Lactic acid at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$37.10
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.
$212.00
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.
$10.41 with United vs $190.80 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 | $10.41 | ↓ -72% |
| PGT | Medicare|All Plans | $11.34 | ↓ -69% |
| BCBS | Medicare|All Plans | $11.57 | ↓ -69% |
| AETNA | Medicare|All Plans | $11.57 | ↓ -69% |
| BCBS-TX | Commercial|Ref Lab | $11.63 | ↓ -69% |
| UNITED | Medicare|All Plans | $11.80 | ↓ -68% |
| AMERIVANTAGE | Medicare|All Plans | $11.92 | ↓ -68% |
| SCANHealth | Medicare|All Plans | $12.38 | ↓ -67% |
| SUPERIOR | Medicaid|CHIP | $15.85 | ↓ -57% |
| UNITED | Medicaid|STARKIDS | $16.17 | ↓ -56% |
| UNITED | Medicaid|All Other Plans | $16.17 | ↓ -56% |
| SUPERIOR | Medicaid|All Other Plans | $16.64 | ↓ -55% |
| BCBS | Medicaid|STARKIDS | $16.64 | ↓ -55% |
| Ambetter | Commercial|All Plans | $16.78 | ↓ -55% |
| Wellpoint | Commercial|Exchange | $17.36 | ↓ -53% |
| Bright Health | Commercial|All Plans | $20.59 | ↓ -45% |
| United | Commercial|All Other Plans | $20.77 | ↓ -44% |
| SUPERIOR | Medicaid|STAR | $22.98 | ↓ -38% |
| Entrust | Commercial|All Plans | $23.14 | ↓ -38% |
| Cigna | Commercial|Local Plus | $24.91 | ↓ -33% |
| Ellwood | Commercial|All Plans | $34.71 | ↓ -6% |
| NX Health | Commercial|All Plans | $37.60 | ↑ +1% |
| SUPERIOR | Medicaid|STARPLUS | $39.31 | ↑ +6% |
| UNITED | Medicaid|STARPLUS | $40.10 | ↑ +8% |
| BCBS-TX | Commercial|Blue Premier | $40.61 | ↑ +9% |
| BCBS-TX | Commercial|Blue Advantage HMO | $40.61 | ↑ +9% |
| BCBS-TX | Commercial|HMO | $41.42 | ↑ +12% |
| BCBS-TX | Commercial|PPO | $47.78 | ↑ +29% |
| Wellpoint | Medicaid|All Other Plans | $53.43 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $73.46 | ↑ +98% |
| Health Smart | Commercial|All Plans | $116.60 | ↑ +214% |
| First Health | Commercial|All Plans | $127.20 | ↑ +243% |
| Humana | Commercial|All Plans | $129.32 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $135.68 | ↑ +266% |
| Aetna | Commercial|All Plans | $139.92 | ↑ +277% |
| PHCS | Commercial|All Plans | $180.20 | ↑ +386% |
| Multiplan | Commercial|All Plans | $190.80 | ↑ +414% |
Visitor-reported prices
Comments
Lactic acid at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $255.68 | $10.41 – $44.54 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $145.94 | $9.72 – $182.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $105.31 | $12.00 – $157.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $143.48 | $9.72 – $179.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $145.94 | $9.72 – $182.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $105.31 | $10.40 – $157.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $105.31 | $8.00 – $157.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $143.48 | $9.72 – $215.22 |