Oth resp proc, indiv at Ascension Seton Edgar B. Davis (Ascension Seton)
130 Hays St, Luling, TX · Ascension · · NPI 1356446686
$207.18
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.
$575.50
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.
$9.74 with CHAMPVA vs $54.04 with TRICARE — 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 |
|---|---|---|---|
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | $9.74 | ↓ -95% |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | $10.56 | ↓ -95% |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $17.25 | ↓ -92% |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | $17.37 | ↓ -92% |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $34.31 | ↓ -83% |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $34.31 | ↓ -83% |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $37.84 | ↓ -82% |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $41.87 | ↓ -80% |
| TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $54.04 | ↓ -74% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $487.56 | $23.61 – $94.87 |
| Covenant Children's Hospital | Lubbock | $67.20 | $34.41 – $34.41 |
| HCA HOUSTON KINGWOOD | HUMBLE | $86.91 | $23.61 – $94.87 |
| HCA HOUSTON NORTHWEST | SPRING | $339.63 | $23.61 – $94.87 |
| St. Luke's Health - Patients Medical Center | Pasadena | $132.30 | $14.73 – $978.00 |
| Baylor St Luke's Medical Center | Houston | $105.35 | $11.91 – $301.00 |
| St. Joseph Health Madison Hospital | Madisonville | $35.53 | $20.08 – $670.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $105.35 | $14.73 – $301.00 |