Biopsy roof of mouth at St. Joseph Health College Station Hospital
1604 Rock Prairie Road, College Station, TX · CommonSpirit Health · · NPI 1942294939
$36.75
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.
$210.00
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.
$115.50 with Health Smart vs $4,821.96 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 | $115.50 | ↑ +214% |
| Aetna | Commercial|All Plans | $117.60 | ↑ +220% |
| Humana | Commercial|All Plans | $128.10 | ↑ +249% |
| BCBS-TX | Commercial|Blue Premier | $136.42 | ↑ +271% |
| BCBS-TX | Commercial|Blue Advantage HMO | $137.39 | ↑ +274% |
| BCBS-TX | Commercial|HMO | $146.16 | ↑ +298% |
| BCBS-TX | Commercial|PPO | $160.78 | ↑ +337% |
| Multiplan | Commercial|All Plans | $178.50 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $210.00 | ↑ +471% |
| KELSEY | Medicare|All Plans | $1,326.67 | ↑ +3510% |
| PGT | Medicare|All Plans | $1,454.01 | ↑ +3856% |
| AETNA | Medicare|All Plans | $1,483.68 | ↑ +3937% |
| BCBS | Medicare|All Plans | $1,483.68 | ↑ +3937% |
| UNITED | Medicare|All Plans | $1,513.35 | ↑ +4018% |
| AMERIVANTAGE | Medicare|All Plans | $1,528.19 | ↑ +4058% |
| SCANHealth | Medicare|All Plans | $1,587.54 | ↑ +4220% |
| ACH | Commercial|All Plans | $1,706.23 | ↑ +4543% |
| United | Commercial|Exchange | $2,124.00 | ↑ +5680% |
| Ambetter | Commercial|All Plans | $2,151.34 | ↑ +5754% |
| Wellpoint | Commercial|Exchange | $2,225.52 | ↑ +5956% |
| Bright Health | Commercial|All Plans | $2,422.10 | ↑ +6491% |
| Entrust | Commercial|All Plans | $2,699.66 | ↑ +7246% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +7759% |
| Wellpath | Commercial|All Plans | $3,026.97 | ↑ +8137% |
| Cigna | Commercial|All Other Plans | $3,943.00 | ↑ +10629% |
| United | Commercial|All Other Plans | $4,168.00 | ↑ +11241% |
| Ellwood | Commercial|All Plans | $4,451.04 | ↑ +12012% |
| NX Health | Commercial|All Plans | $4,821.96 | ↑ +13021% |
Visitor-reported prices
Comments
Biopsy roof of mouth at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,605.89 | $85.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,605.89 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,601.63 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,605.89 | $829.71 – $3,777.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,601.63 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,605.89 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,605.89 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,601.63 | $71.00 – $3,777.93 |