Microsatellite instability at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$175.35
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.
$1,002.00
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.
$252.51 with Wellpoint vs $1,208.13 with UNITED — 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $252.51 | ↑ +44% |
| United | Commercial|Exchange | $313.70 | ↑ +79% |
| BCBS-TX | Commercial|Ref Lab | $341.59 | ↑ +95% |
| PGT | Medicare|All Plans | $341.59 | ↑ +95% |
| Wellpoint | Medicaid|STAR | $347.20 | ↑ +98% |
| BCBS | Medicare|All Plans | $348.56 | ↑ +99% |
| AETNA | Medicare|All Plans | $348.56 | ↑ +99% |
| UNITED | Medicare|All Plans | $355.53 | ↑ +103% |
| AMERIVANTAGE | Medicare|All Plans | $359.02 | ↑ +105% |
| SCANHealth | Medicare|All Plans | $372.96 | ↑ +113% |
| SUPERIOR | Medicaid|CHIP | $477.52 | ↑ +172% |
| UNITED | Medicaid|All Other Plans | $487.07 | ↑ +178% |
| UNITED | Medicaid|STARKIDS | $487.07 | ↑ +178% |
| BCBS | Medicaid|STARKIDS | $501.40 | ↑ +186% |
| SUPERIOR | Medicaid|All Other Plans | $501.40 | ↑ +186% |
| Ambetter | Commercial|All Plans | $505.41 | ↑ +188% |
| Wellpoint | Commercial|Exchange | $522.84 | ↑ +198% |
| Health Smart | Commercial|All Plans | $551.10 | ↑ +214% |
| First Health | Commercial|All Plans | $601.20 | ↑ +243% |
| United | Commercial|All Other Plans | $609.98 | ↑ +248% |
| Humana | Commercial|All Plans | $611.22 | ↑ +249% |
| Bright Health | Commercial|All Plans | $620.44 | ↑ +254% |
| Cigna | Commercial|All Other Plans | $641.28 | ↑ +266% |
| Aetna | Commercial|All Plans | $661.32 | ↑ +277% |
| SUPERIOR | Medicaid|STAR | $692.40 | ↑ +295% |
| Entrust | Commercial|All Plans | $697.12 | ↑ +298% |
| Cigna | Commercial|Local Plus | $760.21 | ↑ +334% |
| PHCS | Commercial|All Plans | $851.70 | ↑ +386% |
| Multiplan | Commercial|All Plans | $901.80 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $1,002.00 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $1,002.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,002.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $1,002.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $1,045.68 | ↑ +496% |
| NX Health | Commercial|All Plans | $1,132.82 | ↑ +546% |
| SUPERIOR | Medicaid|STARPLUS | $1,184.25 | ↑ +575% |
| UNITED | Medicaid|STARPLUS | $1,208.13 | ↑ +589% |
Visitor-reported prices
Comments
Microsatellite instability at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $603.68 | $10.00 – $836.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $719.78 | $12.00 – $836.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $522.84 | $12.00 – $836.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $603.68 | $10.00 – $836.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $719.78 | $12.00 – $836.54 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $719.78 | $8.00 – $836.54 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $522.84 | $12.00 – $836.54 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $603.68 | $10.00 – $836.54 |