Transcath biopsy at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$2,128.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$12,160.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1,549.19 with PGT vs $18,403.00 with United — 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 →

Payer
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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
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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 $1,549.19 ↓ -27%
AETNA Medicare|All Plans $1,580.80 ↓ -26%
BCBS Medicare|All Plans $1,580.80 ↓ -26%
UNITED Medicare|All Plans $1,612.42 ↓ -24%
AMERIVANTAGE Medicare|All Plans $1,628.23 ↓ -23%
SCANHealth Medicare|All Plans $1,691.46 ↓ -21%
SUPERIOR Medicaid|CHIP $2,039.99 ↓ -4%
UNITED Medicaid|All Other Plans $2,080.79 ↓ -2%
UNITED Medicaid|STARKIDS $2,080.79 ↓ -2%
BCBS Medicaid|STARKIDS $2,141.99 ↑ +1%
SUPERIOR Medicaid|All Other Plans $2,141.99 ↑ +1%
Ambetter Commercial|All Plans $2,292.16 ↑ +8%
Wellpoint Commercial|Exchange $2,371.20 ↑ +11%
Cigna Commercial|Local Plus $2,888.00 ↑ +36%
SUPERIOR Medicaid|STAR $2,957.99 ↑ +39%
Wellpoint Medicaid|All Other Plans $3,064.32 ↑ +44%
Wellpoint Medicaid|STAR $4,213.44 ↑ +98%
Bright Health Commercial|All Plans $4,545.41 ↑ +114%
Ellwood Commercial|All Plans $4,742.40 ↑ +123%
SUPERIOR Medicaid|STARPLUS $5,059.18 ↑ +138%
Entrust Commercial|All Plans $5,107.20 ↑ +140%
NX Health Commercial|All Plans $5,137.60 ↑ +141%
UNITED Medicaid|STARPLUS $5,161.17 ↑ +143%
BCBS-TX Commercial|Blue Premier $6,434.67 ↑ +202%
BCBS-TX Commercial|Blue Advantage HMO $6,480.63 ↑ +205%
Health Smart Commercial|All Plans $6,688.00 ↑ +214%
BCBS-TX Commercial|HMO $6,894.29 ↑ +224%
First Health Commercial|All Plans $7,296.00 ↑ +243%
Humana Commercial|All Plans $7,417.60 ↑ +249%
BCBS-TX Commercial|PPO $7,583.71 ↑ +256%
Cigna Commercial|All Other Plans $7,782.40 ↑ +266%
Aetna Commercial|All Plans $8,025.60 ↑ +277%
United Commercial|Exchange $9,379.00 ↑ +341%
PHCS Commercial|All Plans $10,336.00 ↑ +386%
Multiplan Commercial|All Plans $10,944.00 ↑ +414%
BCBS-TX Commercial|Ref Lab $12,160.00 ↑ +471%
United Commercial|All Other Plans $18,403.00 ↑ +765%

Visitor-reported prices

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Transcath biopsy at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $4,285.93 $1,939.15 – $13,613.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $4,426.92 $71.00 – $13,613.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $4,285.93 $71.00 – $13,613.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $4,285.93 $1,939.15 – $13,613.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $4,426.92 $85.00 – $13,613.39
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $4,426.92 $1,939.15 – $13,613.39
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $4,285.93 $71.00 – $13,613.39
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $4,285.93 $1,939.15 – $13,613.39

All Texas hospitals for this procedure →