Culture urine each isolate at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$46.03
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.
$263.00
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.
$7.28 with United vs $236.70 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 | $7.28 | ↓ -84% |
| PGT | Medicare|All Plans | $7.93 | ↓ -83% |
| BCBS | Medicare|All Plans | $8.09 | ↓ -82% |
| AETNA | Medicare|All Plans | $8.09 | ↓ -82% |
| UNITED | Medicare|All Plans | $8.25 | ↓ -82% |
| AMERIVANTAGE | Medicare|All Plans | $8.33 | ↓ -82% |
| SCANHealth | Medicare|All Plans | $8.66 | ↓ -81% |
| BCBS-TX | Commercial|Ref Lab | $8.81 | ↓ -81% |
| SUPERIOR | Medicaid|CHIP | $11.08 | ↓ -76% |
| UNITED | Medicaid|STARKIDS | $11.30 | ↓ -75% |
| UNITED | Medicaid|All Other Plans | $11.30 | ↓ -75% |
| SUPERIOR | Medicaid|All Other Plans | $11.63 | ↓ -75% |
| BCBS | Medicaid|STARKIDS | $11.63 | ↓ -75% |
| Ambetter | Commercial|All Plans | $11.73 | ↓ -75% |
| Wellpoint | Commercial|Exchange | $12.14 | ↓ -74% |
| Bright Health | Commercial|All Plans | $14.40 | ↓ -69% |
| United | Commercial|All Other Plans | $15.73 | ↓ -66% |
| SUPERIOR | Medicaid|STAR | $16.07 | ↓ -65% |
| Entrust | Commercial|All Plans | $16.18 | ↓ -65% |
| Cigna | Commercial|Local Plus | $17.36 | ↓ -62% |
| Ellwood | Commercial|All Plans | $24.27 | ↓ -47% |
| NX Health | Commercial|All Plans | $26.29 | ↓ -43% |
| SUPERIOR | Medicaid|STARPLUS | $27.48 | ↓ -40% |
| UNITED | Medicaid|STARPLUS | $28.03 | ↓ -39% |
| BCBS-TX | Commercial|Blue Premier | $28.40 | ↓ -38% |
| BCBS-TX | Commercial|Blue Advantage HMO | $28.40 | ↓ -38% |
| BCBS-TX | Commercial|HMO | $28.96 | ↓ -37% |
| BCBS-TX | Commercial|PPO | $33.41 | ↓ -27% |
| Wellpoint | Medicaid|All Other Plans | $66.28 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $91.13 | ↑ +98% |
| Health Smart | Commercial|All Plans | $144.65 | ↑ +214% |
| First Health | Commercial|All Plans | $157.80 | ↑ +243% |
| Humana | Commercial|All Plans | $160.43 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $168.32 | ↑ +266% |
| Aetna | Commercial|All Plans | $173.58 | ↑ +277% |
| PHCS | Commercial|All Plans | $223.55 | ↑ +386% |
| Multiplan | Commercial|All Plans | $236.70 | ↑ +414% |
Visitor-reported prices
Comments
Culture urine each isolate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $85.65 | $6.80 – $107.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $62.77 | $11.86 – $94.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $80.45 | $6.80 – $100.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $85.65 | $6.80 – $107.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $62.77 | $7.28 – $94.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $62.77 | $6.80 – $94.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $80.45 | $6.80 – $120.68 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $85.65 | $6.80 – $107.06 |