Immunoassay tumor antigen quantitative ca 19-9 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$58.10
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.
$332.00
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.
$18.73 with United vs $298.80 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 | $18.73 | ↓ -68% |
| PGT | Medicare|All Plans | $20.40 | ↓ -65% |
| BCBS | Medicare|All Plans | $20.81 | ↓ -64% |
| AETNA | Medicare|All Plans | $20.81 | ↓ -64% |
| UNITED | Medicare|All Plans | $21.23 | ↓ -63% |
| AMERIVANTAGE | Medicare|All Plans | $21.43 | ↓ -63% |
| SCANHealth | Medicare|All Plans | $22.27 | ↓ -62% |
| BCBS-TX | Commercial|Ref Lab | $22.67 | ↓ -61% |
| SUPERIOR | Medicaid|CHIP | $28.51 | ↓ -51% |
| UNITED | Medicaid|STARKIDS | $29.08 | ↓ -50% |
| UNITED | Medicaid|All Other Plans | $29.08 | ↓ -50% |
| SUPERIOR | Medicaid|All Other Plans | $29.94 | ↓ -48% |
| BCBS | Medicaid|STARKIDS | $29.94 | ↓ -48% |
| Ambetter | Commercial|All Plans | $30.17 | ↓ -48% |
| Wellpoint | Commercial|Exchange | $31.22 | ↓ -46% |
| Bright Health | Commercial|All Plans | $37.04 | ↓ -36% |
| United | Commercial|All Other Plans | $40.48 | ↓ -30% |
| SUPERIOR | Medicaid|STAR | $41.34 | ↓ -29% |
| Entrust | Commercial|All Plans | $41.62 | ↓ -28% |
| Cigna | Commercial|Local Plus | $45.30 | ↓ -22% |
| Ellwood | Commercial|All Plans | $62.43 | ↑ +7% |
| NX Health | Commercial|All Plans | $67.63 | ↑ +16% |
| SUPERIOR | Medicaid|STARPLUS | $70.70 | ↑ +22% |
| UNITED | Medicaid|STARPLUS | $72.13 | ↑ +24% |
| BCBS-TX | Commercial|Blue Premier | $73.04 | ↑ +26% |
| BCBS-TX | Commercial|Blue Advantage HMO | $73.04 | ↑ +26% |
| BCBS-TX | Commercial|HMO | $74.50 | ↑ +28% |
| Wellpoint | Medicaid|All Other Plans | $83.67 | ↑ +44% |
| BCBS-TX | Commercial|PPO | $85.95 | ↑ +48% |
| Wellpoint | Medicaid|STAR | $115.04 | ↑ +98% |
| Health Smart | Commercial|All Plans | $182.60 | ↑ +214% |
| First Health | Commercial|All Plans | $199.20 | ↑ +243% |
| Humana | Commercial|All Plans | $202.52 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $212.48 | ↑ +266% |
| Aetna | Commercial|All Plans | $219.12 | ↑ +277% |
| PHCS | Commercial|All Plans | $282.20 | ↑ +386% |
| Multiplan | Commercial|All Plans | $298.80 | ↑ +414% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 19-9 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $301.14 | $18.73 – $80.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $166.57 | $10.00 – $208.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $132.86 | $12.00 – $199.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $166.57 | $12.00 – $208.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $166.57 | $10.00 – $208.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $132.86 | $12.00 – $199.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $132.86 | $8.00 – $199.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $166.57 | $12.00 – $249.86 |