Tissue matrix xcm thk 20x30cm -cost per sq cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$5,971.88
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.
$34,125.00
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.
$2,606.99 with PGT vs $20,463.00 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 | $2,606.99 | ↓ -56% |
| BCBS | Medicare|All Plans | $2,660.19 | ↓ -55% |
| AETNA | Medicare|All Plans | $2,660.19 | ↓ -55% |
| UNITED | Medicare|All Plans | $2,713.40 | ↓ -55% |
| AMERIVANTAGE | Medicare|All Plans | $2,740.00 | ↓ -54% |
| SCANHealth | Medicare|All Plans | $2,846.41 | ↓ -52% |
| Ambetter | Commercial|All Plans | $3,857.28 | ↓ -35% |
| Wellpoint | Commercial|Exchange | $3,990.29 | ↓ -33% |
| United | Commercial|Exchange | $4,092.60 | ↓ -31% |
| BCBS-TX | Commercial|Blue Advantage HMO | $4,501.86 | ↓ -25% |
| BCBS-TX | Commercial|Blue Premier | $5,115.75 | ↓ -14% |
| Wellpoint | Medicaid|All Other Plans | $5,156.68 | ↓ -14% |
| Bright Health | Commercial|All Plans | $5,320.38 | ↓ -11% |
| BCBS-TX | Commercial|HMO | $5,525.01 | ↓ -7% |
| BCBS-TX | Commercial|PPO | $5,934.27 | ↓ -1% |
| Cigna | Commercial|Local Plus | $6,343.53 | ↑ +6% |
| United | Commercial|All Other Plans | $6,752.79 | ↑ +13% |
| Wellpoint | Medicaid|STAR | $7,090.43 | ↑ +19% |
| Ellwood | Commercial|All Plans | $7,980.57 | ↑ +34% |
| Entrust | Commercial|All Plans | $8,594.46 | ↑ +44% |
| NX Health | Commercial|All Plans | $8,645.62 | ↑ +45% |
| Health Smart | Commercial|All Plans | $11,254.65 | ↑ +88% |
| First Health | Commercial|All Plans | $12,277.80 | ↑ +106% |
| Humana | Commercial|All Plans | $12,482.43 | ↑ +109% |
| Cigna | Commercial|All Other Plans | $13,096.32 | ↑ +119% |
| Aetna | Commercial|All Plans | $13,505.58 | ↑ +126% |
| PHCS | Commercial|All Plans | $17,393.55 | ↑ +191% |
| Multiplan | Commercial|All Plans | $18,416.70 | ↑ +208% |
| BCBS-TX | Commercial|Ref Lab | $20,463.00 | ↑ +243% |
Visitor-reported prices
Comments
Tissue matrix xcm thk 20x30cm -cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health College Station Hospital | College Station | $5,971.88 | $4,092.60 – $17,393.55 |
| St. Joseph Health Grimes Hospital | Navasota | $5,971.88 | $4,092.60 – $22,713.93 |
| St. Joseph Health Burleson Hospital | Caldwell | $5,971.88 | $4,092.60 – $18,416.70 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $209.78 – $209.78 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $209.78 – $209.78 |
| HCA HOUSTON CONROE | CONROE | not published | $209.78 – $209.78 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $209.78 – $209.78 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $209.78 – $209.78 |