Renal function panel at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$170.28
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.
$973.00
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.
$7.81 with United vs $875.70 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 | $7.81 | ↓ -95% |
| PGT | Medicare|All Plans | $8.51 | ↓ -95% |
| BCBS | Medicare|All Plans | $8.68 | ↓ -95% |
| AETNA | Medicare|All Plans | $8.68 | ↓ -95% |
| UNITED | Medicare|All Plans | $8.85 | ↓ -95% |
| AMERIVANTAGE | Medicare|All Plans | $8.94 | ↓ -95% |
| SCANHealth | Medicare|All Plans | $9.29 | ↓ -95% |
| BCBS-TX | Commercial|Ref Lab | $9.46 | ↓ -94% |
| SUPERIOR | Medicaid|CHIP | $11.89 | ↓ -93% |
| UNITED | Medicaid|STARKIDS | $12.13 | ↓ -93% |
| UNITED | Medicaid|All Other Plans | $12.13 | ↓ -93% |
| SUPERIOR | Medicaid|All Other Plans | $12.48 | ↓ -93% |
| BCBS | Medicaid|STARKIDS | $12.48 | ↓ -93% |
| Ambetter | Commercial|All Plans | $12.59 | ↓ -93% |
| Wellpoint | Commercial|Exchange | $13.02 | ↓ -92% |
| Bright Health | Commercial|All Plans | $15.45 | ↓ -91% |
| United | Commercial|All Other Plans | $16.89 | ↓ -90% |
| SUPERIOR | Medicaid|STAR | $17.24 | ↓ -90% |
| Entrust | Commercial|All Plans | $17.36 | ↓ -90% |
| Cigna | Commercial|Local Plus | $18.87 | ↓ -89% |
| Ellwood | Commercial|All Plans | $26.04 | ↓ -85% |
| NX Health | Commercial|All Plans | $28.21 | ↓ -83% |
| SUPERIOR | Medicaid|STARPLUS | $29.49 | ↓ -83% |
| UNITED | Medicaid|STARPLUS | $30.08 | ↓ -82% |
| BCBS-TX | Commercial|Blue Premier | $30.47 | ↓ -82% |
| BCBS-TX | Commercial|Blue Advantage HMO | $30.47 | ↓ -82% |
| BCBS-TX | Commercial|HMO | $31.07 | ↓ -82% |
| BCBS-TX | Commercial|PPO | $35.85 | ↓ -79% |
| Wellpoint | Medicaid|All Other Plans | $245.20 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $337.15 | ↑ +98% |
| Health Smart | Commercial|All Plans | $535.15 | ↑ +214% |
| First Health | Commercial|All Plans | $583.80 | ↑ +243% |
| Humana | Commercial|All Plans | $593.53 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $622.72 | ↑ +266% |
| Aetna | Commercial|All Plans | $642.18 | ↑ +277% |
| PHCS | Commercial|All Plans | $827.05 | ↑ +386% |
| Multiplan | Commercial|All Plans | $875.70 | ↑ +414% |
Visitor-reported prices
Comments
Renal function panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $377.61 | $7.81 – $33.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $177.37 | $7.29 – $221.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $167.42 | $12.00 – $251.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $128.89 | $7.29 – $161.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $177.37 | $7.29 – $221.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $167.42 | $7.80 – $251.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $167.42 | $7.29 – $251.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $128.89 | $7.29 – $193.33 |