Braf gene at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$224.18
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.
$1,281.00
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.
$157.86 with United vs $1,152.90 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 | $157.86 | ↓ -30% |
| BCBS-TX | Commercial|Ref Lab | $171.89 | ↓ -23% |
| PGT | Medicare|All Plans | $171.90 | ↓ -23% |
| AETNA | Medicare|All Plans | $175.40 | ↓ -22% |
| BCBS | Medicare|All Plans | $175.40 | ↓ -22% |
| UNITED | Medicare|All Plans | $178.91 | ↓ -20% |
| AMERIVANTAGE | Medicare|All Plans | $180.66 | ↓ -19% |
| SCANHealth | Medicare|All Plans | $187.68 | ↓ -16% |
| SUPERIOR | Medicaid|CHIP | $240.30 | ↑ +7% |
| UNITED | Medicaid|STARKIDS | $245.11 | ↑ +9% |
| UNITED | Medicaid|All Other Plans | $245.11 | ↑ +9% |
| SUPERIOR | Medicaid|All Other Plans | $252.31 | ↑ +13% |
| BCBS | Medicaid|STARKIDS | $252.31 | ↑ +13% |
| Ambetter | Commercial|All Plans | $254.33 | ↑ +13% |
| Wellpoint | Commercial|Exchange | $263.10 | ↑ +17% |
| United | Commercial|All Other Plans | $306.95 | ↑ +37% |
| Bright Health | Commercial|All Plans | $312.21 | ↑ +39% |
| Wellpoint | Medicaid|All Other Plans | $322.82 | ↑ +44% |
| SUPERIOR | Medicaid|STAR | $348.44 | ↑ +55% |
| Entrust | Commercial|All Plans | $350.80 | ↑ +56% |
| Cigna | Commercial|Local Plus | $382.74 | ↑ +71% |
| Wellpoint | Medicaid|STAR | $443.87 | ↑ +98% |
| Ellwood | Commercial|All Plans | $526.20 | ↑ +135% |
| NX Health | Commercial|All Plans | $570.05 | ↑ +154% |
| SUPERIOR | Medicaid|STARPLUS | $595.94 | ↑ +166% |
| UNITED | Medicaid|STARPLUS | $607.96 | ↑ +171% |
| BCBS-TX | Commercial|Blue Advantage HMO | $615.65 | ↑ +175% |
| BCBS-TX | Commercial|Blue Premier | $615.65 | ↑ +175% |
| BCBS-TX | Commercial|HMO | $627.93 | ↑ +180% |
| Health Smart | Commercial|All Plans | $704.55 | ↑ +214% |
| BCBS-TX | Commercial|PPO | $724.40 | ↑ +223% |
| First Health | Commercial|All Plans | $768.60 | ↑ +243% |
| Humana | Commercial|All Plans | $781.41 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $819.84 | ↑ +266% |
| Aetna | Commercial|All Plans | $845.46 | ↑ +277% |
| PHCS | Commercial|All Plans | $1,088.85 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,152.90 | ↑ +414% |
Visitor-reported prices
Comments
Braf gene at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $487.22 | $10.00 – $420.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $502.06 | $12.00 – $420.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $386.20 | $12.00 – $420.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $487.22 | $10.00 – $420.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $502.06 | $12.00 – $420.96 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $502.06 | $8.00 – $420.96 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $386.20 | $12.00 – $420.96 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $487.22 | $10.00 – $420.96 |