Analysis tumor at Ascension Seton Highland Lakes (Ascension Seton)
3201 S Water St, Burnet, TX · Ascension · · NPI 1003833013
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.
$48.79 with CHAMPVA vs $675.89 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 →
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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 |
|---|---|---|---|
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | $48.79 | — |
| SETON PERFORMANCE PLUS | 788_SETON PERFORMANCE EPO PPO (WIL,DEL,BRK,BAS) 20180101 | $69.41 | — |
| SETON PERFORMANCE PLUS | 785_SETON PERFORMANCE EPO PPO (AUS,NW,SW,HAY) 20180101 | $69.41 | — |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $78.41 | — |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $85.69 | — |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $85.69 | — |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | $92.80 | — |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | $158.24 | — |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | $162.93 | — |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | $162.93 | — |
| TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $202.34 | — |
| AETNA POS 20140601 | 235_AETNA POS 20140601 | $209.33 | — |
| AETNA CHOICE | 236_AETNA ELECT CHOICE 20140601 | $209.33 | — |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $272.65 | — |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $418.08 | — |
| AETNA HMO | 4486_AETNA HMO 20250801 | $522.60 | — |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | $522.60 | — |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $553.91 | — |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $553.91 | — |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $611.31 | — |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $675.89 | — |
| SENDERO CHAP | 4344_SENDERO CHAP (SHL) 20250304 | not published by hospital | — |
| HUMANA MCR REPLACEMENT | 781_HUMANA MCR REPLACEMENT (SHL) 20161001 | not published by hospital | — |
Visitor-reported prices
Comments
Analysis tumor at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $237.89 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $237.89 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $237.89 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $237.89 | $26.00 – $423.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $237.89 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $237.89 | $47.58 – $423.12 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $237.89 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $237.89 | $36.00 – $741.89 |