Ast/sgot at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$24.85
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.
$142.00
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.
$4.66 with United vs $127.80 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 | $4.66 | ↓ -81% |
| PGT | Medicare|All Plans | $5.08 | ↓ -80% |
| BCBS | Medicare|All Plans | $5.18 | ↓ -79% |
| AETNA | Medicare|All Plans | $5.18 | ↓ -79% |
| UNITED | Medicare|All Plans | $5.28 | ↓ -79% |
| AMERIVANTAGE | Medicare|All Plans | $5.34 | ↓ -79% |
| SCANHealth | Medicare|All Plans | $5.54 | ↓ -78% |
| BCBS-TX | Commercial|Ref Lab | $5.63 | ↓ -77% |
| SUPERIOR | Medicaid|CHIP | $7.10 | ↓ -71% |
| UNITED | Medicaid|STARKIDS | $7.24 | ↓ -71% |
| UNITED | Medicaid|All Other Plans | $7.24 | ↓ -71% |
| SUPERIOR | Medicaid|All Other Plans | $7.46 | ↓ -70% |
| BCBS | Medicaid|STARKIDS | $7.46 | ↓ -70% |
| Ambetter | Commercial|All Plans | $7.51 | ↓ -70% |
| Wellpoint | Commercial|Exchange | $7.77 | ↓ -69% |
| Bright Health | Commercial|All Plans | $9.22 | ↓ -63% |
| United | Commercial|All Other Plans | $10.06 | ↓ -60% |
| SUPERIOR | Medicaid|STAR | $10.29 | ↓ -59% |
| Entrust | Commercial|All Plans | $10.36 | ↓ -58% |
| Cigna | Commercial|Local Plus | $11.32 | ↓ -54% |
| Ellwood | Commercial|All Plans | $15.54 | ↓ -37% |
| NX Health | Commercial|All Plans | $16.84 | ↓ -32% |
| SUPERIOR | Medicaid|STARPLUS | $17.61 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $17.96 | ↓ -28% |
| BCBS-TX | Commercial|Blue Premier | $18.18 | ↓ -27% |
| BCBS-TX | Commercial|Blue Advantage HMO | $18.18 | ↓ -27% |
| BCBS-TX | Commercial|HMO | $18.54 | ↓ -25% |
| BCBS-TX | Commercial|PPO | $21.39 | ↓ -14% |
| Wellpoint | Medicaid|All Other Plans | $35.79 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $49.21 | ↑ +98% |
| Health Smart | Commercial|All Plans | $78.10 | ↑ +214% |
| First Health | Commercial|All Plans | $85.20 | ↑ +243% |
| Humana | Commercial|All Plans | $86.62 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $90.88 | ↑ +266% |
| Aetna | Commercial|All Plans | $93.72 | ↑ +277% |
| PHCS | Commercial|All Plans | $120.70 | ↑ +386% |
| Multiplan | Commercial|All Plans | $127.80 | ↑ +414% |
Visitor-reported prices
Comments
Ast/sgot at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $83.96 | $4.66 – $19.94 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $62.30 | $4.35 – $56.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $55.91 | $7.60 – $67.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $61.55 | $4.35 – $56.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $62.30 | $4.35 – $56.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $55.91 | $4.65 – $67.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $55.91 | $4.35 – $67.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $61.55 | $4.35 – $67.50 |