Administration vaccine pneumococcal at Dell Seton Medical Center at The University of Texas (Ascension Seton)

1500 Red River St, Austin, TX · Ascension · · NPI 1093810327

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

$78.75

Cash price

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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.

$218.75

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$19.91 with CHAMPVA vs $198.91 with BCBS PPO — 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 →

Payer
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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
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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 1135_CHAMPVA REST_TX 20180301 $19.91 ↓ -75%
CHAMPVA 1136_CHAMPVA AUSTIN 20180301 $21.09 ↓ -73%
HUMANA HMO 2668_HUMANA HMO 20230701 $28.99 ↓ -63%
TRICARE 1229_TRICARE CAH OUTPATIENT 20170101 $29.82 ↓ -62%
BCBS BAV EXCHANGE 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 $81.96 ↑ +4%
BCBS HPN 4440_BLUE CROSS BLUE SHIELD HPN 20250501 $162.96 ↑ +107%
BCBS HPN 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 $162.96 ↑ +107%
BCBS HMO ESSENTIALS 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 $179.74 ↑ +128%
BCBS PPO 4094_BLUE CROSS BLUE SHIELD PPO 20250101 $198.91 ↑ +153%

Visitor-reported prices

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Administration vaccine pneumococcal at other Texas hospitals

Hospital City Cash price Negotiated range
Ascension Seton Medical Center Austin (Ascension Seton) Austin $67.05 $19.91 – $179.74
Ascension Seton Northwest (Ascension Seton) Austin $67.05 $19.91 – $179.74
Dell Children's Medical Center (Ascension Seton) Austin $138.78 $19.91 – $179.74
St. Luke's Health - Patients Medical Center Pasadena $45.15 $37.00 – $96.75
Baylor St Luke's Medical Center Houston $51.80 $39.96 – $148.00
St. Luke's Health Memorial Lufkin Lufkin $31.50 $82.62 – $145.80
HCA HOUSTON PEARLAND Pearland $85.13 $112.16 – $193.92
St. Luke's Health - Springwoods Village Hospital Spring $51.80 $37.00 – $148.00

All Texas hospitals for this procedure →