Biopsy of upper nose/throat at St. Joseph Health College Station Hospital
1604 Rock Prairie Road, College Station, TX · CommonSpirit Health · · NPI 1942294939
$15.05
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.
$86.00
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.
$47.30 with Health Smart vs $10,557.04 with NX Health — 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 |
|---|---|---|---|
| Health Smart | Commercial|All Plans | $47.30 | ↑ +214% |
| Aetna | Commercial|All Plans | $48.16 | ↑ +220% |
| Humana | Commercial|All Plans | $52.46 | ↑ +249% |
| Multiplan | Commercial|All Plans | $73.10 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $86.00 | ↑ +471% |
| SUPERIOR | Medicaid|CHIP | $932.72 | ↑ +6097% |
| UNITED | Medicaid|STARKIDS | $951.37 | ↑ +6221% |
| UNITED | Medicaid|All Other Plans | $951.37 | ↑ +6221% |
| SUPERIOR | Medicaid|All Other Plans | $979.36 | ↑ +6407% |
| BCBS | Medicaid|STARKIDS | $979.36 | ↑ +6407% |
| Wellpoint | Medicaid|All Other Plans | $979.36 | ↑ +6407% |
| SUPERIOR | Medicaid|STAR | $1,753.51 | ↑ +11551% |
| Wellpoint | Medicaid|STAR | $1,753.51 | ↑ +11551% |
| SUPERIOR | Medicaid|STARPLUS | $2,061.31 | ↑ +13596% |
| UNITED | Medicaid|STARPLUS | $2,098.62 | ↑ +13844% |
| United | Commercial|Exchange | $2,124.00 | ↑ +14013% |
| KELSEY | Medicare|All Plans | $2,719.05 | ↑ +17967% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +19089% |
| PGT | Medicare|All Plans | $3,183.36 | ↑ +21052% |
| AETNA | Medicare|All Plans | $3,248.32 | ↑ +21484% |
| BCBS | Medicare|All Plans | $3,248.32 | ↑ +21484% |
| UNITED | Medicare|All Plans | $3,313.29 | ↑ +21915% |
| AMERIVANTAGE | Medicare|All Plans | $3,345.77 | ↑ +22131% |
| SCANHealth | Medicare|All Plans | $3,475.70 | ↑ +22994% |
| BCBS-TX | Commercial|Blue Premier | $3,667.01 | ↑ +24266% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,693.20 | ↑ +24440% |
| ACH | Commercial|All Plans | $3,735.57 | ↑ +24721% |
| BCBS-TX | Commercial|HMO | $3,928.94 | ↑ +26006% |
| Cigna | Commercial|All Other Plans | $3,943.00 | ↑ +26099% |
| United | Commercial|All Other Plans | $4,168.00 | ↑ +27594% |
| BCBS-TX | Commercial|PPO | $4,321.83 | ↑ +28616% |
| Ambetter | Commercial|All Plans | $4,710.06 | ↑ +31196% |
| Wellpoint | Commercial|Exchange | $4,872.48 | ↑ +32275% |
| Bright Health | Commercial|All Plans | $4,898.38 | ↑ +32447% |
| Entrust | Commercial|All Plans | $5,699.40 | ↑ +37770% |
| Wellpath | Commercial|All Plans | $6,122.90 | ↑ +40584% |
| Ellwood | Commercial|All Plans | $9,744.96 | ↑ +64651% |
| NX Health | Commercial|All Plans | $10,557.04 | ↑ +70046% |
Visitor-reported prices
Comments
Biopsy of upper nose/throat at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,463.14 | $85.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,463.14 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,463.14 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,463.14 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,463.14 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $2,463.14 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $2,463.14 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $2,463.14 | $71.00 – $7,975.81 |