Chromosome analysis 15-20 cell count at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$204.40
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.
$1,168.00
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.
$112.94 with United vs $1,051.20 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 | $112.94 | ↓ -45% |
| PGT | Medicare|All Plans | $122.99 | ↓ -40% |
| BCBS | Medicare|All Plans | $125.49 | ↓ -39% |
| AETNA | Medicare|All Plans | $125.49 | ↓ -39% |
| UNITED | Medicare|All Plans | $128.00 | ↓ -37% |
| AMERIVANTAGE | Medicare|All Plans | $129.25 | ↓ -37% |
| SCANHealth | Medicare|All Plans | $134.27 | ↓ -34% |
| BCBS-TX | Commercial|Ref Lab | $135.72 | ↓ -34% |
| SUPERIOR | Medicaid|CHIP | $171.92 | ↓ -16% |
| UNITED | Medicaid|STARKIDS | $175.36 | ↓ -14% |
| UNITED | Medicaid|All Other Plans | $175.36 | ↓ -14% |
| SUPERIOR | Medicaid|All Other Plans | $180.52 | ↓ -12% |
| BCBS | Medicaid|STARKIDS | $180.52 | ↓ -12% |
| Ambetter | Commercial|All Plans | $181.96 | ↓ -11% |
| Wellpoint | Commercial|Exchange | $188.24 | ↓ -8% |
| Bright Health | Commercial|All Plans | $223.37 | ↑ +9% |
| United | Commercial|All Other Plans | $242.36 | ↑ +19% |
| SUPERIOR | Medicaid|STAR | $249.28 | ↑ +22% |
| Entrust | Commercial|All Plans | $250.98 | ↑ +23% |
| Cigna | Commercial|Local Plus | $274.03 | ↑ +34% |
| Wellpoint | Medicaid|All Other Plans | $294.34 | ↑ +44% |
| Ellwood | Commercial|All Plans | $376.47 | ↑ +84% |
| Wellpoint | Medicaid|STAR | $404.72 | ↑ +98% |
| NX Health | Commercial|All Plans | $407.84 | ↑ +100% |
| SUPERIOR | Medicaid|STARPLUS | $426.36 | ↑ +109% |
| UNITED | Medicaid|STARPLUS | $434.96 | ↑ +113% |
| BCBS-TX | Commercial|Blue Premier | $440.47 | ↑ +115% |
| BCBS-TX | Commercial|Blue Advantage HMO | $440.47 | ↑ +115% |
| BCBS-TX | Commercial|HMO | $449.25 | ↑ +120% |
| BCBS-TX | Commercial|PPO | $518.27 | ↑ +154% |
| Health Smart | Commercial|All Plans | $642.40 | ↑ +214% |
| First Health | Commercial|All Plans | $700.80 | ↑ +243% |
| Humana | Commercial|All Plans | $712.48 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $747.52 | ↑ +266% |
| Aetna | Commercial|All Plans | $770.88 | ↑ +277% |
| PHCS | Commercial|All Plans | $992.80 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,051.20 | ↑ +414% |
Visitor-reported prices
Comments
Chromosome analysis 15-20 cell count at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $765.37 | $10.00 – $301.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $479.38 | $12.00 – $348.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $382.52 | $12.00 – $301.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $765.37 | $10.00 – $301.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $479.38 | $12.00 – $348.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $479.38 | $8.00 – $348.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $382.52 | $12.00 – $348.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $765.37 | $10.00 – $301.18 |