Infectious agent antigen immunoassay ql/sq multi step legionella urine 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

$46.90

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.

$268.00

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.

$10.78 with United vs $241.20 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 $10.78 ↓ -77%
PGT Medicare|All Plans $11.75 ↓ -75%
BCBS Medicare|All Plans $11.98 ↓ -74%
AETNA Medicare|All Plans $11.98 ↓ -74%
UNITED Medicare|All Plans $12.22 ↓ -74%
AMERIVANTAGE Medicare|All Plans $12.34 ↓ -74%
SCANHealth Medicare|All Plans $12.82 ↓ -73%
BCBS-TX Commercial|Ref Lab $13.05 ↓ -72%
SUPERIOR Medicaid|CHIP $16.41 ↓ -65%
UNITED Medicaid|STARKIDS $16.74 ↓ -64%
UNITED Medicaid|All Other Plans $16.74 ↓ -64%
SUPERIOR Medicaid|All Other Plans $17.23 ↓ -63%
BCBS Medicaid|STARKIDS $17.23 ↓ -63%
Ambetter Commercial|All Plans $17.37 ↓ -63%
Wellpoint Commercial|Exchange $17.97 ↓ -62%
Bright Health Commercial|All Plans $21.32 ↓ -55%
United Commercial|All Other Plans $23.31 ↓ -50%
SUPERIOR Medicaid|STAR $23.79 ↓ -49%
Entrust Commercial|All Plans $23.96 ↓ -49%
Cigna Commercial|Local Plus $26.42 ↓ -44%
Ellwood Commercial|All Plans $35.94 ↓ -23%
NX Health Commercial|All Plans $38.94 ↓ -17%
SUPERIOR Medicaid|STARPLUS $40.70 ↓ -13%
UNITED Medicaid|STARPLUS $41.52 ↓ -11%
BCBS-TX Commercial|Blue Premier $42.05 ↓ -10%
BCBS-TX Commercial|Blue Advantage HMO $42.05 ↓ -10%
BCBS-TX Commercial|HMO $42.89 ↓ -9%
BCBS-TX Commercial|PPO $49.48 ↑ +6%
Wellpoint Medicaid|All Other Plans $67.54 ↑ +44%
Wellpoint Medicaid|STAR $92.87 ↑ +98%
Health Smart Commercial|All Plans $147.40 ↑ +214%
First Health Commercial|All Plans $160.80 ↑ +243%
Humana Commercial|All Plans $163.48 ↑ +249%
Cigna Commercial|All Other Plans $171.52 ↑ +266%
Aetna Commercial|All Plans $176.88 ↑ +277%
PHCS Commercial|All Plans $227.80 ↑ +386%
Multiplan Commercial|All Plans $241.20 ↑ +414%

Visitor-reported prices

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Infectious agent antigen immunoassay ql/sq multi step legionella urine at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $442.24 $10.78 – $46.12
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $324.45 $10.00 – $56.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $309.00 $8.88 – $64.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $309.00 $10.06 – $53.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $324.45 $10.00 – $56.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $309.00 $10.76 – $64.75
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $309.00 $8.00 – $64.75
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $309.00 $10.06 – $64.75

All Texas hospitals for this procedure →