Spirometry bronchodilation responsiveness pre/post bronchodilator administration 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

$308.88

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.

$1,765.00

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.

$93.95 with BCBS-TX vs $1,765.00 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 →

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
BCBS-TX Commercial|Blue Advantage HMO $93.95 ↓ -70%
BCBS-TX Commercial|Blue Premier $110.47 ↓ -64%
BCBS-TX Commercial|HMO $117.08 ↓ -62%
BCBS-TX Commercial|PPO $130.30 ↓ -58%
PGT Medicare|All Plans $224.87 ↓ -27%
AETNA Medicare|All Plans $229.45 ↓ -26%
BCBS Medicare|All Plans $229.45 ↓ -26%
UNITED Medicare|All Plans $234.04 ↓ -24%
AMERIVANTAGE Medicare|All Plans $236.34 ↓ -23%
SCANHealth Medicare|All Plans $245.52 ↓ -21%
Ambetter Commercial|All Plans $332.71 ↑ +8%
Wellpoint Commercial|Exchange $344.18 ↑ +11%
Wellpoint Medicaid|All Other Plans $444.78 ↑ +44%
United Commercial|Exchange $447.00 ↑ +45%
Wellpoint Medicaid|STAR $611.58 ↑ +98%
Bright Health Commercial|All Plans $659.76 ↑ +114%
Ellwood Commercial|All Plans $688.35 ↑ +123%
Entrust Commercial|All Plans $741.30 ↑ +140%
NX Health Commercial|All Plans $745.72 ↑ +141%
Cigna Commercial|Local Plus $864.85 ↑ +180%
United Commercial|All Other Plans $877.00 ↑ +184%
Health Smart Commercial|All Plans $970.75 ↑ +214%
First Health Commercial|All Plans $1,059.00 ↑ +243%
Humana Commercial|All Plans $1,076.65 ↑ +249%
Cigna Commercial|All Other Plans $1,129.60 ↑ +266%
Aetna Commercial|All Plans $1,164.90 ↑ +277%
PHCS Commercial|All Plans $1,500.25 ↑ +386%
Multiplan Commercial|All Plans $1,588.50 ↑ +414%
BCBS-TX Commercial|Ref Lab $1,765.00 ↑ +471%

Visitor-reported prices

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Spirometry bronchodilation responsiveness pre/post bronchodilator administration at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $628.51 $144.93 – $805.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $669.63 $137.83 – $1,004.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $786.77 $142.57 – $983.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $628.51 $110.47 – $805.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $669.63 $174.20 – $1,004.45
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $669.63 $345.98 – $1,004.45
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $786.77 $142.57 – $1,180.15
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $628.51 $144.93 – $805.95

All Texas hospitals for this procedure →