Warde apolipoprotein b at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$8.58
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.
$49.00
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.
$12.25 with Wellpoint vs $73.12 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 | $12.25 | ↑ +43% |
| Wellpoint | Medicaid|STAR | $16.84 | ↑ +96% |
| United | Commercial|Exchange | $18.98 | ↑ +121% |
| PGT | Medicare|All Plans | $20.67 | ↑ +141% |
| BCBS-TX | Commercial|Ref Lab | $20.67 | ↑ +141% |
| AETNA | Medicare|All Plans | $21.09 | ↑ +146% |
| BCBS | Medicare|All Plans | $21.09 | ↑ +146% |
| UNITED | Medicare|All Plans | $21.51 | ↑ +151% |
| AMERIVANTAGE | Medicare|All Plans | $21.72 | ↑ +153% |
| SCANHealth | Medicare|All Plans | $22.57 | ↑ +163% |
| Health Smart | Commercial|All Plans | $26.73 | ↑ +212% |
| SUPERIOR | Medicaid|CHIP | $28.90 | ↑ +237% |
| First Health | Commercial|All Plans | $29.16 | ↑ +240% |
| UNITED | Medicaid|STARKIDS | $29.48 | ↑ +244% |
| UNITED | Medicaid|All Other Plans | $29.48 | ↑ +244% |
| Humana | Commercial|All Plans | $29.65 | ↑ +246% |
| BCBS | Medicaid|STARKIDS | $30.34 | ↑ +254% |
| SUPERIOR | Medicaid|All Other Plans | $30.34 | ↑ +254% |
| Ambetter | Commercial|All Plans | $30.58 | ↑ +256% |
| Cigna | Commercial|All Other Plans | $31.11 | ↑ +263% |
| Wellpoint | Commercial|Exchange | $31.64 | ↑ +269% |
| Aetna | Commercial|All Plans | $32.08 | ↑ +274% |
| United | Commercial|All Other Plans | $36.91 | ↑ +330% |
| Bright Health | Commercial|All Plans | $37.54 | ↑ +338% |
| PHCS | Commercial|All Plans | $41.31 | ↑ +381% |
| SUPERIOR | Medicaid|STAR | $41.91 | ↑ +388% |
| Entrust | Commercial|All Plans | $42.18 | ↑ +392% |
| Multiplan | Commercial|All Plans | $43.74 | ↑ +410% |
| Cigna | Commercial|Local Plus | $46.05 | ↑ +437% |
| BCBS-TX | Commercial|Blue Advantage HMO | $48.60 | ↑ +466% |
| BCBS-TX | Commercial|Blue Premier | $48.60 | ↑ +466% |
| BCBS-TX | Commercial|HMO | $48.60 | ↑ +466% |
| BCBS-TX | Commercial|PPO | $48.60 | ↑ +466% |
| Ellwood | Commercial|All Plans | $63.27 | ↑ +637% |
| NX Health | Commercial|All Plans | $68.54 | ↑ +699% |
| SUPERIOR | Medicaid|STARPLUS | $71.67 | ↑ +735% |
| UNITED | Medicaid|STARPLUS | $73.12 | ↑ +752% |
Visitor-reported prices
Comments
Warde apolipoprotein b at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $246.48 | $18.98 – $81.20 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $106.43 | $7.87 – $50.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $106.67 | $2.70 – $50.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $106.43 | $10.14 – $50.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $106.43 | $10.00 – $50.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $106.67 | $10.14 – $50.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $106.67 | $8.00 – $50.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $106.43 | $10.14 – $50.62 |