Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$303.45
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.
$1,734.00
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.
$375.10 with United vs $1,721.30 with BCBS-TX — 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 | $375.10 | ↑ +24% |
| PGT | Medicare|All Plans | $408.45 | ↑ +35% |
| AETNA | Medicare|All Plans | $416.78 | ↑ +37% |
| BCBS | Medicare|All Plans | $416.78 | ↑ +37% |
| UNITED | Medicare|All Plans | $425.12 | ↑ +40% |
| AMERIVANTAGE | Medicare|All Plans | $429.28 | ↑ +41% |
| Wellpoint | Medicaid|All Other Plans | $436.97 | ↑ +44% |
| SCANHealth | Medicare|All Plans | $445.95 | ↑ +47% |
| BCBS-TX | Commercial|Ref Lab | $453.83 | ↑ +50% |
| SUPERIOR | Medicaid|CHIP | $570.99 | ↑ +88% |
| UNITED | Medicaid|STARKIDS | $582.41 | ↑ +92% |
| UNITED | Medicaid|All Other Plans | $582.41 | ↑ +92% |
| SUPERIOR | Medicaid|All Other Plans | $599.54 | ↑ +98% |
| BCBS | Medicaid|STARKIDS | $599.54 | ↑ +98% |
| Wellpoint | Medicaid|STAR | $600.84 | ↑ +98% |
| Ambetter | Commercial|All Plans | $604.33 | ↑ +99% |
| Wellpoint | Commercial|Exchange | $625.17 | ↑ +106% |
| Bright Health | Commercial|All Plans | $741.87 | ↑ +144% |
| United | Commercial|All Other Plans | $810.41 | ↑ +167% |
| SUPERIOR | Medicaid|STAR | $827.94 | ↑ +173% |
| Entrust | Commercial|All Plans | $833.56 | ↑ +175% |
| Cigna | Commercial|Local Plus | $908.93 | ↑ +200% |
| Health Smart | Commercial|All Plans | $953.70 | ↑ +214% |
| First Health | Commercial|All Plans | $1,040.40 | ↑ +243% |
| Humana | Commercial|All Plans | $1,057.74 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,109.76 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,144.44 | ↑ +277% |
| Ellwood | Commercial|All Plans | $1,250.34 | ↑ +312% |
| NX Health | Commercial|All Plans | $1,354.54 | ↑ +346% |
| SUPERIOR | Medicaid|STARPLUS | $1,416.06 | ↑ +367% |
| UNITED | Medicaid|STARPLUS | $1,444.60 | ↑ +376% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,462.90 | ↑ +382% |
| BCBS-TX | Commercial|Blue Premier | $1,462.90 | ↑ +382% |
| PHCS | Commercial|All Plans | $1,473.90 | ↑ +386% |
| BCBS-TX | Commercial|HMO | $1,492.07 | ↑ +392% |
| Multiplan | Commercial|All Plans | $1,560.60 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $1,721.30 | ↑ +467% |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,426.16 | $375.10 – $1,604.60 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $727.50 | $10.00 – $1,000.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $727.50 | $12.00 – $1,000.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $727.50 | $12.00 – $1,000.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $727.50 | $10.00 – $1,000.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $727.50 | $12.00 – $1,000.27 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $727.50 | $8.00 – $1,000.27 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $727.50 | $12.00 – $1,000.27 |