Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$111.13
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.
?
What you pay up front if you don't use insurance.
$635.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$128.37 with United vs $589.06 with BCBS-TX — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $128.37 | ↑ +16% |
| PGT | Medicare|All Plans | $139.78 | ↑ +26% |
| BCBS-TX | Commercial|Ref Lab | $142.63 | ↑ +28% |
| AETNA | Medicare|All Plans | $142.63 | ↑ +28% |
| BCBS | Medicare|All Plans | $142.63 | ↑ +28% |
| UNITED | Medicare|All Plans | $145.48 | ↑ +31% |
| AMERIVANTAGE | Medicare|All Plans | $146.91 | ↑ +32% |
| SCANHealth | Medicare|All Plans | $152.61 | ↑ +37% |
| Wellpoint | Medicaid|All Other Plans | $160.02 | ↑ +44% |
| SUPERIOR | Medicaid|CHIP | $195.40 | ↑ +76% |
| UNITED | Medicaid|STARKIDS | $199.31 | ↑ +79% |
| UNITED | Medicaid|All Other Plans | $199.31 | ↑ +79% |
| BCBS | Medicaid|STARKIDS | $205.17 | ↑ +85% |
| SUPERIOR | Medicaid|All Other Plans | $205.17 | ↑ +85% |
| Ambetter | Commercial|All Plans | $206.81 | ↑ +86% |
| Wellpoint | Commercial|Exchange | $213.95 | ↑ +93% |
| Wellpoint | Medicaid|STAR | $220.03 | ↑ +98% |
| United | Commercial|All Other Plans | $249.55 | ↑ +125% |
| Bright Health | Commercial|All Plans | $253.88 | ↑ +128% |
| SUPERIOR | Medicaid|STAR | $283.33 | ↑ +155% |
| Entrust | Commercial|All Plans | $285.26 | ↑ +157% |
| Cigna | Commercial|Local Plus | $311.15 | ↑ +180% |
| Health Smart | Commercial|All Plans | $349.25 | ↑ +214% |
| First Health | Commercial|All Plans | $381.00 | ↑ +243% |
| Humana | Commercial|All Plans | $387.35 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $406.40 | ↑ +266% |
| Aetna | Commercial|All Plans | $419.10 | ↑ +277% |
| Ellwood | Commercial|All Plans | $427.89 | ↑ +285% |
| NX Health | Commercial|All Plans | $463.55 | ↑ +317% |
| SUPERIOR | Medicaid|STARPLUS | $484.59 | ↑ +336% |
| UNITED | Medicaid|STARPLUS | $494.36 | ↑ +345% |
| BCBS-TX | Commercial|Blue Premier | $500.63 | ↑ +350% |
| BCBS-TX | Commercial|Blue Advantage HMO | $500.63 | ↑ +350% |
| BCBS-TX | Commercial|HMO | $510.62 | ↑ +359% |
| PHCS | Commercial|All Plans | $539.75 | ↑ +386% |
| Multiplan | Commercial|All Plans | $571.50 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $589.06 | ↑ +430% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $520.47 | $128.37 – $549.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $104.93 | $10.00 – $342.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $104.93 | $12.00 – $342.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $104.93 | $12.00 – $342.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $104.93 | $10.00 – $342.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $104.93 | $12.00 – $342.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $104.93 | $8.00 – $342.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $104.93 | $12.00 – $342.31 |