Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$606.03
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.
$3,463.00
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.
$123.58 with PGT vs $4,168.00 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 | $123.58 | ↓ -80% |
| BCBS | Medicare|All Plans | $126.10 | ↓ -79% |
| AETNA | Medicare|All Plans | $126.10 | ↓ -79% |
| UNITED | Medicare|All Plans | $128.63 | ↓ -79% |
| AMERIVANTAGE | Medicare|All Plans | $129.89 | ↓ -79% |
| SCANHealth | Medicare|All Plans | $134.93 | ↓ -78% |
| Ambetter | Commercial|All Plans | $182.85 | ↓ -70% |
| Wellpoint | Commercial|Exchange | $189.15 | ↓ -69% |
| Wellpoint | Medicaid|All Other Plans | $244.44 | ↓ -60% |
| Wellpoint | Medicaid|STAR | $336.11 | ↓ -45% |
| Bright Health | Commercial|All Plans | $362.59 | ↓ -40% |
| Ellwood | Commercial|All Plans | $378.30 | ↓ -38% |
| Entrust | Commercial|All Plans | $407.40 | ↓ -33% |
| NX Health | Commercial|All Plans | $409.83 | ↓ -32% |
| Health Smart | Commercial|All Plans | $533.50 | ↓ -12% |
| First Health | Commercial|All Plans | $582.00 | ↓ -4% |
| Humana | Commercial|All Plans | $591.70 | ↓ -2% |
| Cigna | Commercial|All Other Plans | $620.80 | ↑ +2% |
| Aetna | Commercial|All Plans | $640.20 | ↑ +6% |
| SUPERIOR | Medicaid|CHIP | $745.88 | ↑ +23% |
| UNITED | Medicaid|STARKIDS | $760.80 | ↑ +26% |
| UNITED | Medicaid|All Other Plans | $760.80 | ↑ +26% |
| BCBS | Medicaid|STARKIDS | $783.17 | ↑ +29% |
| SUPERIOR | Medicaid|All Other Plans | $783.17 | ↑ +29% |
| PHCS | Commercial|All Plans | $824.50 | ↑ +36% |
| Multiplan | Commercial|All Plans | $873.00 | ↑ +44% |
| BCBS-TX | Commercial|Ref Lab | $970.00 | ↑ +60% |
| SUPERIOR | Medicaid|STAR | $1,081.53 | ↑ +78% |
| SUPERIOR | Medicaid|STARPLUS | $1,849.78 | ↑ +205% |
| UNITED | Medicaid|STARPLUS | $1,887.08 | ↑ +211% |
| United | Commercial|Exchange | $2,124.00 | ↑ +250% |
| BCBS-TX | Commercial|Blue Premier | $2,271.84 | ↑ +275% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,288.06 | ↑ +278% |
| BCBS-TX | Commercial|HMO | $2,434.11 | ↑ +302% |
| BCBS-TX | Commercial|PPO | $2,677.52 | ↑ +342% |
| Cigna | Commercial|Local Plus | $3,346.00 | ↑ +452% |
| United | Commercial|All Other Plans | $4,168.00 | ↑ +588% |
Visitor-reported prices
Comments
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,830.00 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,245.50 | $71.00 – $6,368.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,925.81 | $71.00 – $4,907.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,830.00 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,245.50 | $85.00 – $6,368.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,245.50 | $709.01 – $6,368.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,925.81 | $71.00 – $5,888.71 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,830.00 | $709.01 – $4,517.58 |