Transcath closure of asd at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$4,916.28
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.
$28,093.00
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.
$3,579.05 with PGT vs $28,093.00 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 | $3,579.05 | ↓ -27% |
| AETNA | Medicare|All Plans | $3,652.09 | ↓ -26% |
| BCBS | Medicare|All Plans | $3,652.09 | ↓ -26% |
| UNITED | Medicare|All Plans | $3,725.14 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $3,761.66 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $3,907.74 | ↓ -21% |
| Ambetter | Commercial|All Plans | $5,295.54 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $5,478.14 | ↑ +11% |
| UNITED | Medicaid|All Other Plans | $6,877.17 | ↑ +40% |
| United | Commercial|Exchange | $7,047.00 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $7,079.44 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $9,734.23 | ↑ +98% |
| Bright Health | Commercial|All Plans | $10,501.17 | ↑ +114% |
| Ellwood | Commercial|All Plans | $10,956.27 | ↑ +123% |
| Entrust | Commercial|All Plans | $11,799.06 | ↑ +140% |
| NX Health | Commercial|All Plans | $11,869.30 | ↑ +141% |
| Cigna | Commercial|Local Plus | $12,398.00 | ↑ +152% |
| United | Commercial|All Other Plans | $13,829.00 | ↑ +181% |
| Health Smart | Commercial|All Plans | $15,451.15 | ↑ +214% |
| First Health | Commercial|All Plans | $16,855.80 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $17,058.07 | ↑ +247% |
| Humana | Commercial|All Plans | $17,136.73 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $17,979.52 | ↑ +266% |
| Aetna | Commercial|All Plans | $18,541.38 | ↑ +277% |
| BCBS-TX | Commercial|Blue Premier | $22,315.96 | ↑ +354% |
| BCBS-TX | Commercial|Blue Advantage HMO | $22,475.36 | ↑ +357% |
| PHCS | Commercial|All Plans | $23,879.05 | ↑ +386% |
| BCBS-TX | Commercial|HMO | $23,909.96 | ↑ +386% |
| Multiplan | Commercial|All Plans | $25,283.70 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $26,300.95 | ↑ +435% |
| BCBS-TX | Commercial|Ref Lab | $28,093.00 | ↑ +471% |
Visitor-reported prices
Comments
Transcath closure of asd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,128.00 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $28,600.65 | $5,886.97 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $26,635.92 | $5,327.18 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,128.00 | $7,234.13 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $28,600.65 | $9,180.81 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $28,600.65 | $14,777.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $26,635.92 | $8,878.64 – $43,439.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $27,128.00 | $7,234.13 – $43,439.01 |