Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$12,121.38
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.
$69,265.00
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.
$8,824.37 with PGT vs $69,265.00 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 | $8,824.37 | ↓ -27% |
| BCBS | Medicare|All Plans | $9,004.45 | ↓ -26% |
| AETNA | Medicare|All Plans | $9,004.45 | ↓ -26% |
| UNITED | Medicare|All Plans | $9,184.54 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $9,274.59 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $9,634.77 | ↓ -21% |
| Ambetter | Commercial|All Plans | $13,056.46 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $13,506.68 | ↑ +11% |
| United | Commercial|Exchange | $13,853.00 | ↑ +14% |
| BCBS-TX | Commercial|Blue Advantage HMO | $15,238.30 | ↑ +26% |
| BCBS-TX | Commercial|Blue Premier | $17,316.25 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $17,454.78 | ↑ +44% |
| Bright Health | Commercial|All Plans | $18,008.90 | ↑ +49% |
| BCBS-TX | Commercial|HMO | $18,701.55 | ↑ +54% |
| BCBS-TX | Commercial|PPO | $20,086.85 | ↑ +66% |
| Cigna | Commercial|Local Plus | $21,472.15 | ↑ +77% |
| United | Commercial|All Other Plans | $22,857.45 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $24,000.33 | ↑ +98% |
| Ellwood | Commercial|All Plans | $27,013.35 | ↑ +123% |
| Entrust | Commercial|All Plans | $29,091.30 | ↑ +140% |
| NX Health | Commercial|All Plans | $29,264.47 | ↑ +141% |
| Health Smart | Commercial|All Plans | $38,095.75 | ↑ +214% |
| First Health | Commercial|All Plans | $41,559.00 | ↑ +243% |
| Humana | Commercial|All Plans | $42,251.65 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $44,329.60 | ↑ +266% |
| Aetna | Commercial|All Plans | $45,714.90 | ↑ +277% |
| PHCS | Commercial|All Plans | $58,875.25 | ↑ +386% |
| Multiplan | Commercial|All Plans | $62,338.50 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $69,265.00 | ↑ +471% |
Visitor-reported prices
Comments
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,403.42 | $6.28 – $28.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,403.42 | $7.32 – $36.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,403.42 | $12.05 – $36.59 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,403.42 | $6.46 – $38.74 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $1,403.42 | $4.74 – $36.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,403.42 | $3.45 – $28.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,403.42 | $5.17 – $36.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $1,403.42 | $5.97 – $25.12 |