Tobramycin peak therapeutic drug level at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$60.55
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.
$346.00
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.
$14.52 with United vs $311.40 with Multiplan — 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 | $14.52 | ↓ -76% |
| PGT | Medicare|All Plans | $15.81 | ↓ -74% |
| BCBS | Medicare|All Plans | $16.13 | ↓ -73% |
| AETNA | Medicare|All Plans | $16.13 | ↓ -73% |
| UNITED | Medicare|All Plans | $16.45 | ↓ -73% |
| AMERIVANTAGE | Medicare|All Plans | $16.61 | ↓ -73% |
| SCANHealth | Medicare|All Plans | $17.26 | ↓ -71% |
| BCBS-TX | Commercial|Ref Lab | $17.56 | ↓ -71% |
| SUPERIOR | Medicaid|CHIP | $22.10 | ↓ -64% |
| UNITED | Medicaid|STARKIDS | $22.54 | ↓ -63% |
| UNITED | Medicaid|All Other Plans | $22.54 | ↓ -63% |
| SUPERIOR | Medicaid|All Other Plans | $23.20 | ↓ -62% |
| BCBS | Medicaid|STARKIDS | $23.20 | ↓ -62% |
| Ambetter | Commercial|All Plans | $23.39 | ↓ -61% |
| Wellpoint | Commercial|Exchange | $24.20 | ↓ -60% |
| Bright Health | Commercial|All Plans | $28.71 | ↓ -53% |
| United | Commercial|All Other Plans | $31.36 | ↓ -48% |
| SUPERIOR | Medicaid|STAR | $32.05 | ↓ -47% |
| Entrust | Commercial|All Plans | $32.26 | ↓ -47% |
| Cigna | Commercial|Local Plus | $35.49 | ↓ -41% |
| Ellwood | Commercial|All Plans | $48.39 | ↓ -20% |
| NX Health | Commercial|All Plans | $52.42 | ↓ -13% |
| SUPERIOR | Medicaid|STARPLUS | $54.81 | ↓ -9% |
| UNITED | Medicaid|STARPLUS | $55.91 | ↓ -8% |
| BCBS-TX | Commercial|Blue Premier | $56.62 | ↓ -6% |
| BCBS-TX | Commercial|Blue Advantage HMO | $56.62 | ↓ -6% |
| BCBS-TX | Commercial|HMO | $57.75 | ↓ -5% |
| BCBS-TX | Commercial|PPO | $66.62 | ↑ +10% |
| Wellpoint | Medicaid|All Other Plans | $87.20 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $119.89 | ↑ +98% |
| Health Smart | Commercial|All Plans | $190.30 | ↑ +214% |
| First Health | Commercial|All Plans | $207.60 | ↑ +243% |
| Humana | Commercial|All Plans | $211.06 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $221.44 | ↑ +266% |
| Aetna | Commercial|All Plans | $228.36 | ↑ +277% |
| PHCS | Commercial|All Plans | $294.10 | ↑ +386% |
| Multiplan | Commercial|All Plans | $311.40 | ↑ +414% |
Visitor-reported prices
Comments
Tobramycin peak therapeutic drug level at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $171.40 | $10.00 – $214.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $181.99 | $12.00 – $272.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $148.39 | $12.00 – $185.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $171.40 | $10.00 – $214.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $181.99 | $12.00 – $272.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $181.99 | $8.00 – $272.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $148.39 | $12.00 – $222.59 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $171.40 | $10.00 – $214.25 |