Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$54.08
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.
$309.00
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.
$21.67 with United vs $278.10 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 | $21.67 | ↓ -60% |
| PGT | Medicare|All Plans | $23.60 | ↓ -56% |
| BCBS | Medicare|All Plans | $24.08 | ↓ -55% |
| AETNA | Medicare|All Plans | $24.08 | ↓ -55% |
| UNITED | Medicare|All Plans | $24.56 | ↓ -55% |
| AMERIVANTAGE | Medicare|All Plans | $24.80 | ↓ -54% |
| SCANHealth | Medicare|All Plans | $25.77 | ↓ -52% |
| BCBS-TX | Commercial|Ref Lab | $26.21 | ↓ -52% |
| SUPERIOR | Medicaid|CHIP | $32.99 | ↓ -39% |
| UNITED | Medicaid|STARKIDS | $33.65 | ↓ -38% |
| UNITED | Medicaid|All Other Plans | $33.65 | ↓ -38% |
| SUPERIOR | Medicaid|All Other Plans | $34.64 | ↓ -36% |
| BCBS | Medicaid|STARKIDS | $34.64 | ↓ -36% |
| Ambetter | Commercial|All Plans | $34.92 | ↓ -35% |
| Wellpoint | Commercial|Exchange | $36.12 | ↓ -33% |
| Bright Health | Commercial|All Plans | $42.86 | ↓ -21% |
| United | Commercial|All Other Plans | $46.81 | ↓ -13% |
| SUPERIOR | Medicaid|STAR | $47.84 | ↓ -12% |
| Entrust | Commercial|All Plans | $48.16 | ↓ -11% |
| Cigna | Commercial|Local Plus | $52.85 | ↓ -2% |
| Ellwood | Commercial|All Plans | $72.24 | ↑ +34% |
| Wellpoint | Medicaid|All Other Plans | $77.87 | ↑ +44% |
| NX Health | Commercial|All Plans | $78.26 | ↑ +45% |
| SUPERIOR | Medicaid|STARPLUS | $81.82 | ↑ +51% |
| UNITED | Medicaid|STARPLUS | $83.46 | ↑ +54% |
| BCBS-TX | Commercial|Blue Advantage HMO | $84.52 | ↑ +56% |
| BCBS-TX | Commercial|Blue Premier | $84.52 | ↑ +56% |
| BCBS-TX | Commercial|HMO | $86.21 | ↑ +59% |
| BCBS-TX | Commercial|PPO | $99.45 | ↑ +84% |
| Wellpoint | Medicaid|STAR | $107.07 | ↑ +98% |
| Health Smart | Commercial|All Plans | $169.95 | ↑ +214% |
| First Health | Commercial|All Plans | $185.40 | ↑ +243% |
| Humana | Commercial|All Plans | $188.49 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $197.76 | ↑ +266% |
| Aetna | Commercial|All Plans | $203.94 | ↑ +277% |
| PHCS | Commercial|All Plans | $262.65 | ↑ +386% |
| Multiplan | Commercial|All Plans | $278.10 | ↑ +414% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $305.31 | $21.67 – $92.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $145.09 | $10.00 – $181.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $145.09 | $12.00 – $217.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $140.83 | $12.00 – $176.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $145.09 | $10.00 – $181.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $145.09 | $12.00 – $217.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $145.09 | $8.00 – $217.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $140.83 | $12.00 – $211.24 |