Vaccine pneumonococcal conjugate 20 valent (pcv20) im at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$284.73
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.
$1,627.00
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.
$34.66 with PGT vs $272.00 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 | $34.66 | ↓ -88% |
| BCBS | Medicare|All Plans | $35.36 | ↓ -88% |
| AETNA | Medicare|All Plans | $35.36 | ↓ -88% |
| UNITED | Medicare|All Plans | $36.07 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $36.43 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $37.84 | ↓ -87% |
| Cigna | Commercial|Local Plus | $46.24 | ↓ -84% |
| Ambetter | Commercial|All Plans | $51.28 | ↓ -82% |
| Wellpoint | Commercial|Exchange | $53.04 | ↓ -81% |
| United | Commercial|Exchange | $54.40 | ↓ -81% |
| Wellpoint | Medicaid|All Other Plans | $68.55 | ↓ -76% |
| Bright Health | Commercial|All Plans | $89.76 | ↓ -68% |
| Wellpoint | Medicaid|STAR | $94.25 | ↓ -67% |
| United | Commercial|All Other Plans | $97.92 | ↓ -66% |
| Ellwood | Commercial|All Plans | $106.08 | ↓ -63% |
| Entrust | Commercial|All Plans | $114.24 | ↓ -60% |
| NX Health | Commercial|All Plans | $114.92 | ↓ -60% |
| Health Smart | Commercial|All Plans | $149.60 | ↓ -47% |
| First Health | Commercial|All Plans | $163.20 | ↓ -43% |
| Humana | Commercial|All Plans | $165.92 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $174.08 | ↓ -39% |
| Aetna | Commercial|All Plans | $179.52 | ↓ -37% |
| PHCS | Commercial|All Plans | $231.20 | ↓ -19% |
| Multiplan | Commercial|All Plans | $244.80 | ↓ -14% |
| BCBS-TX | Commercial|Ref Lab | $272.00 | ↓ -4% |
Visitor-reported prices
Comments
Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,281.69 | $954.34 – $954.34 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $729.93 | $206.81 – $1,034.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $729.93 | $150.24 – $1,094.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $729.93 | $145.99 – $912.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $729.93 | $194.65 – $1,034.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $729.93 | $234.31 – $1,094.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $729.93 | $344.19 – $1,094.89 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $729.93 | $243.31 – $1,094.89 |