Bilirubin direct at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$38.68
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.
$221.00
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.
$4.52 with United vs $198.90 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 | $4.52 | ↓ -88% |
| PGT | Medicare|All Plans | $4.92 | ↓ -87% |
| BCBS | Medicare|All Plans | $5.02 | ↓ -87% |
| AETNA | Medicare|All Plans | $5.02 | ↓ -87% |
| UNITED | Medicare|All Plans | $5.12 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $5.17 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $5.37 | ↓ -86% |
| BCBS-TX | Commercial|Ref Lab | $5.46 | ↓ -86% |
| SUPERIOR | Medicaid|CHIP | $6.88 | ↓ -82% |
| UNITED | Medicaid|STARKIDS | $7.02 | ↓ -82% |
| UNITED | Medicaid|All Other Plans | $7.02 | ↓ -82% |
| SUPERIOR | Medicaid|All Other Plans | $7.22 | ↓ -81% |
| BCBS | Medicaid|STARKIDS | $7.22 | ↓ -81% |
| Ambetter | Commercial|All Plans | $7.28 | ↓ -81% |
| Wellpoint | Commercial|Exchange | $7.53 | ↓ -81% |
| Bright Health | Commercial|All Plans | $8.94 | ↓ -77% |
| United | Commercial|All Other Plans | $9.75 | ↓ -75% |
| SUPERIOR | Medicaid|STAR | $9.98 | ↓ -74% |
| Entrust | Commercial|All Plans | $10.04 | ↓ -74% |
| Cigna | Commercial|Local Plus | $11.32 | ↓ -71% |
| Ellwood | Commercial|All Plans | $15.06 | ↓ -61% |
| NX Health | Commercial|All Plans | $16.31 | ↓ -58% |
| SUPERIOR | Medicaid|STARPLUS | $17.06 | ↓ -56% |
| UNITED | Medicaid|STARPLUS | $17.41 | ↓ -55% |
| BCBS-TX | Commercial|Blue Premier | $17.62 | ↓ -54% |
| BCBS-TX | Commercial|Blue Advantage HMO | $17.62 | ↓ -54% |
| BCBS-TX | Commercial|HMO | $17.97 | ↓ -54% |
| BCBS-TX | Commercial|PPO | $20.73 | ↓ -46% |
| Wellpoint | Medicaid|All Other Plans | $55.70 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $76.58 | ↑ +98% |
| Health Smart | Commercial|All Plans | $121.55 | ↑ +214% |
| First Health | Commercial|All Plans | $132.60 | ↑ +243% |
| Humana | Commercial|All Plans | $134.81 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $141.44 | ↑ +266% |
| Aetna | Commercial|All Plans | $145.86 | ↑ +277% |
| PHCS | Commercial|All Plans | $187.85 | ↑ +386% |
| Multiplan | Commercial|All Plans | $198.90 | ↑ +414% |
Visitor-reported prices
Comments
Bilirubin direct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $133.68 | $4.52 – $19.33 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $68.86 | $4.22 – $86.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $51.85 | $7.36 – $77.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $87.12 | $4.22 – $108.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $68.86 | $4.22 – $86.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $51.85 | $4.52 – $77.78 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $51.85 | $4.22 – $77.78 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $87.12 | $4.22 – $130.68 |