Tc-99m maa at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$85.58
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.
$489.00
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.
$29.44 with United vs $489.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $29.44 | ↓ -66% |
| BCBS-TX | Commercial|Blue Advantage HMO | $41.23 | ↓ -52% |
| United | Commercial|All Other Plans | $48.58 | ↓ -43% |
| PGT | Medicare|All Plans | $62.30 | ↓ -27% |
| BCBS | Medicare|All Plans | $63.57 | ↓ -26% |
| AETNA | Medicare|All Plans | $63.57 | ↓ -26% |
| UNITED | Medicare|All Plans | $64.85 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $65.48 | ↓ -23% |
| BCBS-TX | Commercial|Blue Premier | $67.23 | ↓ -21% |
| SCANHealth | Medicare|All Plans | $68.02 | ↓ -21% |
| BCBS-TX | Commercial|HMO | $69.02 | ↓ -19% |
| BCBS-TX | Commercial|PPO | $78.88 | ↓ -8% |
| Ambetter | Commercial|All Plans | $92.18 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $95.36 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $123.23 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $169.44 | ↑ +98% |
| Bright Health | Commercial|All Plans | $182.79 | ↑ +114% |
| Ellwood | Commercial|All Plans | $190.71 | ↑ +123% |
| Entrust | Commercial|All Plans | $205.38 | ↑ +140% |
| NX Health | Commercial|All Plans | $206.61 | ↑ +141% |
| Cigna | Commercial|Local Plus | $239.61 | ↑ +180% |
| Health Smart | Commercial|All Plans | $268.95 | ↑ +214% |
| First Health | Commercial|All Plans | $293.40 | ↑ +243% |
| Humana | Commercial|All Plans | $298.29 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $312.96 | ↑ +266% |
| Aetna | Commercial|All Plans | $322.74 | ↑ +277% |
| PHCS | Commercial|All Plans | $415.65 | ↑ +386% |
| Multiplan | Commercial|All Plans | $440.10 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $489.00 | ↑ +471% |
Visitor-reported prices
Comments
Tc-99m maa at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $766.64 | $50.14 – $233.18 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,099.56 | $50.14 – $233.18 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,280.09 | $50.14 – $233.18 |
| HCA HOUSTON NORTHWEST | SPRING | $1,328.96 | $50.14 – $233.18 |
| St. Luke's Health - Patients Medical Center | Pasadena | $399.11 | $32.57 – $855.23 |
| Baylor St Luke's Medical Center | Houston | $386.05 | $26.89 – $1,103.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $155.10 | $26.50 – $930.60 |
| HCA HOUSTON PEARLAND | Pearland | $661.03 | $50.14 – $233.18 |