X-ray neck soft tissue at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$126.88
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.
?
What you pay up front if you don't use insurance.
$725.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$65.02 with Cigna vs $725.00 with BCBS-TX — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | Commercial|Local Plus | $65.02 | ↓ -49% |
| PGT | Medicare|All Plans | $92.37 | ↓ -27% |
| AETNA | Medicare|All Plans | $94.25 | ↓ -26% |
| BCBS | Medicare|All Plans | $94.25 | ↓ -26% |
| UNITED | Medicare|All Plans | $96.14 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $97.08 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $100.85 | ↓ -21% |
| SUPERIOR | Medicaid|CHIP | $109.09 | ↓ -14% |
| UNITED | Medicaid|All Other Plans | $111.27 | ↓ -12% |
| UNITED | Medicaid|STARKIDS | $111.27 | ↓ -12% |
| BCBS | Medicaid|STARKIDS | $114.54 | ↓ -10% |
| SUPERIOR | Medicaid|All Other Plans | $114.54 | ↓ -10% |
| Ambetter | Commercial|All Plans | $136.67 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $141.38 | ↑ +11% |
| SUPERIOR | Medicaid|STAR | $158.18 | ↑ +25% |
| United | Commercial|Exchange | $179.00 | ↑ +41% |
| BCBS-TX | Commercial|Blue Advantage HMO | $181.17 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $182.70 | ↑ +44% |
| BCBS-TX | Commercial|Blue Premier | $201.12 | ↑ +59% |
| BCBS-TX | Commercial|HMO | $213.89 | ↑ +69% |
| BCBS-TX | Commercial|PPO | $236.24 | ↑ +86% |
| Wellpoint | Medicaid|STAR | $251.22 | ↑ +98% |
| SUPERIOR | Medicaid|STARPLUS | $270.54 | ↑ +113% |
| Bright Health | Commercial|All Plans | $271.01 | ↑ +114% |
| UNITED | Medicaid|STARPLUS | $276.00 | ↑ +118% |
| Ellwood | Commercial|All Plans | $282.75 | ↑ +123% |
| Entrust | Commercial|All Plans | $304.50 | ↑ +140% |
| NX Health | Commercial|All Plans | $306.32 | ↑ +141% |
| United | Commercial|All Other Plans | $351.00 | ↑ +177% |
| Health Smart | Commercial|All Plans | $398.75 | ↑ +214% |
| First Health | Commercial|All Plans | $435.00 | ↑ +243% |
| Humana | Commercial|All Plans | $442.25 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $464.00 | ↑ +266% |
| Aetna | Commercial|All Plans | $478.50 | ↑ +277% |
| PHCS | Commercial|All Plans | $616.25 | ↑ +386% |
| Multiplan | Commercial|All Plans | $652.50 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $725.00 | ↑ +471% |
Visitor-reported prices
Comments
X-ray neck soft tissue at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $520.32 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $191.89 | $31.41 – $239.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $279.65 | $57.56 – $419.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $237.76 | $31.41 – $297.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $191.89 | $31.41 – $239.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $279.65 | $33.61 – $419.47 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $279.65 | $31.41 – $419.47 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $237.76 | $31.41 – $356.64 |