Ihc/icc per specimen each additional single antibody stain at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$141.05
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.
$806.00
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.
$55.44 with United vs $725.40 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 | $55.44 | ↓ -61% |
| BCBS-TX | Commercial|Ref Lab | $92.54 | ↓ -34% |
| PGT | Medicare|All Plans | $102.69 | ↓ -27% |
| AETNA | Medicare|All Plans | $104.78 | ↓ -26% |
| BCBS | Medicare|All Plans | $104.78 | ↓ -26% |
| UNITED | Medicare|All Plans | $106.88 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $107.93 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $112.12 | ↓ -21% |
| United | Commercial|All Other Plans | $112.89 | ↓ -20% |
| Cigna | Commercial|Local Plus | $134.39 | ↓ -5% |
| Ambetter | Commercial|All Plans | $151.94 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $157.17 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $203.12 | ↑ +44% |
| BCBS-TX | Commercial|Blue Premier | $226.43 | ↑ +61% |
| BCBS-TX | Commercial|Blue Advantage HMO | $226.43 | ↑ +61% |
| BCBS-TX | Commercial|HMO | $230.95 | ↑ +64% |
| BCBS-TX | Commercial|PPO | $266.43 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $279.28 | ↑ +98% |
| Bright Health | Commercial|All Plans | $301.29 | ↑ +114% |
| Ellwood | Commercial|All Plans | $314.34 | ↑ +123% |
| Entrust | Commercial|All Plans | $338.52 | ↑ +140% |
| NX Health | Commercial|All Plans | $340.54 | ↑ +141% |
| Health Smart | Commercial|All Plans | $443.30 | ↑ +214% |
| First Health | Commercial|All Plans | $483.60 | ↑ +243% |
| Humana | Commercial|All Plans | $491.66 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $515.84 | ↑ +266% |
| Aetna | Commercial|All Plans | $531.96 | ↑ +277% |
| PHCS | Commercial|All Plans | $685.10 | ↑ +386% |
| Multiplan | Commercial|All Plans | $725.40 | ↑ +414% |
Visitor-reported prices
Comments
Ihc/icc per specimen each additional single antibody stain at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $541.08 | $248.36 – $248.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $217.04 | $28.00 – $157.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $153.27 | $20.34 – $148.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.90 | $19.77 – $333.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $217.04 | $26.36 – $234.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $153.27 | $31.73 – $407.06 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $153.27 | $26.00 – $148.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $117.90 | $32.95 – $333.52 |