Reticulocyte automated at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$22.40
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.
?
What you pay up front if you don't use insurance.
$128.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3.59 with United vs $115.20 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $3.59 | ↓ -84% |
| PGT | Medicare|All Plans | $3.92 | ↓ -83% |
| BCBS | Medicare|All Plans | $3.99 | ↓ -82% |
| AETNA | Medicare|All Plans | $3.99 | ↓ -82% |
| UNITED | Medicare|All Plans | $4.07 | ↓ -82% |
| AMERIVANTAGE | Medicare|All Plans | $4.11 | ↓ -82% |
| SCANHealth | Medicare|All Plans | $4.27 | ↓ -81% |
| BCBS-TX | Commercial|Ref Lab | $4.35 | ↓ -81% |
| SUPERIOR | Medicaid|CHIP | $5.47 | ↓ -76% |
| UNITED | Medicaid|STARKIDS | $5.58 | ↓ -75% |
| UNITED | Medicaid|All Other Plans | $5.58 | ↓ -75% |
| SUPERIOR | Medicaid|All Other Plans | $5.74 | ↓ -74% |
| BCBS | Medicaid|STARKIDS | $5.74 | ↓ -74% |
| Ambetter | Commercial|All Plans | $5.79 | ↓ -74% |
| Wellpoint | Commercial|Exchange | $5.99 | ↓ -73% |
| Bright Health | Commercial|All Plans | $7.10 | ↓ -68% |
| United | Commercial|All Other Plans | $7.77 | ↓ -65% |
| SUPERIOR | Medicaid|STAR | $7.93 | ↓ -65% |
| Entrust | Commercial|All Plans | $7.98 | ↓ -64% |
| Cigna | Commercial|Local Plus | $9.05 | ↓ -60% |
| Ellwood | Commercial|All Plans | $11.97 | ↓ -47% |
| NX Health | Commercial|All Plans | $12.97 | ↓ -42% |
| SUPERIOR | Medicaid|STARPLUS | $13.57 | ↓ -39% |
| UNITED | Medicaid|STARPLUS | $13.84 | ↓ -38% |
| BCBS-TX | Commercial|Blue Premier | $14.00 | ↓ -38% |
| BCBS-TX | Commercial|Blue Advantage HMO | $14.00 | ↓ -38% |
| BCBS-TX | Commercial|HMO | $14.28 | ↓ -36% |
| BCBS-TX | Commercial|PPO | $16.48 | ↓ -26% |
| Wellpoint | Medicaid|All Other Plans | $32.26 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $44.36 | ↑ +98% |
| Health Smart | Commercial|All Plans | $70.40 | ↑ +214% |
| First Health | Commercial|All Plans | $76.80 | ↑ +243% |
| Humana | Commercial|All Plans | $78.08 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $81.92 | ↑ +266% |
| Aetna | Commercial|All Plans | $84.48 | ↑ +277% |
| PHCS | Commercial|All Plans | $108.80 | ↑ +386% |
| Multiplan | Commercial|All Plans | $115.20 | ↑ +414% |
Visitor-reported prices
Comments
Reticulocyte automated at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $137.85 | $3.59 – $15.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $63.76 | $3.35 – $79.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $59.71 | $5.85 – $89.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $65.98 | $3.35 – $82.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $63.76 | $3.35 – $79.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $59.71 | $3.58 – $89.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $59.71 | $3.35 – $89.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $65.98 | $3.35 – $98.96 |