Removal central venous catheter tunneled without port/pump at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$221.38
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.
$1,265.00
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.
$32.62 with PGT vs $2,960.00 with United — 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 | $32.62 | ↓ -85% |
| BCBS | Medicare|All Plans | $33.28 | ↓ -85% |
| AETNA | Medicare|All Plans | $33.28 | ↓ -85% |
| UNITED | Medicare|All Plans | $33.95 | ↓ -85% |
| AMERIVANTAGE | Medicare|All Plans | $34.28 | ↓ -85% |
| SCANHealth | Medicare|All Plans | $35.61 | ↓ -84% |
| Ambetter | Commercial|All Plans | $48.26 | ↓ -78% |
| Wellpoint | Commercial|Exchange | $49.92 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $64.52 | ↓ -71% |
| Wellpoint | Medicaid|STAR | $88.71 | ↓ -60% |
| Bright Health | Commercial|All Plans | $95.70 | ↓ -57% |
| Ellwood | Commercial|All Plans | $99.84 | ↓ -55% |
| Entrust | Commercial|All Plans | $107.52 | ↓ -51% |
| NX Health | Commercial|All Plans | $108.16 | ↓ -51% |
| Health Smart | Commercial|All Plans | $140.80 | ↓ -36% |
| First Health | Commercial|All Plans | $153.60 | ↓ -31% |
| Humana | Commercial|All Plans | $156.16 | ↓ -29% |
| Cigna | Commercial|All Other Plans | $163.84 | ↓ -26% |
| Aetna | Commercial|All Plans | $168.96 | ↓ -24% |
| PHCS | Commercial|All Plans | $217.60 | ↓ -2% |
| Multiplan | Commercial|All Plans | $230.40 | ↑ +4% |
| SUPERIOR | Medicaid|CHIP | $235.39 | ↑ +6% |
| UNITED | Medicaid|All Other Plans | $240.10 | ↑ +8% |
| UNITED | Medicaid|STARKIDS | $240.10 | ↑ +8% |
| BCBS | Medicaid|STARKIDS | $247.16 | ↑ +12% |
| SUPERIOR | Medicaid|All Other Plans | $247.16 | ↑ +12% |
| BCBS-TX | Commercial|Ref Lab | $256.00 | ↑ +16% |
| SUPERIOR | Medicaid|STAR | $341.32 | ↑ +54% |
| SUPERIOR | Medicaid|STARPLUS | $583.77 | ↑ +164% |
| UNITED | Medicaid|STARPLUS | $595.54 | ↑ +169% |
| BCBS-TX | Commercial|Blue Premier | $882.71 | ↑ +299% |
| BCBS-TX | Commercial|Blue Advantage HMO | $889.02 | ↑ +302% |
| BCBS-TX | Commercial|HMO | $945.77 | ↑ +327% |
| BCBS-TX | Commercial|PPO | $1,040.34 | ↑ +370% |
| United | Commercial|Exchange | $1,508.00 | ↑ +581% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +1205% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +1237% |
Visitor-reported prices
Comments
Removal central venous catheter tunneled without port/pump at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,078.07 | $223.75 – $2,597.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,141.45 | $71.00 – $1,712.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,973.39 | $71.00 – $2,466.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,078.07 | $223.75 – $2,597.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,141.45 | $85.00 – $1,712.18 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,141.45 | $223.75 – $1,712.18 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,973.39 | $71.00 – $2,960.09 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,078.07 | $223.75 – $2,597.59 |