Immunoassay tumor antigen quantitative ca 19-9 at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$58.10

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$332.00

Gross charge

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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.

Full explanation →

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 →

Payer
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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
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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

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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

All Texas hospitals for this procedure →