Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$119.53
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.
$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.
$68.93 with PGT vs $3,711.00 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 | $68.93 | ↓ -42% |
| BCBS | Medicare|All Plans | $70.33 | ↓ -41% |
| AETNA | Medicare|All Plans | $70.33 | ↓ -41% |
| UNITED | Medicare|All Plans | $71.74 | ↓ -40% |
| AMERIVANTAGE | Medicare|All Plans | $72.44 | ↓ -39% |
| SCANHealth | Medicare|All Plans | $75.26 | ↓ -37% |
| Ambetter | Commercial|All Plans | $101.98 | ↓ -15% |
| Wellpoint | Commercial|Exchange | $105.50 | ↓ -12% |
| Wellpoint | Medicaid|All Other Plans | $136.34 | ↑ +14% |
| Wellpoint | Medicaid|STAR | $187.46 | ↑ +57% |
| Bright Health | Commercial|All Plans | $202.23 | ↑ +69% |
| Ellwood | Commercial|All Plans | $210.99 | ↑ +77% |
| Entrust | Commercial|All Plans | $227.22 | ↑ +90% |
| SUPERIOR | Medicaid|CHIP | $228.07 | ↑ +91% |
| NX Health | Commercial|All Plans | $228.58 | ↑ +91% |
| UNITED | Medicaid|All Other Plans | $232.63 | ↑ +95% |
| UNITED | Medicaid|STARKIDS | $232.63 | ↑ +95% |
| BCBS | Medicaid|STARKIDS | $239.47 | ↑ +100% |
| SUPERIOR | Medicaid|All Other Plans | $239.47 | ↑ +100% |
| Health Smart | Commercial|All Plans | $297.55 | ↑ +149% |
| First Health | Commercial|All Plans | $324.60 | ↑ +172% |
| Humana | Commercial|All Plans | $330.01 | ↑ +176% |
| SUPERIOR | Medicaid|STAR | $330.70 | ↑ +177% |
| Cigna | Commercial|All Other Plans | $346.24 | ↑ +190% |
| Aetna | Commercial|All Plans | $357.06 | ↑ +199% |
| PHCS | Commercial|All Plans | $459.85 | ↑ +285% |
| Multiplan | Commercial|All Plans | $486.90 | ↑ +307% |
| BCBS-TX | Commercial|Ref Lab | $541.00 | ↑ +353% |
| SUPERIOR | Medicaid|STARPLUS | $565.61 | ↑ +373% |
| UNITED | Medicaid|STARPLUS | $577.02 | ↑ +383% |
| BCBS-TX | Commercial|Blue Premier | $695.83 | ↑ +482% |
| BCBS-TX | Commercial|Blue Advantage HMO | $700.80 | ↑ +486% |
| BCBS-TX | Commercial|HMO | $745.53 | ↑ +524% |
| BCBS-TX | Commercial|PPO | $820.08 | ↑ +586% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1162% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2376% |
| Cigna | Commercial|Local Plus | $3,711.00 | ↑ +3005% |
Visitor-reported prices
Comments
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,552.77 | $621.28 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,284.68 | $216.80 – $1,605.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,481.92 | $71.00 – $2,222.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $962.47 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,284.68 | $216.80 – $1,605.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,481.92 | $85.00 – $2,222.88 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,481.92 | $216.80 – $2,222.88 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $962.47 | $71.00 – $1,555.84 |