Drvvt confirm - quest at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$18.73
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.
$107.00
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.
$16.18 with United vs $96.30 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 | $16.18 | ↓ -14% |
| PGT | Medicare|All Plans | $17.63 | ↓ -6% |
| BCBS | Medicare|All Plans | $17.98 | ↓ -4% |
| AETNA | Medicare|All Plans | $17.98 | ↓ -4% |
| UNITED | Medicare|All Plans | $18.34 | ↓ -2% |
| AMERIVANTAGE | Medicare|All Plans | $18.52 | ↓ -1% |
| SCANHealth | Medicare|All Plans | $19.24 | ↑ +3% |
| BCBS-TX | Commercial|Ref Lab | $19.57 | ↑ +4% |
| SUPERIOR | Medicaid|CHIP | $24.63 | ↑ +32% |
| UNITED | Medicaid|STARKIDS | $25.12 | ↑ +34% |
| UNITED | Medicaid|All Other Plans | $25.12 | ↑ +34% |
| SUPERIOR | Medicaid|All Other Plans | $25.86 | ↑ +38% |
| BCBS | Medicaid|STARKIDS | $25.86 | ↑ +38% |
| Ambetter | Commercial|All Plans | $26.07 | ↑ +39% |
| Wellpoint | Commercial|Exchange | $26.97 | ↑ +44% |
| Wellpoint | Medicaid|All Other Plans | $26.97 | ↑ +44% |
| Bright Health | Commercial|All Plans | $32.00 | ↑ +71% |
| United | Commercial|All Other Plans | $34.95 | ↑ +87% |
| SUPERIOR | Medicaid|STAR | $35.71 | ↑ +91% |
| Entrust | Commercial|All Plans | $35.96 | ↑ +92% |
| Wellpoint | Medicaid|STAR | $37.08 | ↑ +98% |
| Cigna | Commercial|Local Plus | $39.26 | ↑ +110% |
| Ellwood | Commercial|All Plans | $53.94 | ↑ +188% |
| NX Health | Commercial|All Plans | $58.44 | ↑ +212% |
| Health Smart | Commercial|All Plans | $58.85 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $61.08 | ↑ +226% |
| UNITED | Medicaid|STARPLUS | $62.31 | ↑ +233% |
| BCBS-TX | Commercial|Blue Premier | $63.11 | ↑ +237% |
| BCBS-TX | Commercial|Blue Advantage HMO | $63.11 | ↑ +237% |
| First Health | Commercial|All Plans | $64.20 | ↑ +243% |
| BCBS-TX | Commercial|HMO | $64.37 | ↑ +244% |
| Humana | Commercial|All Plans | $65.27 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $68.48 | ↑ +266% |
| Aetna | Commercial|All Plans | $70.62 | ↑ +277% |
| BCBS-TX | Commercial|PPO | $74.26 | ↑ +296% |
| PHCS | Commercial|All Plans | $90.95 | ↑ +386% |
| Multiplan | Commercial|All Plans | $96.30 | ↑ +414% |
Visitor-reported prices
Comments
Drvvt confirm - quest at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $131.79 | $10.00 – $164.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $140.54 | $12.00 – $210.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $136.45 | $12.00 – $170.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $131.79 | $10.00 – $164.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $140.54 | $12.00 – $210.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $140.54 | $8.00 – $210.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $136.45 | $12.00 – $204.68 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $131.79 | $10.00 – $164.74 |