Lev 5 hosp type b ed visit at Dell Seton Medical Center at The University of Texas (Ascension Seton)
1500 Red River St, Austin, TX · Ascension · · NPI 1093810327
$1,240.20
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.
$3,445.00
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.
$305.19 with TRICARE vs $2,845.00 with UHC — 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 |
|---|---|---|---|
| TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $305.19 | ↓ -75% |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $636.60 | ↓ -49% |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,265.75 | ↑ +2% |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,265.75 | ↑ +2% |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,396.05 | ↑ +13% |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,544.96 | ↑ +25% |
| UHC | 4498_UNITED HEALTHCARE (AUS,NW,SW, BAS) 20250701 | $2,845.00 | ↑ +129% |
| UHC | 4499_UNITED HEALTHCARE (DEL) 20250701 | $2,845.00 | ↑ +129% |
| UHC | 4500_UNITED HEALTHCARE (WIL,HAYS) 20250701 | $2,845.00 | ↑ +129% |
Visitor-reported prices
Comments
Lev 5 hosp type b ed visit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $1,433.28 – $1,433.28 |
| Covenant Children's Hospital | Lubbock | not published | $1,269.47 – $1,269.47 |
| Covenant Medical Center | Lubbock | not published | $412.60 – $1,269.47 |
| Covenant Hospital Plainview | Plainview | not published | $400.22 – $659.90 |
| Texas Health Hospital Mansfield | Mansfield | not published | $510.40 – $825.19 |
| Covenant Hospital Levelland | Levelland | not published | $400.22 – $659.90 |
| Adventhealth Central Texas | Killeen | not published | $412.60 – $1,433.28 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $510.40 – $826.55 |