Chloride 24 hour urine at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$23.28

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$133.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.18 with United vs $119.70 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 →

Payer
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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
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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 $5.18 ↓ -78%
BCBS-TX Commercial|Ref Lab $5.63 ↓ -76%
PGT Medicare|All Plans $5.64 ↓ -76%
AETNA Medicare|All Plans $5.75 ↓ -75%
BCBS Medicare|All Plans $5.75 ↓ -75%
UNITED Medicare|All Plans $5.87 ↓ -75%
AMERIVANTAGE Medicare|All Plans $5.92 ↓ -75%
SCANHealth Medicare|All Plans $6.15 ↓ -74%
SUPERIOR Medicaid|CHIP $7.88 ↓ -66%
UNITED Medicaid|STARKIDS $8.04 ↓ -65%
UNITED Medicaid|All Other Plans $8.04 ↓ -65%
SUPERIOR Medicaid|All Other Plans $8.27 ↓ -64%
BCBS Medicaid|STARKIDS $8.27 ↓ -64%
Ambetter Commercial|All Plans $8.34 ↓ -64%
Wellpoint Commercial|Exchange $8.63 ↓ -63%
United Commercial|All Other Plans $10.06 ↓ -57%
Bright Health Commercial|All Plans $10.23 ↓ -56%
SUPERIOR Medicaid|STAR $11.43 ↓ -51%
Entrust Commercial|All Plans $11.50 ↓ -51%
Cigna Commercial|Local Plus $12.83 ↓ -45%
Ellwood Commercial|All Plans $17.25 ↓ -26%
NX Health Commercial|All Plans $18.69 ↓ -20%
SUPERIOR Medicaid|STARPLUS $19.54 ↓ -16%
UNITED Medicaid|STARPLUS $19.94 ↓ -14%
BCBS-TX Commercial|Blue Advantage HMO $20.18 ↓ -13%
BCBS-TX Commercial|Blue Premier $20.18 ↓ -13%
BCBS-TX Commercial|HMO $20.59 ↓ -12%
BCBS-TX Commercial|PPO $23.75 ↑ +2%
Wellpoint Medicaid|All Other Plans $33.52 ↑ +44%
Wellpoint Medicaid|STAR $46.09 ↑ +98%
Health Smart Commercial|All Plans $73.15 ↑ +214%
First Health Commercial|All Plans $79.80 ↑ +243%
Humana Commercial|All Plans $81.13 ↑ +248%
Cigna Commercial|All Other Plans $85.12 ↑ +266%
Aetna Commercial|All Plans $87.78 ↑ +277%
PHCS Commercial|All Plans $113.05 ↑ +386%
Multiplan Commercial|All Plans $119.70 ↑ +414%

Visitor-reported prices

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Chloride 24 hour urine at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $129.84 $5.18 – $22.14
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $58.30 $4.83 – $72.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $45.91 $8.43 – $68.86
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $54.28 $4.83 – $67.85
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $58.30 $4.83 – $72.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $45.91 $5.17 – $68.86
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $45.91 $4.83 – $68.86
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $54.28 $4.83 – $81.42

All Texas hospitals for this procedure →