Echo transesophageal 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

$319.41

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.

Full explanation →

What you pay up front if you don't use insurance.

$887.25

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$162.69 with BCBS BAV EXCHANGE vs $754.16 with AETNA PPO - CHI — same scan, same building. Share

Negotiated rates by payer
?

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
BCBS BAV EXCHANGE 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 $162.69 ↓ -49%
BCBS HPN 4440_BLUE CROSS BLUE SHIELD HPN 20250501 $323.48 ↑ +1%
BCBS HPN 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 $323.48 ↑ +1%
BCBS HMO ESSENTIALS 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 $356.78 ↑ +12%
BCBS PPO 4094_BLUE CROSS BLUE SHIELD PPO 20250101 $394.83 ↑ +24%
AETNA SHA AISD 4335_AETNA SHA AISD 20250101 $408.13 ↑ +28%
AETNA ACO HMO 4489_AETNA ACO HMO 20250801 $408.13 ↑ +28%
AETNA MULTI-TIER WHOLE HEALTH SHA 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 $452.50 ↑ +42%
AETNA ACO HMO 4495_AETNA ACO HMO (SMV) 20250801 $452.50 ↑ +42%
AETNA MULTI-TIER WHOLE HEALTH SHA 4496_AETNA MULTI-TIER WHOLE HEALTH (SMV) 20250801 $487.99 ↑ +53%
AETNA PPO 4488_AETNA PPO 20250801 $496.86 ↑ +56%
AETNA HMO 4486_AETNA HMO 20250801 $514.61 ↑ +61%
COVENANT HEALTH 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 $514.61 ↑ +61%
COVENANT HEALTH 4494_COVENANT MANAGEMENT SOLUTIONS-AETNA (SMV) 20250801 $550.10 ↑ +72%
AETNA HMO 4492_AETNA HMO (SMV) 20250801 $550.10 ↑ +72%
AETNA PPO 4493_AETNA PPO (SMV) 20250801 $550.10 ↑ +72%
AETNA ACO PPO/HMO - CHI 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801 $621.07 ↑ +94%
AETNA MULTI-TIER WHOLE HEALTH SHA 4484_AETNA MULTI-TIER WHOLE HEALTH SHA (CHI,DCN) 20250801 $683.18 ↑ +114%
AETNA HMO - CHI 4481_AETNA HMO (CHI,DCN) 20250801 $754.16 ↑ +136%
COVENANT HEALTH 4485_COVENANT MANAGEMENT SOLUTIONS-AETNA (CHI,DCN) 20250801 $754.16 ↑ +136%
AETNA PPO - CHI 4482_AETNA PPO (CHI,DCN) 20250801 $754.16 ↑ +136%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Echo transesophageal at other Texas hospitals

Hospital City Cash price Negotiated range
Dell Children's Medical Center (Ascension Seton) Austin $621.08 $162.69 – $394.83
Adventhealth Rollins Brook Lampasas not published $366.29 – $366.29
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $222.63 – $2,269.71
HCA HOUSTON MEDICAL CENTER Houston not published $222.63 – $2,269.71
Covenant Children's Hospital Lubbock not published $324.43 – $324.43
HCA HOUSTON CONROE CONROE not published $222.63 – $2,269.71
HCA HOUSTON KINGWOOD HUMBLE not published $222.63 – $2,269.71
HCA HOUSTON NORTHWEST SPRING not published $222.63 – $2,269.71

All Texas hospitals for this procedure →