Culture fungi skin/hair/nail at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$15.75
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.
$90.00
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.
$6.94 with United vs $81.00 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 | $6.94 | ↓ -56% |
| PGT | Medicare|All Plans | $7.56 | ↓ -52% |
| BCBS | Medicare|All Plans | $7.71 | ↓ -51% |
| AETNA | Medicare|All Plans | $7.71 | ↓ -51% |
| UNITED | Medicare|All Plans | $7.86 | ↓ -50% |
| AMERIVANTAGE | Medicare|All Plans | $7.94 | ↓ -50% |
| SCANHealth | Medicare|All Plans | $8.25 | ↓ -48% |
| BCBS-TX | Commercial|Ref Lab | $8.39 | ↓ -47% |
| SUPERIOR | Medicaid|CHIP | $10.56 | ↓ -33% |
| UNITED | Medicaid|STARKIDS | $10.77 | ↓ -32% |
| UNITED | Medicaid|All Other Plans | $10.77 | ↓ -32% |
| SUPERIOR | Medicaid|All Other Plans | $11.09 | ↓ -30% |
| BCBS | Medicaid|STARKIDS | $11.09 | ↓ -30% |
| Ambetter | Commercial|All Plans | $11.18 | ↓ -29% |
| Wellpoint | Commercial|Exchange | $11.57 | ↓ -27% |
| Bright Health | Commercial|All Plans | $13.72 | ↓ -13% |
| United | Commercial|All Other Plans | $14.98 | ↓ -5% |
| SUPERIOR | Medicaid|STAR | $15.31 | ↓ -3% |
| Entrust | Commercial|All Plans | $15.42 | ↓ -2% |
| Cigna | Commercial|Local Plus | $16.60 | ↑ +5% |
| Wellpoint | Medicaid|All Other Plans | $22.68 | ↑ +44% |
| Ellwood | Commercial|All Plans | $23.13 | ↑ +47% |
| NX Health | Commercial|All Plans | $25.06 | ↑ +59% |
| SUPERIOR | Medicaid|STARPLUS | $26.19 | ↑ +66% |
| UNITED | Medicaid|STARPLUS | $26.72 | ↑ +70% |
| BCBS-TX | Commercial|Blue Premier | $27.06 | ↑ +72% |
| BCBS-TX | Commercial|Blue Advantage HMO | $27.06 | ↑ +72% |
| BCBS-TX | Commercial|HMO | $27.60 | ↑ +75% |
| Wellpoint | Medicaid|STAR | $31.19 | ↑ +98% |
| BCBS-TX | Commercial|PPO | $31.84 | ↑ +102% |
| Health Smart | Commercial|All Plans | $49.50 | ↑ +214% |
| First Health | Commercial|All Plans | $54.00 | ↑ +243% |
| Humana | Commercial|All Plans | $54.90 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $57.60 | ↑ +266% |
| Aetna | Commercial|All Plans | $59.40 | ↑ +277% |
| PHCS | Commercial|All Plans | $76.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $81.00 | ↑ +414% |
Visitor-reported prices
Comments
Culture fungi skin/hair/nail at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $100.96 | $6.48 – $126.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $120.13 | $11.30 – $180.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $106.22 | $6.48 – $132.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $100.96 | $6.48 – $126.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $120.13 | $6.93 – $180.19 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $120.13 | $6.48 – $180.19 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $106.22 | $6.48 – $159.33 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $100.96 | $6.48 – $126.20 |