Unlisted transfusion med px at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$18.20
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.
$104.00
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.
$13.25 with PGT vs $104.00 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 | $13.25 | ↓ -27% |
| BCBS | Medicare|All Plans | $13.52 | ↓ -26% |
| AETNA | Medicare|All Plans | $13.52 | ↓ -26% |
| UNITED | Medicare|All Plans | $13.80 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $13.93 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $14.47 | ↓ -20% |
| Ambetter | Commercial|All Plans | $19.61 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $20.28 | ↑ +11% |
| United | Commercial|Exchange | $22.71 | ↑ +25% |
| Wellpoint | Medicaid|All Other Plans | $26.21 | ↑ +44% |
| United | Commercial|All Other Plans | $30.05 | ↑ +65% |
| Cigna | Commercial|Local Plus | $34.77 | ↑ +91% |
| Wellpoint | Medicaid|STAR | $36.04 | ↑ +98% |
| Bright Health | Commercial|All Plans | $38.88 | ↑ +114% |
| Ellwood | Commercial|All Plans | $40.56 | ↑ +123% |
| Entrust | Commercial|All Plans | $43.68 | ↑ +140% |
| NX Health | Commercial|All Plans | $43.94 | ↑ +141% |
| Health Smart | Commercial|All Plans | $57.20 | ↑ +214% |
| First Health | Commercial|All Plans | $62.40 | ↑ +243% |
| Humana | Commercial|All Plans | $63.44 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $66.56 | ↑ +266% |
| Aetna | Commercial|All Plans | $68.64 | ↑ +277% |
| BCBS-TX | Commercial|Blue Advantage HMO | $80.69 | ↑ +343% |
| BCBS-TX | Commercial|Blue Premier | $80.69 | ↑ +343% |
| BCBS-TX | Commercial|HMO | $82.30 | ↑ +352% |
| PHCS | Commercial|All Plans | $88.40 | ↑ +386% |
| Multiplan | Commercial|All Plans | $93.60 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $94.95 | ↑ +422% |
| BCBS-TX | Commercial|Ref Lab | $104.00 | ↑ +471% |
Visitor-reported prices
Comments
Unlisted transfusion med px at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $319.88 | $88.51 – $88.51 |
| St. Joseph Health College Station Hospital | College Station | $18.20 | $22.71 – $88.40 |
| St. Joseph Health Grimes Hospital | Navasota | $18.20 | $22.71 – $115.44 |
| St. Joseph Health Burleson Hospital | Caldwell | $18.20 | $22.71 – $93.60 |
| Texas Health Hospital Mansfield | Mansfield | $313.82 | $22.13 – $58.11 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $225.72 | $12.27 – $208.43 |
| Adventhealth Central Texas | Killeen | $319.88 | $29.06 – $88.51 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $313.82 | $22.13 – $58.21 |