Biopsy vestibule of mouth 40808 at St. Joseph Health College Station Hospital
1604 Rock Prairie Road, College Station, TX · CommonSpirit Health · · NPI 1942294939
$45.15
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.
$258.00
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.
$113.30 with SUPERIOR vs $2,960.00 with United — 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $113.30 | ↑ +151% |
| UNITED | Medicaid|All Other Plans | $115.57 | ↑ +156% |
| UNITED | Medicaid|STARKIDS | $115.57 | ↑ +156% |
| BCBS | Medicaid|STARKIDS | $118.97 | ↑ +163% |
| SUPERIOR | Medicaid|All Other Plans | $118.97 | ↑ +163% |
| Wellpoint | Medicaid|All Other Plans | $118.97 | ↑ +163% |
| Health Smart | Commercial|All Plans | $141.90 | ↑ +214% |
| Aetna | Commercial|All Plans | $144.48 | ↑ +220% |
| Humana | Commercial|All Plans | $157.38 | ↑ +249% |
| BCBS-TX | Commercial|Blue Premier | $170.77 | ↑ +278% |
| BCBS-TX | Commercial|Blue Advantage HMO | $171.99 | ↑ +281% |
| BCBS-TX | Commercial|HMO | $182.97 | ↑ +305% |
| BCBS-TX | Commercial|PPO | $201.27 | ↑ +346% |
| Wellpoint | Medicaid|STAR | $213.00 | ↑ +372% |
| SUPERIOR | Medicaid|STAR | $213.00 | ↑ +372% |
| Multiplan | Commercial|All Plans | $219.30 | ↑ +386% |
| SUPERIOR | Medicaid|STARPLUS | $250.39 | ↑ +455% |
| UNITED | Medicaid|STARPLUS | $254.93 | ↑ +465% |
| BCBS-TX | Commercial|Ref Lab | $258.00 | ↑ +471% |
| KELSEY | Medicare|All Plans | $436.59 | ↑ +867% |
| PGT | Medicare|All Plans | $499.87 | ↑ +1007% |
| AETNA | Medicare|All Plans | $510.07 | ↑ +1030% |
| BCBS | Medicare|All Plans | $510.07 | ↑ +1030% |
| UNITED | Medicare|All Plans | $520.27 | ↑ +1052% |
| AMERIVANTAGE | Medicare|All Plans | $525.37 | ↑ +1064% |
| SCANHealth | Medicare|All Plans | $545.77 | ↑ +1109% |
| ACH | Commercial|All Plans | $586.58 | ↑ +1199% |
| Ambetter | Commercial|All Plans | $739.60 | ↑ +1538% |
| Wellpoint | Commercial|Exchange | $765.11 | ↑ +1595% |
| Bright Health | Commercial|All Plans | $809.79 | ↑ +1694% |
| Entrust | Commercial|All Plans | $973.98 | ↑ +2057% |
| Wellpath | Commercial|All Plans | $1,012.19 | ↑ +2142% |
| United | Commercial|Exchange | $1,508.00 | ↑ +3240% |
| Ellwood | Commercial|All Plans | $1,530.21 | ↑ +3289% |
| NX Health | Commercial|All Plans | $1,657.73 | ↑ +3572% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +6456% |
Visitor-reported prices
Comments
Biopsy vestibule of mouth 40808 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $962.09 | $85.00 – $1,443.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $962.09 | $71.00 – $1,443.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $902.61 | $71.00 – $1,363.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $962.09 | $107.70 – $1,443.13 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $902.61 | $71.00 – $1,363.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $962.09 | $71.00 – $1,363.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $962.09 | $71.00 – $1,443.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $902.61 | $71.00 – $1,363.00 |