Cytopath c/v thin layer redo at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$44.98
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.
$257.00
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.
$20.74 with United vs $231.30 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 | $20.74 | ↓ -54% |
| PGT | Medicare|All Plans | $22.58 | ↓ -50% |
| BCBS-TX | Commercial|Ref Lab | $22.58 | ↓ -50% |
| AETNA | Medicare|All Plans | $23.04 | ↓ -49% |
| BCBS | Medicare|All Plans | $23.04 | ↓ -49% |
| UNITED | Medicare|All Plans | $23.50 | ↓ -48% |
| AMERIVANTAGE | Medicare|All Plans | $23.73 | ↓ -47% |
| SCANHealth | Medicare|All Plans | $24.65 | ↓ -45% |
| SUPERIOR | Medicaid|CHIP | $31.57 | ↓ -30% |
| UNITED | Medicaid|STARKIDS | $32.20 | ↓ -28% |
| UNITED | Medicaid|All Other Plans | $32.20 | ↓ -28% |
| SUPERIOR | Medicaid|All Other Plans | $33.15 | ↓ -26% |
| BCBS | Medicaid|STARKIDS | $33.15 | ↓ -26% |
| Ambetter | Commercial|All Plans | $33.41 | ↓ -26% |
| Wellpoint | Commercial|Exchange | $34.56 | ↓ -23% |
| United | Commercial|All Other Plans | $40.32 | ↓ -10% |
| Bright Health | Commercial|All Plans | $41.01 | ↓ -9% |
| SUPERIOR | Medicaid|STAR | $45.78 | ↑ +2% |
| Entrust | Commercial|All Plans | $46.08 | ↑ +2% |
| Cigna | Commercial|Local Plus | $50.58 | ↑ +12% |
| Wellpoint | Medicaid|All Other Plans | $64.77 | ↑ +44% |
| Ellwood | Commercial|All Plans | $69.12 | ↑ +54% |
| NX Health | Commercial|All Plans | $74.88 | ↑ +66% |
| SUPERIOR | Medicaid|STARPLUS | $78.29 | ↑ +74% |
| UNITED | Medicaid|STARPLUS | $79.87 | ↑ +78% |
| BCBS-TX | Commercial|Blue Premier | $80.87 | ↑ +80% |
| BCBS-TX | Commercial|Blue Advantage HMO | $80.87 | ↑ +80% |
| BCBS-TX | Commercial|HMO | $82.48 | ↑ +83% |
| Wellpoint | Medicaid|STAR | $89.06 | ↑ +98% |
| BCBS-TX | Commercial|PPO | $95.16 | ↑ +112% |
| Health Smart | Commercial|All Plans | $141.35 | ↑ +214% |
| First Health | Commercial|All Plans | $154.20 | ↑ +243% |
| Humana | Commercial|All Plans | $156.77 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $164.48 | ↑ +266% |
| Aetna | Commercial|All Plans | $169.62 | ↑ +277% |
| PHCS | Commercial|All Plans | $218.45 | ↑ +386% |
| Multiplan | Commercial|All Plans | $231.30 | ↑ +414% |
Visitor-reported prices
Comments
Cytopath c/v thin layer redo at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health College Station Hospital | College Station | $44.98 | $19.35 – $218.45 |
| St. Joseph Health Grimes Hospital | Navasota | $44.98 | $20.74 – $218.45 |
| St. Joseph Health Burleson Hospital | Caldwell | $44.98 | $20.74 – $231.30 |
| Adventhealth Rollins Brook | Lampasas | not published | $20.74 – $88.70 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $18.96 – $94.78 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $19.35 – $94.78 |
| Covenant Children's Hospital | Lubbock | not published | $50.34 – $100.45 |
| HCA HOUSTON CONROE | CONROE | not published | $18.96 – $94.78 |