Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$19.60
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.
$112.00
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.
$14.46 with United vs $100.80 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 | $14.46 | ↓ -26% |
| PGT | Medicare|All Plans | $15.75 | ↓ -20% |
| BCBS-TX | Commercial|Ref Lab | $15.75 | ↓ -20% |
| AETNA | Medicare|All Plans | $16.07 | ↓ -18% |
| BCBS | Medicare|All Plans | $16.07 | ↓ -18% |
| UNITED | Medicare|All Plans | $16.39 | ↓ -16% |
| AMERIVANTAGE | Medicare|All Plans | $16.55 | ↓ -16% |
| SCANHealth | Medicare|All Plans | $17.19 | ↓ -12% |
| SUPERIOR | Medicaid|CHIP | $22.02 | ↑ +12% |
| UNITED | Medicaid|STARKIDS | $22.46 | ↑ +15% |
| UNITED | Medicaid|All Other Plans | $22.46 | ↑ +15% |
| SUPERIOR | Medicaid|All Other Plans | $23.12 | ↑ +18% |
| BCBS | Medicaid|STARKIDS | $23.12 | ↑ +18% |
| Ambetter | Commercial|All Plans | $23.30 | ↑ +19% |
| Wellpoint | Commercial|Exchange | $24.11 | ↑ +23% |
| United | Commercial|All Other Plans | $28.12 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $28.23 | ↑ +44% |
| Bright Health | Commercial|All Plans | $28.60 | ↑ +46% |
| SUPERIOR | Medicaid|STAR | $31.93 | ↑ +63% |
| Entrust | Commercial|All Plans | $32.14 | ↑ +64% |
| Cigna | Commercial|Local Plus | $34.73 | ↑ +77% |
| Wellpoint | Medicaid|STAR | $38.81 | ↑ +98% |
| Ellwood | Commercial|All Plans | $48.21 | ↑ +146% |
| NX Health | Commercial|All Plans | $52.23 | ↑ +166% |
| SUPERIOR | Medicaid|STARPLUS | $54.61 | ↑ +179% |
| UNITED | Medicaid|STARPLUS | $55.71 | ↑ +184% |
| BCBS-TX | Commercial|Blue Premier | $56.41 | ↑ +188% |
| BCBS-TX | Commercial|Blue Advantage HMO | $56.41 | ↑ +188% |
| BCBS-TX | Commercial|HMO | $57.53 | ↑ +194% |
| Health Smart | Commercial|All Plans | $61.60 | ↑ +214% |
| BCBS-TX | Commercial|PPO | $66.37 | ↑ +239% |
| First Health | Commercial|All Plans | $67.20 | ↑ +243% |
| Humana | Commercial|All Plans | $68.32 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $71.68 | ↑ +266% |
| Aetna | Commercial|All Plans | $73.92 | ↑ +277% |
| PHCS | Commercial|All Plans | $95.20 | ↑ +386% |
| Multiplan | Commercial|All Plans | $100.80 | ↑ +414% |
Visitor-reported prices
Comments
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $138.50 | $14.46 – $61.87 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $81.04 | $10.00 – $81.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $76.20 | $12.00 – $97.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $76.20 | $12.00 – $81.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $81.04 | $10.00 – $81.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $76.20 | $12.00 – $97.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $76.20 | $8.00 – $97.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $76.20 | $12.00 – $97.23 |