Chromosome karyotype study at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$74.90
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.
?
What you pay up front if you don't use insurance.
$428.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$30.12 with United vs $385.20 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $30.12 | ↓ -60% |
| BCBS-TX | Commercial|Ref Lab | $32.80 | ↓ -56% |
| PGT | Medicare|All Plans | $32.81 | ↓ -56% |
| AETNA | Medicare|All Plans | $33.47 | ↓ -55% |
| BCBS | Medicare|All Plans | $33.47 | ↓ -55% |
| UNITED | Medicare|All Plans | $34.14 | ↓ -54% |
| AMERIVANTAGE | Medicare|All Plans | $34.47 | ↓ -54% |
| SCANHealth | Medicare|All Plans | $35.81 | ↓ -52% |
| SUPERIOR | Medicaid|CHIP | $45.86 | ↓ -39% |
| UNITED | Medicaid|STARKIDS | $46.78 | ↓ -38% |
| UNITED | Medicaid|All Other Plans | $46.78 | ↓ -38% |
| SUPERIOR | Medicaid|All Other Plans | $48.15 | ↓ -36% |
| BCBS | Medicaid|STARKIDS | $48.15 | ↓ -36% |
| Ambetter | Commercial|All Plans | $48.53 | ↓ -35% |
| Wellpoint | Commercial|Exchange | $50.21 | ↓ -33% |
| United | Commercial|All Other Plans | $58.57 | ↓ -22% |
| Bright Health | Commercial|All Plans | $59.58 | ↓ -20% |
| SUPERIOR | Medicaid|STAR | $66.50 | ↓ -11% |
| Entrust | Commercial|All Plans | $66.94 | ↓ -11% |
| Cigna | Commercial|Local Plus | $73.22 | ↓ -2% |
| Ellwood | Commercial|All Plans | $100.41 | ↑ +34% |
| Wellpoint | Medicaid|All Other Plans | $107.86 | ↑ +44% |
| NX Health | Commercial|All Plans | $108.78 | ↑ +45% |
| SUPERIOR | Medicaid|STARPLUS | $113.73 | ↑ +52% |
| UNITED | Medicaid|STARPLUS | $116.03 | ↑ +55% |
| BCBS-TX | Commercial|Blue Premier | $117.48 | ↑ +57% |
| BCBS-TX | Commercial|Blue Advantage HMO | $117.48 | ↑ +57% |
| BCBS-TX | Commercial|HMO | $119.82 | ↑ +60% |
| BCBS-TX | Commercial|PPO | $138.23 | ↑ +85% |
| Wellpoint | Medicaid|STAR | $148.31 | ↑ +98% |
| Health Smart | Commercial|All Plans | $235.40 | ↑ +214% |
| First Health | Commercial|All Plans | $256.80 | ↑ +243% |
| Humana | Commercial|All Plans | $261.08 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $273.92 | ↑ +266% |
| Aetna | Commercial|All Plans | $282.48 | ↑ +277% |
| PHCS | Commercial|All Plans | $363.80 | ↑ +386% |
| Multiplan | Commercial|All Plans | $385.20 | ↑ +414% |
Visitor-reported prices
Comments
Chromosome karyotype study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $395.05 | $28.11 – $493.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $119.87 | $24.67 – $179.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $92.20 | $28.11 – $115.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $395.05 | $28.11 – $493.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $119.87 | $30.08 – $179.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $119.87 | $26.00 – $179.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $92.20 | $28.11 – $138.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $395.05 | $28.11 – $493.81 |