Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$16.95
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.
$96.84
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.
$10.58 with PGT vs $83.00 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 | $10.58 | ↓ -38% |
| BCBS | Medicare|All Plans | $10.79 | ↓ -36% |
| AETNA | Medicare|All Plans | $10.79 | ↓ -36% |
| UNITED | Medicare|All Plans | $11.01 | ↓ -35% |
| AMERIVANTAGE | Medicare|All Plans | $11.12 | ↓ -34% |
| SCANHealth | Medicare|All Plans | $11.55 | ↓ -32% |
| Cigna | Commercial|Local Plus | $14.11 | ↓ -17% |
| Ambetter | Commercial|All Plans | $15.65 | ↓ -8% |
| Wellpoint | Commercial|Exchange | $16.19 | ↓ -4% |
| United | Commercial|Exchange | $16.60 | ↓ -2% |
| Wellpoint | Medicaid|All Other Plans | $20.92 | ↑ +23% |
| Bright Health | Commercial|All Plans | $27.39 | ↑ +62% |
| Wellpoint | Medicaid|STAR | $28.76 | ↑ +70% |
| United | Commercial|All Other Plans | $29.88 | ↑ +76% |
| Ellwood | Commercial|All Plans | $32.37 | ↑ +91% |
| Entrust | Commercial|All Plans | $34.86 | ↑ +106% |
| NX Health | Commercial|All Plans | $35.07 | ↑ +107% |
| Health Smart | Commercial|All Plans | $45.65 | ↑ +169% |
| First Health | Commercial|All Plans | $49.80 | ↑ +194% |
| Humana | Commercial|All Plans | $50.63 | ↑ +199% |
| Cigna | Commercial|All Other Plans | $53.12 | ↑ +213% |
| Aetna | Commercial|All Plans | $54.78 | ↑ +223% |
| PHCS | Commercial|All Plans | $70.55 | ↑ +316% |
| Multiplan | Commercial|All Plans | $74.70 | ↑ +341% |
| BCBS-TX | Commercial|Ref Lab | $83.00 | ↑ +390% |
| BCBS-TX | Commercial|Blue Premier | $83.00 | ↑ +390% |
| BCBS-TX | Commercial|Blue Advantage HMO | $83.00 | ↑ +390% |
| BCBS-TX | Commercial|HMO | $83.00 | ↑ +390% |
| BCBS-TX | Commercial|PPO | $83.00 | ↑ +390% |
Visitor-reported prices
Comments
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $878.03 | $327.56 – $327.56 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $426.43 | $100.47 – $502.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $426.43 | $72.99 – $531.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $426.43 | $70.92 – $443.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $426.43 | $94.56 – $502.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $426.43 | $113.83 – $531.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $426.43 | $183.21 – $531.90 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $426.43 | $118.20 – $531.90 |