Russell viper venom diluted at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$36.58

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$209.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$8.62 with United vs $188.10 with Multiplan — 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 →

Payer
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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
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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
United Commercial|Exchange $8.62 ↓ -76%
PGT Medicare|All Plans $9.39 ↓ -74%
BCBS Medicare|All Plans $9.58 ↓ -74%
AETNA Medicare|All Plans $9.58 ↓ -74%
UNITED Medicare|All Plans $9.77 ↓ -73%
AMERIVANTAGE Medicare|All Plans $9.87 ↓ -73%
SCANHealth Medicare|All Plans $10.25 ↓ -72%
BCBS-TX Commercial|Ref Lab $10.43 ↓ -71%
SUPERIOR Medicaid|CHIP $13.12 ↓ -64%
UNITED Medicaid|STARKIDS $13.38 ↓ -63%
UNITED Medicaid|All Other Plans $13.38 ↓ -63%
SUPERIOR Medicaid|All Other Plans $13.78 ↓ -62%
BCBS Medicaid|STARKIDS $13.78 ↓ -62%
Ambetter Commercial|All Plans $13.89 ↓ -62%
Wellpoint Commercial|Exchange $14.37 ↓ -61%
Bright Health Commercial|All Plans $17.05 ↓ -53%
United Commercial|All Other Plans $18.62 ↓ -49%
SUPERIOR Medicaid|STAR $19.02 ↓ -48%
Entrust Commercial|All Plans $19.16 ↓ -48%
Cigna Commercial|Local Plus $21.14 ↓ -42%
Ellwood Commercial|All Plans $28.74 ↓ -21%
NX Health Commercial|All Plans $31.14 ↓ -15%
SUPERIOR Medicaid|STARPLUS $32.54 ↓ -11%
UNITED Medicaid|STARPLUS $33.19 ↓ -9%
BCBS-TX Commercial|Blue Premier $33.63 ↓ -8%
BCBS-TX Commercial|Blue Advantage HMO $33.63 ↓ -8%
BCBS-TX Commercial|HMO $34.30 ↓ -6%
BCBS-TX Commercial|PPO $39.57 ↑ +8%
Wellpoint Medicaid|All Other Plans $52.67 ↑ +44%
Wellpoint Medicaid|STAR $72.42 ↑ +98%
Health Smart Commercial|All Plans $114.95 ↑ +214%
First Health Commercial|All Plans $125.40 ↑ +243%
Humana Commercial|All Plans $127.49 ↑ +249%
Cigna Commercial|All Other Plans $133.76 ↑ +266%
Aetna Commercial|All Plans $137.94 ↑ +277%
PHCS Commercial|All Plans $177.65 ↑ +386%
Multiplan Commercial|All Plans $188.10 ↑ +414%

Visitor-reported prices

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Russell viper venom diluted at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $108.05 $8.05 – $27.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $114.69 $4.57 – $33.30
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $108.05 $8.05 – $27.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $108.05 $8.05 – $27.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $114.69 $8.61 – $33.30
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $114.69 $8.00 – $33.30
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $108.05 $8.05 – $33.30
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $108.05 $8.05 – $27.75

All Texas hospitals for this procedure →