Insitu hybridization manual at Ascension Seton Highland Lakes (Ascension Seton)

3201 S Water St, Burnet, TX · Ascension · · NPI 1003833013

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

$366.93

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,019.25

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.

$81.50 with CHAMPVA vs $1,334.86 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 1136_CHAMPVA AUSTIN 20180301 $81.50 ↓ -78%
CHAMPVA 1135_CHAMPVA REST_TX 20180301 $117.64 ↓ -68%
SETON PERFORMANCE PLUS 785_SETON PERFORMANCE EPO PPO (AUS,NW,SW,HAY) 20180101 $120.35 ↓ -67%
SETON PERFORMANCE PLUS 788_SETON PERFORMANCE EPO PPO (WIL,DEL,BRK,BAS) 20180101 $120.35 ↓ -67%
SENDERO CHAP 4344_SENDERO CHAP (SHL) 20250304 $122.31 ↓ -67%
HUMANA MCR REPLACEMENT 781_HUMANA MCR REPLACEMENT (SHL) 20161001 $142.69 ↓ -61%
AETNA HMO EXCHANGE 1377_AETNA HMO EXCHANGE 20200101 $144.95 ↓ -60%
AETNA MULTI-TIER WHOLE HEALTH SHA 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 $158.42 ↓ -57%
AETNA ACO HMO 4489_AETNA ACO HMO 20250801 $158.42 ↓ -57%
HUMANA HMO 2668_HUMANA HMO 20230701 $166.45 ↓ -55%
CIGNA HMO 4476_CIGNA HMO (WIL,DEL) 20250701 $179.52 ↓ -51%
CIGNA HMO 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 $179.52 ↓ -51%
TRICARE 1229_TRICARE CAH OUTPATIENT 20170101 $202.34 ↓ -45%
AETNA SHA AISD 4335_AETNA SHA AISD 20250101 $439.88 ↑ +20%
BCBS BAV EXCHANGE 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 $538.48 ↑ +47%
COVENANT HEALTH 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 $549.85 ↑ +50%
AETNA HMO 4486_AETNA HMO 20250801 $549.85 ↑ +50%
AETNA POS 20140601 235_AETNA POS 20140601 $926.01 ↑ +152%
AETNA CHOICE 236_AETNA ELECT CHOICE 20140601 $926.01 ↑ +152%
BCBS HPN 4440_BLUE CROSS BLUE SHIELD HPN 20250501 $1,093.96 ↑ +198%
BCBS HPN 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 $1,093.96 ↑ +198%
BCBS HMO ESSENTIALS 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 $1,207.33 ↑ +229%
BCBS PPO 4094_BLUE CROSS BLUE SHIELD PPO 20250101 $1,334.86 ↑ +264%

Visitor-reported prices

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Insitu hybridization manual at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $401.28 $35.00 – $890.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $318.00 $36.00 – $890.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $318.00 $36.00 – $890.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $401.28 $35.00 – $890.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $318.00 $36.00 – $890.45
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $318.00 $26.00 – $890.45
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $318.00 $36.00 – $890.45
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $401.28 $35.00 – $890.45

All Texas hospitals for this procedure →