Blood Clotting (PTT) Test at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$53.38
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.
$305.00
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.
$5.41 with United vs $274.50 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 | $5.41 | ↓ -90% |
| PGT | Medicare|All Plans | $5.89 | ↓ -89% |
| BCBS | Medicare|All Plans | $6.01 | ↓ -89% |
| AETNA | Medicare|All Plans | $6.01 | ↓ -89% |
| UNITED | Medicare|All Plans | $6.13 | ↓ -89% |
| AMERIVANTAGE | Medicare|All Plans | $6.19 | ↓ -88% |
| SCANHealth | Medicare|All Plans | $6.43 | ↓ -88% |
| BCBS-TX | Commercial|Ref Lab | $6.54 | ↓ -88% |
| SUPERIOR | Medicaid|CHIP | $8.23 | ↓ -85% |
| UNITED | Medicaid|STARKIDS | $8.39 | ↓ -84% |
| UNITED | Medicaid|All Other Plans | $8.39 | ↓ -84% |
| SUPERIOR | Medicaid|All Other Plans | $8.64 | ↓ -84% |
| BCBS | Medicaid|STARKIDS | $8.64 | ↓ -84% |
| Ambetter | Commercial|All Plans | $8.71 | ↓ -84% |
| Wellpoint | Commercial|Exchange | $9.02 | ↓ -83% |
| Bright Health | Commercial|All Plans | $10.70 | ↓ -80% |
| United | Commercial|All Other Plans | $11.67 | ↓ -78% |
| SUPERIOR | Medicaid|STAR | $11.93 | ↓ -78% |
| Entrust | Commercial|All Plans | $12.02 | ↓ -77% |
| Cigna | Commercial|Local Plus | $12.83 | ↓ -76% |
| Ellwood | Commercial|All Plans | $18.03 | ↓ -66% |
| NX Health | Commercial|All Plans | $19.53 | ↓ -63% |
| SUPERIOR | Medicaid|STARPLUS | $20.41 | ↓ -62% |
| UNITED | Medicaid|STARPLUS | $20.82 | ↓ -61% |
| BCBS-TX | Commercial|Blue Premier | $21.10 | ↓ -60% |
| BCBS-TX | Commercial|Blue Advantage HMO | $21.10 | ↓ -60% |
| BCBS-TX | Commercial|HMO | $21.52 | ↓ -60% |
| BCBS-TX | Commercial|PPO | $24.82 | ↓ -54% |
| Wellpoint | Medicaid|All Other Plans | $76.86 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $105.69 | ↑ +98% |
| Health Smart | Commercial|All Plans | $167.75 | ↑ +214% |
| First Health | Commercial|All Plans | $183.00 | ↑ +243% |
| Humana | Commercial|All Plans | $186.05 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $195.20 | ↑ +266% |
| Aetna | Commercial|All Plans | $201.30 | ↑ +277% |
| PHCS | Commercial|All Plans | $259.25 | ↑ +386% |
| Multiplan | Commercial|All Plans | $274.50 | ↑ +414% |
Visitor-reported prices
Comments
Blood Clotting (PTT) Test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $265.85 | $5.41 – $23.14 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $87.67 | $5.05 – $17.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $115.22 | $2.87 – $20.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $118.76 | $5.05 – $17.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $87.67 | $5.05 – $17.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $115.22 | $5.40 – $20.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $115.22 | $5.05 – $20.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $118.76 | $5.05 – $20.91 |