Adenovirus assay w/optic at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$3.68

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$21.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.30 with Wellpoint vs $75.42 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 →

Payer
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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
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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
Wellpoint Medicaid|All Other Plans $5.30 ↑ +44%
Wellpoint Medicaid|STAR $7.28 ↑ +98%
Health Smart Commercial|All Plans $11.55 ↑ +214%
First Health Commercial|All Plans $12.60 ↑ +242%
Humana Commercial|All Plans $12.81 ↑ +248%
Cigna Commercial|All Other Plans $13.44 ↑ +265%
Aetna Commercial|All Plans $13.86 ↑ +277%
PHCS Commercial|All Plans $17.85 ↑ +385%
Multiplan Commercial|All Plans $18.90 ↑ +414%
United Commercial|Exchange $19.58 ↑ +432%
BCBS-TX Commercial|Blue Advantage HMO $21.00 ↑ +471%
BCBS-TX Commercial|Ref Lab $21.00 ↑ +471%
BCBS-TX Commercial|Blue Premier $21.00 ↑ +471%
United Commercial|All Other Plans $21.00 ↑ +471%
BCBS-TX Commercial|HMO $21.00 ↑ +471%
BCBS-TX Commercial|PPO $21.00 ↑ +471%
PGT Medicare|All Plans $21.33 ↑ +480%
AETNA Medicare|All Plans $21.76 ↑ +491%
BCBS Medicare|All Plans $21.76 ↑ +491%
UNITED Medicare|All Plans $22.20 ↑ +503%
AMERIVANTAGE Medicare|All Plans $22.41 ↑ +509%
SCANHealth Medicare|All Plans $23.28 ↑ +533%
SUPERIOR Medicaid|CHIP $29.81 ↑ +710%
UNITED Medicaid|STARKIDS $30.41 ↑ +726%
UNITED Medicaid|All Other Plans $30.41 ↑ +726%
SUPERIOR Medicaid|All Other Plans $31.30 ↑ +751%
BCBS Medicaid|STARKIDS $31.30 ↑ +751%
Ambetter Commercial|All Plans $31.55 ↑ +757%
Wellpoint Commercial|Exchange $32.64 ↑ +787%
Bright Health Commercial|All Plans $38.73 ↑ +952%
SUPERIOR Medicaid|STAR $43.22 ↑ +1074%
Entrust Commercial|All Plans $43.52 ↑ +1083%
Cigna Commercial|Local Plus $47.55 ↑ +1192%
Ellwood Commercial|All Plans $65.28 ↑ +1674%
NX Health Commercial|All Plans $70.72 ↑ +1822%
SUPERIOR Medicaid|STARPLUS $73.93 ↑ +1909%
UNITED Medicaid|STARPLUS $75.42 ↑ +1949%

Visitor-reported prices

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Adenovirus assay w/optic at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $98.51 $12.00 – $147.76
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $98.51 $12.00 – $123.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $98.51 $12.00 – $147.76
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $98.51 $8.00 – $147.76
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $98.51 $12.00 – $147.76
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $98.51 $18.28 – $123.14
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $98.51 $12.00 – $147.76
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100 $98.51 $12.00 – $147.76

All Texas hospitals for this procedure →