CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Madison St Joseph Health Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$9,199
about 1.6× the $5,676 Medicare rate · typically $4,106–$12,218
modeled estimate · not a bill or quote
What this hospital charges insurers
$9,353
About the fair price
about $154 over the fair price · 1.6× Medicare
Medicare pays $5,676 Fair price $9,199 This hospital $9,353

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $2,812 Priciest $9,353

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $9,199 (about 1.6× the $5,676 Medicare rate). Madison St Joseph Health Center charges insurers about $9,353 — about the fair price. Located in Madisonville, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $3,534 - $9,353 62%
Blue Cross Blue Shieldmajor $3,464 - $5,196 61%
Aetnamajor $3,464 61%
Ambetter (Centene) $5,023 88%
Bright Health $11,167 197%
+ 5 smaller / regional plans $3,568 - $11,258

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Facility Profile & Credentials

  • Address: 100 West Cross Street, Madisonville, TX 77864
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals