Amputation leg thr tib/fib 27880 at Ascension Seton Smithville (Ascension Seton)

1201 Hill Rd, Smithville, TX · Ascension · · NPI 1154612638

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

not published by hospital

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.

not published by hospital

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.

$682.44 with BCBS BAV EXCHANGE vs $1,108.96 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
BCBS BAV EXCHANGE 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 $682.44
CHAMPVA 1135_CHAMPVA REST_TX 20180301 $905.91
BCBS HPN 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 $909.92
BCBS HPN 4440_BLUE CROSS BLUE SHIELD HPN 20250501 $909.92
CHAMPVA 1136_CHAMPVA AUSTIN 20180301 $927.23
HUMANA HMO CUST 206_HUMANA HMO CUSTOM 20140201 $969.15
BCBS HMO ESSENTIALS 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 $976.26
OSCAR HEALTH EXCHANGE 4511_OSCAR HEALTH PLAN 20251001 $1,000.00
BCBS PPO 4094_BLUE CROSS BLUE SHIELD PPO 20250101 $1,108.96

Visitor-reported prices

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Amputation leg thr tib/fib 27880 at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas not published $1,184.79 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas not published $1,601.83 – $15,671.95
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth not published $1,601.83 – $15,671.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett not published $1,175.31 – $15,671.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY McKinney not published $1,601.83 – $15,671.95
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple not published $1,488.09 – $10,897.47
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $8,691.60 – $8,691.60
HCA HOUSTON MEDICAL CENTER Houston not published $8,691.60 – $8,691.60

All Texas hospitals for this procedure →