Closed tx orbit w/manipulj 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$317.07 with CHAMPVA vs $1,578.73 with BCBS PPO — 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 | 1135_CHAMPVA REST_TX 20180301 | $317.07 | — |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | $330.73 | — |
| WELLPOINT STAR PLUS | 4213_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT STAR | 4202_CHIRP AMERIGROUP STAR (SHL) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT STAR | 4202_CHIRP WELLPOINT/AMERIGROUP STAR (SHL) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT STAR KIDS | 4980_WELLPOINT/AMERIGROUP STAR KIDS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT STAR PLUS | 4213_CHIRP AMERIGROUP STAR PLUS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| BCBS CHIP/CHIP PERINATE | 4173_BLUE CROSS CHIP (SHL) OUTPATIENT 20241201 | $548.63 | — |
| BCBS CHIP/CHIP PERINATE | 4173_BLUE CROSS CHIP/STAR KIDS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| BCBS STAR | 4224_CHIRP BLUE CROSS STAR (SHL) OUTPATIENT 20241201 | $548.63 | — |
| BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| BCBS STAR KIDS | 5013_BLUE CROSS STAR KIDS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| DELL CHIP/CHIP PERINATE | 4184_DELL CHIP/STAR KIDS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| DELL STAR | 4235_CHIRP DELL STAR (SHL) OUTPATIENT 20241201 | $548.63 | — |
| SUPERIOR STAR | 4246_CHIRP SUPERIOR STAR (SHL) OUTPATIENT 20241201 | $548.63 | — |
| SUPERIOR STAR PLUS | 4399_CHIRP SUPERIOR STAR PLUS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| UHC STAR | 4258_CHIRP UHC STAR (SHL) OUTPATIENT 20241201 | $548.63 | — |
| UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| UHC STAR KIDS | 4316_UHC STAR KIDS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| UHC STAR PLUS | 4269_CHIRP UHC STAR PLUS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4162_AMERIGROUP CHIP/STAR KIDS (SHL) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4162_WELLPOINT/AMERIGROUP CHIP (SHL) OUTPATIENT 20241201 | $548.63 | — |
| WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $548.63 | — |
| TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $666.29 | — |
| HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $971.52 | — |
| OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,295.37 | — |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,295.37 | — |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,389.82 | — |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,578.73 | — |
Visitor-reported prices
Comments
Closed tx orbit w/manipulj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,955.10 | $763.11 – $11,141.85 |
| Covenant Medical Center | Lubbock | $1,955.10 | $775.99 – $10,027.66 |
| Covenant Hospital Plainview | Plainview | $1,850.94 | $1,511.89 – $2,300.00 |
| Texas Health Hospital Mansfield | Mansfield | $8,243.52 | $1,424.90 – $3,117.31 |
| Covenant Hospital Levelland | Levelland | $1,845.90 | $1,511.89 – $2,747.88 |
| Covenant Specialty Hospital | Lubbock | $1,955.10 | not published |
| Adventhealth Rollins Brook | Lampasas | not published | $1,686.68 – $2,991.88 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | not published | $548.63 – $4,463.00 |