Tc-99m exametazime diag at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$494.55
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.
$2,826.00
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.
$360.04 with PGT vs $2,826.00 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 →
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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 | $360.04 | ↓ -27% |
| AETNA | Medicare|All Plans | $367.38 | ↓ -26% |
| BCBS | Medicare|All Plans | $367.38 | ↓ -26% |
| UNITED | Medicare|All Plans | $374.73 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $378.41 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $393.10 | ↓ -21% |
| Ambetter | Commercial|All Plans | $532.71 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $551.07 | ↑ +11% |
| United | Commercial|Exchange | $565.20 | ↑ +14% |
| Wellpoint | Medicaid|All Other Plans | $712.16 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $979.21 | ↑ +98% |
| United | Commercial|All Other Plans | $1,017.36 | ↑ +106% |
| Bright Health | Commercial|All Plans | $1,056.36 | ↑ +114% |
| Ellwood | Commercial|All Plans | $1,102.14 | ↑ +123% |
| Entrust | Commercial|All Plans | $1,186.92 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,193.99 | ↑ +141% |
| Cigna | Commercial|Local Plus | $1,384.74 | ↑ +180% |
| Health Smart | Commercial|All Plans | $1,554.30 | ↑ +214% |
| First Health | Commercial|All Plans | $1,695.60 | ↑ +243% |
| Humana | Commercial|All Plans | $1,723.86 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,808.64 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,865.16 | ↑ +277% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,001.19 | ↑ +305% |
| PHCS | Commercial|All Plans | $2,402.10 | ↑ +386% |
| Multiplan | Commercial|All Plans | $2,543.40 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $2,826.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $2,826.00 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $2,826.00 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $2,826.00 | ↑ +471% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $9,053.47 | $1,530.72 – $17,017.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,497.16 | $1,530.72 – $17,017.34 |
| HCA HOUSTON NORTHWEST | SPRING | $6,745.24 | $1,530.72 – $17,017.34 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,389.91 | $100.00 – $5,121.00 |
| Baylor St Luke's Medical Center | Houston | $2,135.70 | $100.00 – $6,102.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $524.70 | $100.00 – $3,148.20 |
| HCA HOUSTON PEARLAND | Pearland | $3,218.16 | $1,530.72 – $17,017.34 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,135.70 | $100.00 – $6,102.00 |