Trim nondyst nails at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$20.48
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.
$117.00
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.
$2.55 with PGT vs $2,960.00 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 →
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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 | $2.55 | ↓ -88% |
| BCBS | Medicare|All Plans | $2.60 | ↓ -87% |
| AETNA | Medicare|All Plans | $2.60 | ↓ -87% |
| UNITED | Medicare|All Plans | $2.66 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $2.68 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $2.79 | ↓ -86% |
| Ambetter | Commercial|All Plans | $3.77 | ↓ -82% |
| Wellpoint | Commercial|Exchange | $3.90 | ↓ -81% |
| Wellpoint | Medicaid|All Other Plans | $5.04 | ↓ -75% |
| Wellpoint | Medicaid|STAR | $6.93 | ↓ -66% |
| Bright Health | Commercial|All Plans | $7.48 | ↓ -63% |
| Ellwood | Commercial|All Plans | $7.80 | ↓ -62% |
| Entrust | Commercial|All Plans | $8.40 | ↓ -59% |
| NX Health | Commercial|All Plans | $8.45 | ↓ -59% |
| Health Smart | Commercial|All Plans | $11.00 | ↓ -46% |
| First Health | Commercial|All Plans | $12.00 | ↓ -41% |
| Humana | Commercial|All Plans | $12.20 | ↓ -40% |
| Cigna | Commercial|All Other Plans | $12.80 | ↓ -38% |
| Aetna | Commercial|All Plans | $13.20 | ↓ -36% |
| PHCS | Commercial|All Plans | $17.00 | ↓ -17% |
| Multiplan | Commercial|All Plans | $18.00 | ↓ -12% |
| BCBS-TX | Commercial|Ref Lab | $20.00 | ↓ -2% |
| SUPERIOR | Medicaid|CHIP | $28.08 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $28.65 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $28.65 | ↑ +40% |
| SUPERIOR | Medicaid|All Other Plans | $29.49 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $29.49 | ↑ +44% |
| SUPERIOR | Medicaid|STAR | $40.72 | ↑ +99% |
| Cigna | Commercial|Local Plus | $57.33 | ↑ +180% |
| SUPERIOR | Medicaid|STARPLUS | $69.64 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $71.05 | ↑ +247% |
| BCBS-TX | Commercial|Blue Premier | $77.01 | ↑ +276% |
| BCBS-TX | Commercial|Blue Advantage HMO | $77.56 | ↑ +279% |
| BCBS-TX | Commercial|HMO | $82.52 | ↑ +303% |
| BCBS-TX | Commercial|PPO | $90.77 | ↑ +343% |
| United | Commercial|Exchange | $1,508.00 | ↑ +7263% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +14353% |
Visitor-reported prices
Comments
Trim nondyst nails at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $429.38 | $68.76 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $127.69 | $36.18 – $159.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $145.79 | $30.01 – $218.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $125.32 | $25.06 – $156.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $127.69 | $34.05 – $159.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $145.79 | $46.80 – $218.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $145.79 | $75.32 – $218.68 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $125.32 | $41.77 – $187.98 |