Glucose body fluid at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$47.60
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.
$272.00
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.
$3.54 with United vs $244.80 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 | $3.54 | ↓ -93% |
| PGT | Medicare|All Plans | $3.86 | ↓ -92% |
| BCBS | Medicare|All Plans | $3.93 | ↓ -92% |
| AETNA | Medicare|All Plans | $3.93 | ↓ -92% |
| UNITED | Medicare|All Plans | $4.01 | ↓ -92% |
| AMERIVANTAGE | Medicare|All Plans | $4.05 | ↓ -91% |
| SCANHealth | Medicare|All Plans | $4.21 | ↓ -91% |
| BCBS-TX | Commercial|Ref Lab | $4.28 | ↓ -91% |
| SUPERIOR | Medicaid|CHIP | $5.38 | ↓ -89% |
| UNITED | Medicaid|STARKIDS | $5.49 | ↓ -88% |
| UNITED | Medicaid|All Other Plans | $5.49 | ↓ -88% |
| SUPERIOR | Medicaid|All Other Plans | $5.65 | ↓ -88% |
| BCBS | Medicaid|STARKIDS | $5.65 | ↓ -88% |
| Ambetter | Commercial|All Plans | $5.70 | ↓ -88% |
| Wellpoint | Commercial|Exchange | $5.90 | ↓ -88% |
| Bright Health | Commercial|All Plans | $7.00 | ↓ -85% |
| United | Commercial|All Other Plans | $7.65 | ↓ -84% |
| SUPERIOR | Medicaid|STAR | $7.80 | ↓ -84% |
| Entrust | Commercial|All Plans | $7.86 | ↓ -83% |
| Cigna | Commercial|Local Plus | $8.31 | ↓ -83% |
| Ellwood | Commercial|All Plans | $11.79 | ↓ -75% |
| NX Health | Commercial|All Plans | $12.77 | ↓ -73% |
| SUPERIOR | Medicaid|STARPLUS | $13.34 | ↓ -72% |
| UNITED | Medicaid|STARPLUS | $13.61 | ↓ -71% |
| BCBS-TX | Commercial|Blue Premier | $13.79 | ↓ -71% |
| BCBS-TX | Commercial|Blue Advantage HMO | $13.79 | ↓ -71% |
| BCBS-TX | Commercial|HMO | $14.07 | ↓ -70% |
| BCBS-TX | Commercial|PPO | $16.23 | ↓ -66% |
| Wellpoint | Medicaid|All Other Plans | $68.55 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $94.25 | ↑ +98% |
| Health Smart | Commercial|All Plans | $149.60 | ↑ +214% |
| First Health | Commercial|All Plans | $163.20 | ↑ +243% |
| Humana | Commercial|All Plans | $165.92 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $174.08 | ↑ +266% |
| Aetna | Commercial|All Plans | $179.52 | ↑ +277% |
| PHCS | Commercial|All Plans | $231.20 | ↑ +386% |
| Multiplan | Commercial|All Plans | $244.80 | ↑ +414% |
Visitor-reported prices
Comments
Glucose body fluid at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $116.35 | $3.54 – $15.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $76.34 | $3.30 – $67.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $79.18 | $5.76 – $80.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $79.18 | $3.30 – $67.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $76.34 | $3.30 – $67.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $79.18 | $3.53 – $80.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $79.18 | $3.30 – $80.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $79.18 | $3.30 – $80.53 |