Venipuncture <3 yrs other vein at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$42.70
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.
$244.00
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.
$31.09 with PGT vs $1,316.00 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 | $31.09 | ↓ -27% |
| AETNA | Medicare|All Plans | $31.72 | ↓ -26% |
| BCBS | Medicare|All Plans | $31.72 | ↓ -26% |
| UNITED | Medicare|All Plans | $32.36 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $32.68 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $33.95 | ↓ -20% |
| Ambetter | Commercial|All Plans | $46.00 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $47.58 | ↑ +11% |
| SUPERIOR | Medicaid|CHIP | $58.56 | ↑ +37% |
| UNITED | Medicaid|STARKIDS | $59.74 | ↑ +40% |
| UNITED | Medicaid|All Other Plans | $59.74 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $61.49 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $61.49 | ↑ +44% |
| SUPERIOR | Medicaid|All Other Plans | $61.49 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $84.55 | ↑ +98% |
| SUPERIOR | Medicaid|STAR | $84.92 | ↑ +99% |
| Bright Health | Commercial|All Plans | $91.21 | ↑ +114% |
| Ellwood | Commercial|All Plans | $95.16 | ↑ +123% |
| Entrust | Commercial|All Plans | $102.48 | ↑ +140% |
| NX Health | Commercial|All Plans | $103.09 | ↑ +141% |
| Cigna | Commercial|Local Plus | $119.56 | ↑ +180% |
| Health Smart | Commercial|All Plans | $134.20 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $145.23 | ↑ +240% |
| First Health | Commercial|All Plans | $146.40 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $148.16 | ↑ +247% |
| Humana | Commercial|All Plans | $148.84 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $156.16 | ↑ +266% |
| Aetna | Commercial|All Plans | $161.04 | ↑ +277% |
| PHCS | Commercial|All Plans | $207.40 | ↑ +386% |
| Multiplan | Commercial|All Plans | $219.60 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $244.00 | ↑ +471% |
| United | Commercial|Exchange | $670.00 | ↑ +1469% |
| United | Commercial|All Other Plans | $1,316.00 | ↑ +2982% |
Visitor-reported prices
Comments
Venipuncture <3 yrs other vein at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $117.60 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $73.71 | $14.01 – $157.95 |
| St. Joseph Health College Station Hospital | College Station | $42.70 | $19.52 – $244.00 |
| St. Joseph Health Grimes Hospital | Navasota | $42.70 | $88.48 – $270.84 |
| Covenant Medical Center | Lubbock | $117.60 | $111.96 – $111.96 |
| St. Joseph Health Burleson Hospital | Caldwell | $42.70 | $53.68 – $244.00 |
| Covenant Hospital Plainview | Plainview | $120.96 | not published |
| Covenant Hospital Levelland | Levelland | $120.96 | not published |