Biopsy of heart lining at Ascension Seton Northwest (Ascension Seton)
11113 Research Blvd, Austin, TX · Ascension · · NPI 1124137054
$5,633.19
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.
$15,647.75
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.
$501.14 with CHAMPVA vs $14,841.00 with AETNA HMO — 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 |
|---|---|---|---|
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | $501.14 | ↓ -91% |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | $678.20 | ↓ -88% |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,995.32 | ↓ -65% |
| TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $2,171.28 | ↓ -61% |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $2,660.43 | ↓ -53% |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $2,660.43 | ↓ -53% |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $2,854.42 | ↓ -49% |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $3,242.40 | ↓ -42% |
| HUMANA EXCHANGE | 415_HUMANA EXCHANGE (CHI,DCN) 20160101 | $3,531.00 | ↓ -37% |
| HEALTHSMART ACCEL | 755_HEALTH SMART ACCEL (ADULT SITES) 20140101 | $3,630.00 | ↓ -36% |
| HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $3,707.55 | ↓ -34% |
| HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $3,778.00 | ↓ -33% |
| AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $7,354.44 | ↑ +31% |
| AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $7,510.92 | ↑ +33% |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | $8,539.00 | ↑ +52% |
| AETNA PPO | 4488_AETNA PPO 20250801 | $8,762.74 | ↑ +56% |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $9,289.00 | ↑ +65% |
| AETNA CHOICE | 236_AETNA ELECT CHOICE 20140601 | $10,288.00 | ↑ +83% |
| AETNA POS 20140601 | 235_AETNA POS 20140601 | $10,288.00 | ↑ +83% |
| AETNA SHA AISD | 3435_AETNA SHA AISD (CHI,DCN) 20240701 | $10,640.47 | ↑ +89% |
| AETNA ACO PPO/HMO - CHI | 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801 | $10,953.42 | ↑ +94% |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $11,096.00 | ↑ +97% |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4484_AETNA MULTI-TIER WHOLE HEALTH SHA (CHI,DCN) 20250801 | $12,048.77 | ↑ +114% |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $12,169.00 | ↑ +116% |
| AETNA PPO | 4460_AETNA PPO (EBD,SHL) 20250701 | $12,831.15 | ↑ +128% |
| HUMANA PPO | 2673_HUMANA PPO 20230701 | $12,970.00 | ↑ +130% |
| AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | $13,300.59 | ↑ +136% |
| COVENANT HEALTH | 4485_COVENANT MANAGEMENT SOLUTIONS-AETNA (CHI,DCN) 20250801 | $13,300.59 | ↑ +136% |
| AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | $13,300.59 | ↑ +136% |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $13,357.00 | ↑ +137% |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | $14,841.00 | ↑ +163% |
| AETNA HMO | 4486_AETNA HMO 20250801 | $14,841.00 | ↑ +163% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $5,633.19 | $501.14 – $3,242.40 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $5,591.78 | $501.14 – $3,242.40 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $5,633.19 | $501.14 – $3,242.40 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,819.15 | $1,648.76 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,306.49 | $1,298.09 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,099.77 | $1,019.95 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,819.15 | $1,551.77 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,306.49 | $2,024.38 – $17,181.00 |