CHI St. Luke's Health · Madisonville, TX
33
In-network payers
316
Disclosed rate categories
25
Beds
St. Joseph Health Madison Hospital - Madisonville Tx is a 25-bed voluntary non-profit - church hospital in Madisonville, TX, affiliated with CHI St. Luke's Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 316 disclosed rate categories.
CCN (Medicare provider number)
451316
NPI
1780731737
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Church
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services St. Joseph Health Madison Hospital - Madisonville Tx most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$693 - $5,308
from 4 insurers · median $2,226
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$374 - $3,092
from 4 insurers · median $2,512
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,257 - $4,210
from 3 insurers · median $3,346
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,557 - $4,210
from 3 insurers · median $3,346
Typical for a hospital with this service line
CT imaging
CPT 71275
$545 - $3,289
from 4 insurers · median $1,569
Typical for a hospital with this service line
Mammography
CPT 77067
$290 - $310
from 4 insurers · median $296
Typical for a hospital with this service line
Gynecology
CPT 58571
$7,855 - $18,771
from 3 insurers · median $13,882
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$73 - $426
from 4 insurers · median $283
Typical for a hospital with this service line
CT imaging
CPT 70450
$186 - $919
from 4 insurers · median $356
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,260 - $4,210
from 3 insurers · median $3,346
Typical for a hospital with this service line
CT imaging
CPT 74176
$329 - $3,289
from 3 insurers · median $739
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,492 - $18,771
from 3 insurers · median $7,855
Typical for a hospital with this service line
MRI imaging
CPT 70553
$678 - $4,051
from 4 insurers · median $1,118
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$4,319 - $18,587
from 3 insurers · median $7,976
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$7,882 - $8,876
from 2 insurers · median $8,379
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,134 - $8,876
from 3 insurers · median $3,261
Typical for a hospital with this service line
Ultrasound
CPT 76642
$165 - $1,316
from 4 insurers · median $535
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$675 - $6,715
from 4 insurers · median $3,891
Typical for a hospital with this service line
Gynecology
CPT 58661
$5,372 - $18,587
from 3 insurers · median $7,492
Typical for a hospital with this service line
Urology
CPT 50590
$4,981 - $18,587
from 4 insurers · median $9,513
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,115 - $4,251
from 2 insurers · median $3,183
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$775 - $7,900
from 4 insurers · median $4,354
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$12,241 - $15,578
from 2 insurers · median $13,910
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,711 - $8,876
from 3 insurers · median $3,810
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 11 | 861% | 11 | 0 |
| Insurer B* | 24 | 320% | 19 | 0 |
| Insurer C* | 21 | 190% | 3 | 16 |
| Insurer D* | 24 | 133% | 11 | 6 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for St. Joseph Health Madison Hospital - Madisonville Tx.
100 West Cross Street, Madisonville, TX 77864
(936) 348-2631
The nearest hospitals of similar type and size. Their rates are compared with St. Joseph Health Madison Hospital - Madisonville Tx for the same insurers and services above.
St. Joseph Health Grimes Hospital - Navasota Tx
Rates about the same as St. Joseph Health Madison Hospital - Madisonville Tx (24 services)
Limestone Medical Center
▼ Rates typically 56% lower than St. Joseph Health Madison Hospital - Madisonville Tx (21 services)
Chi St. Joseph Health Burleson Hospital
Rates about the same as St. Joseph Health Madison Hospital - Madisonville Tx (24 services)
Christus Trinity Mother Frances Hospital - Jacksonville
Rates about the same as St. Joseph Health Madison Hospital - Madisonville Tx (24 services)
Liberty-Dayton Regional Medical Cent
▼ Rates typically 51% lower than St. Joseph Health Madison Hospital - Madisonville Tx (24 services)
Baylor Scott & White Medical Center – Taylor
Rates about the same as St. Joseph Health Madison Hospital - Madisonville Tx (24 services)
Chi St. Lukes Health Memorial - San Augustine
Ut Health Pittsburg
Adventhealth Rollins Brook
About St. Joseph Health Madison Hospital - Madisonville Tx's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Joseph Health Madison Hospital - Madisonville Tx range from $678 to $4,051 across 4 insurers. Aetna's rate is $4,051. The median at nearby comparable hospitals is $1,485. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Joseph Health Madison Hospital - Madisonville Tx range from $693 to $5,308 across 4 insurers. Blue Cross Blue Shield's rate is $1,163. The median at nearby comparable hospitals is $1,202. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Joseph Health Madison Hospital - Madisonville Tx range from $1,557 to $4,210 across 3 insurers. Cigna's rate is $3,346. The median at nearby comparable hospitals is $1,752. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Joseph Health Madison Hospital - Madisonville Tx range from $290 to $310 across 4 insurers. Cigna's rate is $290. The median at nearby comparable hospitals is $265. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Joseph Health Madison Hospital - Madisonville Tx has 25 beds. Facility type: Critical Access Hospital.
St. Joseph Health Madison Hospital - Madisonville Tx is located at 100 West Cross Street, Madisonville, TX 77864. Its main phone number is (936) 348-2631.
St. Joseph Health Madison Hospital - Madisonville Tx's CMS Certification Number (CCN), also called its Medicare provider number, is 451316.
The National Provider Identifier (NPI) on file for St. Joseph Health Madison Hospital - Madisonville Tx is 1780731737.
St. Joseph Health Madison Hospital - Madisonville Tx is affiliated with CHI St. Luke's Health.
St. Joseph Health Madison Hospital - Madisonville Tx lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
316 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers