Protein total serum plasma whole blood at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$28.70
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.
$164.00
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.
$3.30 with United vs $147.60 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 | $3.30 | ↓ -89% |
| PGT | Medicare|All Plans | $3.60 | ↓ -87% |
| BCBS | Medicare|All Plans | $3.67 | ↓ -87% |
| AETNA | Medicare|All Plans | $3.67 | ↓ -87% |
| UNITED | Medicare|All Plans | $3.74 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $3.78 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $3.93 | ↓ -86% |
| BCBS-TX | Commercial|Ref Lab | $3.99 | ↓ -86% |
| SUPERIOR | Medicaid|CHIP | $5.03 | ↓ -82% |
| UNITED | Medicaid|STARKIDS | $5.13 | ↓ -82% |
| UNITED | Medicaid|All Other Plans | $5.13 | ↓ -82% |
| SUPERIOR | Medicaid|All Other Plans | $5.28 | ↓ -82% |
| BCBS | Medicaid|STARKIDS | $5.28 | ↓ -82% |
| Ambetter | Commercial|All Plans | $5.32 | ↓ -81% |
| Wellpoint | Commercial|Exchange | $5.51 | ↓ -81% |
| Bright Health | Commercial|All Plans | $6.53 | ↓ -77% |
| United | Commercial|All Other Plans | $7.12 | ↓ -75% |
| SUPERIOR | Medicaid|STAR | $7.29 | ↓ -75% |
| Entrust | Commercial|All Plans | $7.34 | ↓ -74% |
| Cigna | Commercial|Local Plus | $8.31 | ↓ -71% |
| Ellwood | Commercial|All Plans | $11.01 | ↓ -62% |
| NX Health | Commercial|All Plans | $11.93 | ↓ -58% |
| SUPERIOR | Medicaid|STARPLUS | $12.47 | ↓ -57% |
| UNITED | Medicaid|STARPLUS | $12.73 | ↓ -56% |
| BCBS-TX | Commercial|Blue Premier | $12.88 | ↓ -55% |
| BCBS-TX | Commercial|Blue Advantage HMO | $12.88 | ↓ -55% |
| BCBS-TX | Commercial|HMO | $13.14 | ↓ -54% |
| BCBS-TX | Commercial|PPO | $15.16 | ↓ -47% |
| Wellpoint | Medicaid|All Other Plans | $41.33 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $56.83 | ↑ +98% |
| Health Smart | Commercial|All Plans | $90.20 | ↑ +214% |
| First Health | Commercial|All Plans | $98.40 | ↑ +243% |
| Humana | Commercial|All Plans | $100.04 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $104.96 | ↑ +266% |
| Aetna | Commercial|All Plans | $108.24 | ↑ +277% |
| PHCS | Commercial|All Plans | $139.40 | ↑ +386% |
| Multiplan | Commercial|All Plans | $147.60 | ↑ +414% |
Visitor-reported prices
Comments
Protein total serum plasma whole blood at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $129.84 | $3.30 – $14.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $225.00 | $3.08 – $13.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $225.00 | $2.20 – $16.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $225.00 | $3.08 – $13.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $225.00 | $3.08 – $13.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $225.00 | $3.30 – $16.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $225.00 | $3.08 – $16.07 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $225.00 | $3.08 – $16.07 |