Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe 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

$44.76

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.

$255.74

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.

$0.40 with United vs $135.76 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
United Commercial|Exchange $0.40 ↓ -99%
Cigna Commercial|Local Plus $0.55 ↓ -99%
United Commercial|All Other Plans $0.66 ↓ -99%
BCBS-TX Commercial|Blue Advantage HMO $1.13 ↓ -97%
BCBS-TX Commercial|Blue Premier $1.85 ↓ -96%
BCBS-TX Commercial|HMO $1.89 ↓ -96%
BCBS-TX Commercial|PPO $2.16 ↓ -95%
PGT Medicare|All Plans $17.30 ↓ -61%
BCBS Medicare|All Plans $17.65 ↓ -61%
AETNA Medicare|All Plans $17.65 ↓ -61%
UNITED Medicare|All Plans $18.01 ↓ -60%
AMERIVANTAGE Medicare|All Plans $18.18 ↓ -59%
SCANHealth Medicare|All Plans $18.89 ↓ -58%
Ambetter Commercial|All Plans $25.60 ↓ -43%
Wellpoint Commercial|Exchange $26.48 ↓ -41%
Wellpoint Medicaid|All Other Plans $34.22 ↓ -24%
Bright Health Commercial|All Plans $44.81 ↑ +0%
Wellpoint Medicaid|STAR $47.05 ↑ +5%
Ellwood Commercial|All Plans $52.95 ↑ +18%
Entrust Commercial|All Plans $57.02 ↑ +27%
NX Health Commercial|All Plans $57.36 ↑ +28%
Health Smart Commercial|All Plans $74.67 ↑ +67%
First Health Commercial|All Plans $81.46 ↑ +82%
Humana Commercial|All Plans $82.82 ↑ +85%
Cigna Commercial|All Other Plans $86.89 ↑ +94%
Aetna Commercial|All Plans $89.61 ↑ +100%
PHCS Commercial|All Plans $115.40 ↑ +158%
Multiplan Commercial|All Plans $122.19 ↑ +173%
BCBS-TX Commercial|Ref Lab $135.76 ↑ +203%

Visitor-reported prices

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Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $2,323.66 $3.16 – $3.16
Covenant Children's Hospital Lubbock $1,631.08 $1.03 – $3.27
Baylor St Luke's Medical Center Houston $1,149.99 $0.70 – $980.85
St. Luke's Health - Springwoods Village Hospital Spring $1,149.99 $0.57 – $980.85
St. Luke's Health - Sugar Land Hospital Sugar Land $1,149.99 $0.57 – $980.85
St. Joseph Health College Station Hospital College Station $44.76 $0.40 – $115.40
St. Luke's Health - Lakeside Hospital The Woodlands $1,149.99 $0.57 – $980.85
St. Luke's Health - Brazosport Hospital Lake Jackson $359.80 $0.56 – $417.72

All Texas hospitals for this procedure →