Adapt behavior tx phys/qhp at Ascension Seton Medical Center Austin (Ascension Seton)
1201 W 38th St, Austin, TX · Ascension · · NPI 1164526786
not published by hospital
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.
not published by hospital
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.
$46.72 with BCBS BAV EXCHANGE vs $280.28 with SUPERIOR AMBETTER — 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 |
|---|---|---|---|
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $46.72 | — |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $92.89 | — |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $92.89 | — |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $102.45 | — |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $113.38 | — |
| AARP MC WELLMED | 4656_MEDICARE ADVANTAGE AARP WELLMED INPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS) 20251001 | $152.60 | — |
| AARP MC WELLMED | 4748_MEDICARE ADVANTAGE AARP WELLMED OUTPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS,SMV) 20250811 | $152.60 | — |
| SENDERO CHAP | 4651_SENDERO CHAP INPATIENT 20251001 | $154.15 | — |
| SENDERO CHAP | 4932_SENDERO CHAP OUTPATIENT 20250811 | $154.15 | — |
| UHCPCIP | 4678_UNITED HEALTHCARE PCIP (AUS) IP 20251001 | $155.71 | — |
| MEDICARE REPLACEMENT | 4665_MEDICARE ADVANTAGE INPATIENT 100% 20251001 | $155.71 | — |
| MEDICARE REPLACEMENT | 4922_MEDICARE ADVANTAGE OUTPATIENT 100% 20250811 | $155.71 | — |
| SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $155.71 | — |
| SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $155.71 | — |
| AETNA MCR REPLACEMENT | 4659_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | $155.71 | — |
| AETNA MCR REPLACEMENT | 4749_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250811 | $155.71 | — |
| HUMANA MCR REPLACEMENT | 4661_MEDICARE ADVANTAGE HUMANA INPATIENT (AUS,HAY,NW,SW) 20251001 | $155.71 | — |
| HUMANA MCR REPLACEMENT | 4921_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AUS,HAY,NW,SW.SMV) 20250811 | $155.71 | — |
| WELLCARE MED ADVANTAGE | 4691_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 | $155.71 | — |
| WELLCARE MED ADVANTAGE | 4929_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250811 | $155.71 | — |
| WELMED MEDICARE | 4669_MEDICARE ADVANTAGE WELMED INPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20251001 | $155.71 | — |
| WELMED MEDICARE | 4930_MEDICARE ADVANTAGE WELMED OUTPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20250811 | $155.71 | — |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4682_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001 | $155.71 | — |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4764_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250811 | $155.71 | — |
| COVID HRSA | 4693_COVID HRSA UNIN Q80 INPATIENT 20251001 | $155.71 | — |
| COVID HRSA | 4765_COVID HRSA UNIN Q80 OUTPATIENT 20250811 | $155.71 | — |
| CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $155.71 | — |
| MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $155.71 | — |
| RESEARCH STUDY | 4098_RESEARCH STUDY OP 20250101 | $155.71 | — |
| RESEARCH STUDY | 4650_RESEARCH STUDY IP 20251001 | $155.71 | — |
| UHCPCIP | 4126_UNITED HEALTHCARE PCIP (AUS) OP 20250101 | $155.71 | — |
| TRICARE | 4696_TRICARE INPATIENT 20251001 | $155.71 | — |
| ADDR CANCER TOGETHER | 4681_ADDR CANCER TOGETHER INPATIENT 20251001 | $155.71 | — |
| ADDR CANCER TOGETHER | 4747_ADDR CANCER TOGETHER OUTPATIENT 20250811 | $155.71 | — |
| DEVOTED HEALTH MCR REPLACEMENT | 4684_MEDICARE ADVANTAGE DEVOTED HEALTH INPATIENT 20251001 | $155.71 | — |
| DEVOTED HEALTH MCR REPLACEMENT | 4918_MEDICARE ADVANTAGE DEVOTED HEALTH OUTPATIENT 20250811 | $155.71 | — |
| SUPERIOR ALLWELL | 4419_MEDICARE ADVANTAGE SUPERIOR ALLWELL OUTPATIENT 20250101 | $155.71 | — |
| SUPERIOR ALLWELL | 4686_MEDICARE ADVANTAGE SUPERIOR ALLWELL INPATIENT 20251001 | $155.71 | — |
| UHC MCR REPLACEMENT | 4928_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT (AUS,NW,SW,HAY,SMV) 20250811 | $158.82 | — |
| UHC MCR REPLACEMENT | 4687_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT (AUS,NW,SW,HAY) 20251001 | $158.82 | — |
| CONNECTED SENIOR CARE | 4660_MEDICARE ADVANTAGE CONNECTED SENIOR CARE INPATIENT 20251001 | $160.38 | — |
| CONNECTED SENIOR CARE | 2475_MEDICARE ADVANTAGE CONNECTED SENIOR CARE OUTPATIENT 20221001 | $160.38 | — |
| PPHP MCR ADVANTAGE | 4925_MEDICARE ADVANTAGE PPHP OUTPATIENT 20250811 | $163.50 | — |
| TX INDEPENDENCE HP | 4671_TX INDEPENDENCE HP IP 20251001 | $163.50 | — |
| PPHP MCR ADVANTAGE | 4668_MEDICARE ADVANTAGE PPHP INPATIENT 20251001 | $163.50 | — |
| TX INDEPENDENCE HP | 4741_TX INDEPENDENCE HP OP 20250811 | $163.50 | — |
| OCCUNET | 4674_OCCUNET IP 20251001 | $217.99 | — |
| OCCUNET | 4123_OCCUNET OP 20250101 | $217.99 | — |
| SENDERO IDEALCARE | 4675_SENDERO IDEALCARE IP 20251001 | $272.49 | — |
| SENDERO IDEALCARE | 1571_SENDERO IDEALCARE OP 20200101 | $272.49 | — |
| SUPERIOR AMBETTER | 4652_SUPERIOR AMBETTER INPATIENT 20251001 | $280.28 | — |
| SUPERIOR AMBETTER | 4960_SUPERIOR AMBETTER OUTPATIENT 20250811 | $280.28 | — |
Visitor-reported prices
Comments
Adapt behavior tx phys/qhp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $46.72 – $280.28 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $46.72 – $113.38 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $46.72 – $113.38 |
| Texas Health Hospital Mansfield | Mansfield | $642.77 | $37.46 – $356.61 |
| Adventhealth Rollins Brook | Lampasas | not published | $105.18 – $105.18 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $63.93 – $91.90 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $63.93 – $91.90 |
| HCA HOUSTON CONROE | CONROE | not published | $63.93 – $91.90 |