Carboxyhemoglobin quantitative at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$40.78
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.
$233.00
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.
$11.09 with United vs $209.70 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 | $11.09 | ↓ -73% |
| PGT | Medicare|All Plans | $12.08 | ↓ -70% |
| BCBS | Medicare|All Plans | $12.32 | ↓ -70% |
| AETNA | Medicare|All Plans | $12.32 | ↓ -70% |
| UNITED | Medicare|All Plans | $12.57 | ↓ -69% |
| AMERIVANTAGE | Medicare|All Plans | $12.69 | ↓ -69% |
| SCANHealth | Medicare|All Plans | $13.18 | ↓ -68% |
| BCBS-TX | Commercial|Ref Lab | $13.42 | ↓ -67% |
| SUPERIOR | Medicaid|CHIP | $16.88 | ↓ -59% |
| UNITED | Medicaid|STARKIDS | $17.22 | ↓ -58% |
| UNITED | Medicaid|All Other Plans | $17.22 | ↓ -58% |
| SUPERIOR | Medicaid|All Other Plans | $17.72 | ↓ -57% |
| BCBS | Medicaid|STARKIDS | $17.72 | ↓ -57% |
| Ambetter | Commercial|All Plans | $17.86 | ↓ -56% |
| Wellpoint | Commercial|Exchange | $18.48 | ↓ -55% |
| Bright Health | Commercial|All Plans | $21.93 | ↓ -46% |
| United | Commercial|All Other Plans | $23.96 | ↓ -41% |
| SUPERIOR | Medicaid|STAR | $24.48 | ↓ -40% |
| Entrust | Commercial|All Plans | $24.64 | ↓ -40% |
| Cigna | Commercial|Local Plus | $27.18 | ↓ -33% |
| Ellwood | Commercial|All Plans | $36.96 | ↓ -9% |
| NX Health | Commercial|All Plans | $40.04 | ↓ -2% |
| SUPERIOR | Medicaid|STARPLUS | $41.86 | ↑ +3% |
| UNITED | Medicaid|STARPLUS | $42.71 | ↑ +5% |
| BCBS-TX | Commercial|Blue Premier | $43.24 | ↑ +6% |
| BCBS-TX | Commercial|Blue Advantage HMO | $43.24 | ↑ +6% |
| BCBS-TX | Commercial|HMO | $44.11 | ↑ +8% |
| BCBS-TX | Commercial|PPO | $50.88 | ↑ +25% |
| Wellpoint | Medicaid|All Other Plans | $58.72 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $80.74 | ↑ +98% |
| Health Smart | Commercial|All Plans | $128.15 | ↑ +214% |
| First Health | Commercial|All Plans | $139.80 | ↑ +243% |
| Humana | Commercial|All Plans | $142.13 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $149.12 | ↑ +266% |
| Aetna | Commercial|All Plans | $153.78 | ↑ +277% |
| PHCS | Commercial|All Plans | $198.05 | ↑ +386% |
| Multiplan | Commercial|All Plans | $209.70 | ↑ +414% |
Visitor-reported prices
Comments
Carboxyhemoglobin quantitative at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $154.67 | $11.09 – $47.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $124.10 | $10.00 – $155.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $94.39 | $12.00 – $141.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $124.10 | $10.35 – $155.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $124.10 | $10.00 – $155.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $94.39 | $11.07 – $141.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $94.39 | $8.00 – $141.59 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $124.10 | $10.35 – $186.15 |