Trauma partial team response w/critical care services level 4 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,958.08
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.
$11,189.00
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.
$378.38 with PGT vs $2,970.00 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 | $378.38 | ↓ -81% |
| BCBS | Medicare|All Plans | $386.10 | ↓ -80% |
| AETNA | Medicare|All Plans | $386.10 | ↓ -80% |
| UNITED | Medicare|All Plans | $393.83 | ↓ -80% |
| AMERIVANTAGE | Medicare|All Plans | $397.69 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $413.13 | ↓ -79% |
| Ambetter | Commercial|All Plans | $559.85 | ↓ -71% |
| Wellpoint | Commercial|Exchange | $579.15 | ↓ -70% |
| Wellpoint | Medicaid|All Other Plans | $748.44 | ↓ -62% |
| Wellpoint | Medicaid|STAR | $1,029.11 | ↓ -47% |
| Bright Health | Commercial|All Plans | $1,110.19 | ↓ -43% |
| Ellwood | Commercial|All Plans | $1,158.30 | ↓ -41% |
| Entrust | Commercial|All Plans | $1,247.40 | ↓ -36% |
| NX Health | Commercial|All Plans | $1,254.83 | ↓ -36% |
| United | Commercial|Exchange | $1,341.00 | ↓ -32% |
| Cigna | Commercial|Local Plus | $1,455.30 | ↓ -26% |
| Health Smart | Commercial|All Plans | $1,633.50 | ↓ -17% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,773.39 | ↓ -9% |
| First Health | Commercial|All Plans | $1,782.00 | ↓ -9% |
| Humana | Commercial|All Plans | $1,811.70 | ↓ -7% |
| Cigna | Commercial|All Other Plans | $1,900.80 | ↓ -3% |
| Aetna | Commercial|All Plans | $1,960.20 | ↑ +0% |
| BCBS-TX | Commercial|Blue Premier | $2,085.29 | ↑ +6% |
| BCBS-TX | Commercial|HMO | $2,210.05 | ↑ +13% |
| BCBS-TX | Commercial|PPO | $2,459.57 | ↑ +26% |
| PHCS | Commercial|All Plans | $2,524.50 | ↑ +29% |
| United | Commercial|All Other Plans | $2,631.00 | ↑ +34% |
| Multiplan | Commercial|All Plans | $2,673.00 | ↑ +37% |
| BCBS-TX | Commercial|Ref Lab | $2,970.00 | ↑ +52% |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,026.96 | $167.57 – $6,858.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,026.96 | $121.74 – $6,292.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,026.96 | $118.29 – $3,391.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,026.96 | $157.71 – $6,292.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,026.96 | $189.85 – $6,292.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,026.96 | $305.57 – $3,391.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,026.96 | $197.14 – $3,391.62 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,026.96 | $157.71 – $6,292.00 |