Thyrotropin alfa 0.9 mg intramuscular solution at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$321.51
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.
?
What you pay up front if you don't use insurance.
$1,837.16
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.
?
The hospital's undiscounted list price — almost no one pays this.
$234.06 with PGT vs $1,837.16 with BCBS-TX — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $234.06 | ↓ -27% |
| BCBS | Medicare|All Plans | $238.84 | ↓ -26% |
| AETNA | Medicare|All Plans | $238.84 | ↓ -26% |
| UNITED | Medicare|All Plans | $243.61 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $246.00 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $255.55 | ↓ -21% |
| Cigna | Commercial|Local Plus | $312.32 | ↓ -3% |
| Ambetter | Commercial|All Plans | $346.31 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $358.25 | ↑ +11% |
| United | Commercial|Exchange | $367.44 | ↑ +14% |
| Wellpoint | Medicaid|All Other Plans | $462.97 | ↑ +44% |
| Bright Health | Commercial|All Plans | $606.27 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $636.58 | ↑ +98% |
| United | Commercial|All Other Plans | $661.38 | ↑ +106% |
| Ellwood | Commercial|All Plans | $716.50 | ↑ +123% |
| Entrust | Commercial|All Plans | $771.61 | ↑ +140% |
| NX Health | Commercial|All Plans | $776.21 | ↑ +141% |
| Health Smart | Commercial|All Plans | $1,010.44 | ↑ +214% |
| First Health | Commercial|All Plans | $1,102.30 | ↑ +243% |
| Humana | Commercial|All Plans | $1,120.67 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,175.79 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,212.53 | ↑ +277% |
| PHCS | Commercial|All Plans | $1,561.59 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,653.45 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $1,837.16 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $1,837.16 | ↑ +471% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,837.16 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $1,837.16 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $1,837.16 | ↑ +471% |
Visitor-reported prices
Comments
Thyrotropin alfa 0.9 mg intramuscular solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $9,577.76 | $2,078.71 – $15,822.14 |
| Covenant Children's Hospital | Lubbock | $13,333.89 | $6,055.06 – $7,680.45 |
| HCA HOUSTON KINGWOOD | HUMBLE | $15,679.53 | $2,125.64 – $15,822.14 |
| Baylor St Luke's Medical Center | Houston | $5,107.76 | $1,457.10 – $7,596.44 |
| St. Luke's Health Memorial Lufkin | Lufkin | $4,695.46 | $2,135.42 – $28,172.71 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $5,107.76 | $1,671.22 – $7,596.44 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $5,107.76 | $1,671.22 – $7,596.44 |
| St. Joseph Health College Station Hospital | College Station | $321.51 | $312.32 – $1,837.16 |