Lactate dehydrogenase (ldh) 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

$28.88

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.

$165.00

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.

$5.44 with United vs $148.50 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 $5.44 ↓ -81%
PGT Medicare|All Plans $5.92 ↓ -80%
BCBS Medicare|All Plans $6.04 ↓ -79%
AETNA Medicare|All Plans $6.04 ↓ -79%
UNITED Medicare|All Plans $6.16 ↓ -79%
AMERIVANTAGE Medicare|All Plans $6.22 ↓ -78%
SCANHealth Medicare|All Plans $6.46 ↓ -78%
BCBS-TX Commercial|Ref Lab $6.58 ↓ -77%
SUPERIOR Medicaid|CHIP $8.27 ↓ -71%
UNITED Medicaid|STARKIDS $8.44 ↓ -71%
UNITED Medicaid|All Other Plans $8.44 ↓ -71%
SUPERIOR Medicaid|All Other Plans $8.68 ↓ -70%
BCBS Medicaid|STARKIDS $8.68 ↓ -70%
Ambetter Commercial|All Plans $8.76 ↓ -70%
Wellpoint Commercial|Exchange $9.06 ↓ -69%
Bright Health Commercial|All Plans $10.75 ↓ -63%
United Commercial|All Other Plans $11.74 ↓ -59%
SUPERIOR Medicaid|STAR $11.99 ↓ -58%
Entrust Commercial|All Plans $12.08 ↓ -58%
Cigna Commercial|Local Plus $12.83 ↓ -56%
Ellwood Commercial|All Plans $18.12 ↓ -37%
NX Health Commercial|All Plans $19.63 ↓ -32%
SUPERIOR Medicaid|STARPLUS $20.51 ↓ -29%
UNITED Medicaid|STARPLUS $20.92 ↓ -28%
BCBS-TX Commercial|Blue Premier $21.20 ↓ -27%
BCBS-TX Commercial|Blue Advantage HMO $21.20 ↓ -27%
BCBS-TX Commercial|HMO $21.62 ↓ -25%
BCBS-TX Commercial|PPO $24.95 ↓ -14%
Wellpoint Medicaid|All Other Plans $41.58 ↑ +44%
Wellpoint Medicaid|STAR $57.18 ↑ +98%
Health Smart Commercial|All Plans $90.75 ↑ +214%
First Health Commercial|All Plans $99.00 ↑ +243%
Humana Commercial|All Plans $100.65 ↑ +249%
Cigna Commercial|All Other Plans $105.60 ↑ +266%
Aetna Commercial|All Plans $108.90 ↑ +277%
PHCS Commercial|All Plans $140.25 ↑ +386%
Multiplan Commercial|All Plans $148.50 ↑ +414%

Visitor-reported prices

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Lactate dehydrogenase (ldh) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $176.01 $5.44 – $23.25
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $102.38 $5.07 – $15.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $59.42 $2.58 – $18.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $82.33 $5.07 – $15.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $102.38 $5.07 – $15.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $59.42 $5.42 – $18.79
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $59.42 $5.07 – $18.79
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $82.33 $5.07 – $18.79

All Texas hospitals for this procedure →