Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$25.55
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.
$146.00
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.
$3.70 with PGT vs $29.00 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 | $3.70 | ↓ -86% |
| BCBS | Medicare|All Plans | $3.77 | ↓ -85% |
| AETNA | Medicare|All Plans | $3.77 | ↓ -85% |
| UNITED | Medicare|All Plans | $3.85 | ↓ -85% |
| AMERIVANTAGE | Medicare|All Plans | $3.89 | ↓ -85% |
| SCANHealth | Medicare|All Plans | $4.04 | ↓ -84% |
| Cigna | Commercial|Local Plus | $4.93 | ↓ -81% |
| Ambetter | Commercial|All Plans | $5.47 | ↓ -79% |
| Wellpoint | Commercial|Exchange | $5.66 | ↓ -78% |
| United | Commercial|Exchange | $5.80 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $7.31 | ↓ -71% |
| Bright Health | Commercial|All Plans | $9.57 | ↓ -63% |
| Wellpoint | Medicaid|STAR | $10.05 | ↓ -61% |
| United | Commercial|All Other Plans | $10.44 | ↓ -59% |
| Ellwood | Commercial|All Plans | $11.31 | ↓ -56% |
| Entrust | Commercial|All Plans | $12.18 | ↓ -52% |
| NX Health | Commercial|All Plans | $12.26 | ↓ -52% |
| Health Smart | Commercial|All Plans | $15.95 | ↓ -38% |
| First Health | Commercial|All Plans | $17.40 | ↓ -32% |
| Humana | Commercial|All Plans | $17.69 | ↓ -31% |
| Cigna | Commercial|All Other Plans | $18.56 | ↓ -27% |
| Aetna | Commercial|All Plans | $19.14 | ↓ -25% |
| BCBS-TX | Commercial|Blue Advantage HMO | $23.21 | ↓ -9% |
| PHCS | Commercial|All Plans | $24.65 | ↓ -4% |
| Multiplan | Commercial|All Plans | $26.10 | ↑ +2% |
| BCBS-TX | Commercial|Ref Lab | $29.00 | ↑ +14% |
| BCBS-TX | Commercial|Blue Premier | $29.00 | ↑ +14% |
| BCBS-TX | Commercial|HMO | $29.00 | ↑ +14% |
| BCBS-TX | Commercial|PPO | $29.00 | ↑ +14% |
Visitor-reported prices
Comments
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $29.40 | $62.91 – $84.93 |
| Baylor St Luke's Medical Center | Houston | $37.52 | $9.83 – $85.26 |
| St. Luke's Health Memorial Lufkin | Lufkin | $136.04 | $24.97 – $408.24 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $37.52 | $6.76 – $85.26 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $37.52 | $13.65 – $94.22 |
| St. Joseph Health College Station Hospital | College Station | $25.55 | $2.85 – $24.65 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $37.52 | $6.76 – $85.26 |
| St. Joseph Health Grimes Hospital | Navasota | $25.55 | $4.93 – $32.19 |