Support clav 29.6-40.5in med at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$77.18
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.
$441.00
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.
$17.20 with PGT vs $145.53 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 | $17.20 | ↓ -78% |
| BCBS | Medicare|All Plans | $17.55 | ↓ -77% |
| AETNA | Medicare|All Plans | $17.55 | ↓ -77% |
| UNITED | Medicare|All Plans | $17.91 | ↓ -77% |
| AMERIVANTAGE | Medicare|All Plans | $18.08 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $18.78 | ↓ -76% |
| Ambetter | Commercial|All Plans | $25.45 | ↓ -67% |
| Wellpoint | Commercial|Exchange | $26.33 | ↓ -66% |
| Wellpoint | Medicaid|All Other Plans | $34.02 | ↓ -56% |
| Wellpoint | Medicaid|STAR | $46.78 | ↓ -39% |
| Bright Health | Commercial|All Plans | $50.47 | ↓ -35% |
| Ellwood | Commercial|All Plans | $52.65 | ↓ -32% |
| Entrust | Commercial|All Plans | $56.70 | ↓ -27% |
| NX Health | Commercial|All Plans | $57.04 | ↓ -26% |
| Cigna | Commercial|Local Plus | $66.15 | ↓ -14% |
| Health Smart | Commercial|All Plans | $74.25 | ↓ -4% |
| First Health | Commercial|All Plans | $81.00 | ↑ +5% |
| Humana | Commercial|All Plans | $82.35 | ↑ +7% |
| Cigna | Commercial|All Other Plans | $86.40 | ↑ +12% |
| United | Commercial|Exchange | $88.20 | ↑ +14% |
| Aetna | Commercial|All Plans | $89.10 | ↑ +15% |
| BCBS-TX | Commercial|Blue Advantage HMO | $97.02 | ↑ +26% |
| BCBS-TX | Commercial|Blue Premier | $110.25 | ↑ +43% |
| PHCS | Commercial|All Plans | $114.75 | ↑ +49% |
| BCBS-TX | Commercial|HMO | $119.07 | ↑ +54% |
| Multiplan | Commercial|All Plans | $121.50 | ↑ +57% |
| BCBS-TX | Commercial|PPO | $127.89 | ↑ +66% |
| BCBS-TX | Commercial|Ref Lab | $135.00 | ↑ +75% |
| United | Commercial|All Other Plans | $145.53 | ↑ +89% |
Visitor-reported prices
Comments
Support clav 29.6-40.5in med at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $175.89 | $41.82 – $196.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $175.89 | $7.97 – $58.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $175.89 | $7.74 – $51.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $175.89 | $39.36 – $196.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $175.89 | $12.43 – $58.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $175.89 | $20.01 – $58.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $175.89 | $12.91 – $58.09 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $175.89 | $39.36 – $196.80 |