Acetone qualitative at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$10.33
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.
$59.00
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.
$4.07 with United vs $53.10 with Multiplan — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $4.07 | ↓ -61% |
| PGT | Medicare|All Plans | $4.43 | ↓ -57% |
| BCBS | Medicare|All Plans | $4.52 | ↓ -56% |
| AETNA | Medicare|All Plans | $4.52 | ↓ -56% |
| UNITED | Medicare|All Plans | $4.61 | ↓ -55% |
| AMERIVANTAGE | Medicare|All Plans | $4.66 | ↓ -55% |
| SCANHealth | Medicare|All Plans | $4.84 | ↓ -53% |
| BCBS-TX | Commercial|Ref Lab | $4.92 | ↓ -52% |
| SUPERIOR | Medicaid|CHIP | $6.19 | ↓ -40% |
| UNITED | Medicaid|STARKIDS | $6.31 | ↓ -39% |
| UNITED | Medicaid|All Other Plans | $6.31 | ↓ -39% |
| SUPERIOR | Medicaid|All Other Plans | $6.50 | ↓ -37% |
| BCBS | Medicaid|STARKIDS | $6.50 | ↓ -37% |
| Ambetter | Commercial|All Plans | $6.55 | ↓ -37% |
| Wellpoint | Commercial|Exchange | $6.78 | ↓ -34% |
| Bright Health | Commercial|All Plans | $8.05 | ↓ -22% |
| United | Commercial|All Other Plans | $8.79 | ↓ -15% |
| SUPERIOR | Medicaid|STAR | $8.98 | ↓ -13% |
| Entrust | Commercial|All Plans | $9.04 | ↓ -12% |
| Cigna | Commercial|Local Plus | $9.82 | ↓ -5% |
| Ellwood | Commercial|All Plans | $13.56 | ↑ +31% |
| NX Health | Commercial|All Plans | $14.69 | ↑ +42% |
| Wellpoint | Medicaid|All Other Plans | $14.87 | ↑ +44% |
| SUPERIOR | Medicaid|STARPLUS | $15.35 | ↑ +49% |
| UNITED | Medicaid|STARPLUS | $15.66 | ↑ +52% |
| BCBS-TX | Commercial|Blue Advantage HMO | $15.87 | ↑ +54% |
| BCBS-TX | Commercial|Blue Premier | $15.87 | ↑ +54% |
| BCBS-TX | Commercial|HMO | $16.18 | ↑ +57% |
| BCBS-TX | Commercial|PPO | $18.67 | ↑ +81% |
| Wellpoint | Medicaid|STAR | $20.45 | ↑ +98% |
| Health Smart | Commercial|All Plans | $32.45 | ↑ +214% |
| First Health | Commercial|All Plans | $35.40 | ↑ +243% |
| Humana | Commercial|All Plans | $35.99 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $37.76 | ↑ +266% |
| Aetna | Commercial|All Plans | $38.94 | ↑ +277% |
| PHCS | Commercial|All Plans | $50.15 | ↑ +385% |
| Multiplan | Commercial|All Plans | $53.10 | ↑ +414% |
Visitor-reported prices
Comments
Acetone qualitative at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $60.19 | $3.80 – $75.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $53.82 | $6.62 – $80.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $53.82 | $3.80 – $67.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $60.19 | $3.80 – $75.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $53.82 | $4.07 – $80.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $53.82 | $3.80 – $80.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $53.82 | $3.80 – $80.73 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $60.19 | $3.80 – $75.23 |