Covid-19 lab test non-cdc at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$39.90
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.
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What you pay up front if you don't use insurance.
$228.00
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.
$46.18 with United vs $211.91 with BCBS-TX — 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 | $46.18 | ↑ +16% |
| PGT | Medicare|All Plans | $50.29 | ↑ +26% |
| BCBS | Medicare|All Plans | $51.31 | ↑ +29% |
| AETNA | Medicare|All Plans | $51.31 | ↑ +29% |
| BCBS-TX | Commercial|Ref Lab | $51.31 | ↑ +29% |
| UNITED | Medicare|All Plans | $52.34 | ↑ +31% |
| AMERIVANTAGE | Medicare|All Plans | $52.85 | ↑ +32% |
| SCANHealth | Medicare|All Plans | $54.90 | ↑ +38% |
| Wellpoint | Medicaid|All Other Plans | $57.46 | ↑ +44% |
| SUPERIOR | Medicaid|CHIP | $70.29 | ↑ +76% |
| UNITED | Medicaid|STARKIDS | $71.70 | ↑ +80% |
| UNITED | Medicaid|All Other Plans | $71.70 | ↑ +80% |
| SUPERIOR | Medicaid|All Other Plans | $73.80 | ↑ +85% |
| BCBS | Medicaid|STARKIDS | $73.80 | ↑ +85% |
| Ambetter | Commercial|All Plans | $74.40 | ↑ +86% |
| Wellpoint | Commercial|Exchange | $76.97 | ↑ +93% |
| Wellpoint | Medicaid|STAR | $79.01 | ↑ +98% |
| United | Commercial|All Other Plans | $89.79 | ↑ +125% |
| Bright Health | Commercial|All Plans | $91.33 | ↑ +129% |
| SUPERIOR | Medicaid|STAR | $101.92 | ↑ +155% |
| Entrust | Commercial|All Plans | $102.62 | ↑ +157% |
| Cigna | Commercial|Local Plus | $111.72 | ↑ +180% |
| Health Smart | Commercial|All Plans | $125.40 | ↑ +214% |
| First Health | Commercial|All Plans | $136.80 | ↑ +243% |
| Humana | Commercial|All Plans | $139.08 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $145.92 | ↑ +266% |
| Aetna | Commercial|All Plans | $150.48 | ↑ +277% |
| Ellwood | Commercial|All Plans | $153.93 | ↑ +286% |
| NX Health | Commercial|All Plans | $166.76 | ↑ +318% |
| SUPERIOR | Medicaid|STARPLUS | $174.32 | ↑ +337% |
| UNITED | Medicaid|STARPLUS | $177.83 | ↑ +346% |
| BCBS-TX | Commercial|Blue Premier | $180.10 | ↑ +351% |
| BCBS-TX | Commercial|Blue Advantage HMO | $180.10 | ↑ +351% |
| BCBS-TX | Commercial|HMO | $183.69 | ↑ +360% |
| PHCS | Commercial|All Plans | $193.80 | ↑ +386% |
| Multiplan | Commercial|All Plans | $205.20 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $211.91 | ↑ +431% |
Visitor-reported prices
Comments
Covid-19 lab test non-cdc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $81.11 | $42.24 – $107.75 |
| HCA HOUSTON MEDICAL CENTER | Houston | $81.76 | $47.41 – $74.40 |
| HCA HOUSTON CONROE | CONROE | $97.01 | $42.24 – $107.75 |
| HCA HOUSTON KINGWOOD | HUMBLE | $83.36 | $42.24 – $107.75 |
| St. Luke's Health - Patients Medical Center | Pasadena | $92.05 | $40.95 – $197.25 |
| Baylor St Luke's Medical Center | Houston | $89.25 | $36.94 – $255.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $31.35 | $43.10 – $188.10 |
| HCA HOUSTON PEARLAND | Pearland | $89.22 | $47.41 – $74.40 |