23 | ↓ -72% |
| BCBS-TX | Commercial|Blue Premier | $756.53 | ↓ -72% |
| BCBS | Medicare|All Plans | $763.49 | ↓ -72% |
| AETNA | Medicare|All Plans | $763.49 | ↓ -72% |
| UNITED | Medicare|All Plans | $778.76 | ↓ -71% |
| AMERIVANTAGE | Medicare|All Plans | $786.40 | ↓ -71% |
| BCBS-TX | Commercial|HMO | $804.56 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $816.94 | ↓ -70% |
| BCBS-TX | Commercial|PPO | $888.62 | ↓ -67% |
| Ambetter | Commercial|All Plans | $1,107.07 | ↓ -59% |
| United | Commercial|Exchange | $1,117.00 | ↓ -59% |
| Wellpoint | Commercial|Exchange | $1,145.24 | ↓ -58% |
| Wellpoint | Medicaid|All Other Plans | $1,480.00 | ↓ -46% |
| SUPERIOR | Medicaid|CHIP | $1,672.36 | ↓ -38% |
| UNITED | Medicaid|All Other Plans | $1,705.81 | ↓ -37% |
| UNITED | Medicaid|STARKIDS | $1,705.81 | ↓ -37% |
| BCBS | Medicaid|STARKIDS | $1,755.98 | ↓ -35% |
| SUPERIOR | Medicaid|All Other Plans | $1,755.98 | ↓ -35% |
| Wellpoint | Medicaid|STAR | $2,035.00 | ↓ -25% |
| United | Commercial|All Other Plans | $2,193.00 | ↓ -19% |
| Bright Health | Commercial|All Plans | $2,195.33 | ↓ -19% |
| Ellwood | Commercial|All Plans | $2,290.47 | ↓ -16% |
| SUPERIOR | Medicaid|STAR | $2,424.92 | ↓ -11% |
| Entrust | Commercial|All Plans | $2,466.66 | ↓ -9% |
| NX Health | Commercial|All Plans | $2,481.35 | ↓ -9% |
| Cigna | Commercial|Local Plus | $2,760.31 | ↑ +2% |
| Health Smart | Commercial|All Plans | $3,230.15 | ↑ +19% |
| First Health | Commercial|All Plans | $3,523.80 | ↑ +30% |
| Humana | Commercial|All Plans | $3,582.53 | ↑ +32% |
| Cigna | Commercial|All Other Plans | $3,758.72 | ↑ +38% |
| Aetna | Commercial|All Plans | $3,876.18 | ↑ +43% |
| SUPERIOR | Medicaid|STARPLUS | $4,147.45 | ↑ +53% |
| UNITED | Medicaid|STARPLUS | $4,231.07 | ↑ +56% |
| PHCS | Commercial|All Plans | $4,992.05 | ↑ +84% |
| Multiplan | Commercial|All Plans | $5,285.70 | ↑ +94% |
| BCBS-TX | Commercial|Ref Lab | $5,873.00 | ↑ +116% |
Visitor-reported prices
Comments
Radphm lcl tomogr sgl area sgl day at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,723.06 | $338.81 – $3,517.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,381.40 | $490.17 – $3,572.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,381.40 | $338.81 – $3,517.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,723.06 | $338.81 – $3,517.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,381.40 | $362.53 – $3,572.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,381.40 | $338.81 – $3,572.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,381.40 | $338.81 – $3,572.10 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,723.06 | $338.81 – $3,517.62 |