Egd remove foreign body at Ascension Seton Smithville (Ascension Seton)
1201 Hill Rd, Smithville, TX · Ascension · · NPI 1154612638
not published by hospital
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.
not published by hospital
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.
$179.85 with CHAMPVA vs $1,590.03 with SENDERO IDEALCARE — 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 | $179.85 | — |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | $185.17 | — |
| WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT STAR | 4203_CHIRP AMERIGROUP STAR (SMV) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT STAR | 4203_CHIRP WELLPOINT/AMERIGROUP STAR (SMV) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT STAR KIDS | 4982_WELLPOINT/AMERIGROUP STAR KIDS (SMV) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT STAR PLUS | 4214_CHIRP AMERIGROUP STAR PLUS (SMV) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT STAR PLUS | 4214_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SMV) OUTPATIENT 20241201 | $334.95 | — |
| BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| BCBS CHIP/CHIP PERINATE | 4174_BLUE CROSS CHIP (SMV) OUTPATIENT 20241201 | $334.95 | — |
| BCBS CHIP/CHIP PERINATE | 4174_BLUE CROSS CHIP/STAR KIDS (SMV) OUTPATIENT 20241201 | $334.95 | — |
| BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| BCBS STAR | 4225_CHIRP BLUE CROSS STAR (SMV) OUTPATIENT 20241201 | $334.95 | — |
| BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| BCBS STAR KIDS | 5015_BLUE CROSS STAR KIDS (SMV) OUTPATIENT 20241201 | $334.95 | — |
| DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| DELL CHIP/CHIP PERINATE | 4185_DELL CHIP/STAR KIDS (SMV) OUTPATIENT 20241201 | $334.95 | — |
| DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| DELL STAR | 4236_CHIRP DELL STAR (SMV) OUTPATIENT 20241201 | $334.95 | — |
| UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| UHC STAR | 4259_CHIRP UHC STAR (SMV) OUTPATIENT 20241201 | $334.95 | — |
| UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| UHC STAR KIDS | 4317_UHC STAR KIDS (SMV) OUTPATIENT 20241201 | $334.95 | — |
| UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| UHC STAR PLUS | 4270_CHIRP UHC STAR PLUS (SMV) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4163_AMERIGROUP CHIP/STAR KIDS (SMV) OUTPATIENT 20241201 | $334.95 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4163_WELLPOINT/AMERIGROUP CHIP (SMV) OUTPATIENT 20241201 | $334.95 | — |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $565.86 | — |
| TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $720.14 | — |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $754.48 | — |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $754.48 | — |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $809.50 | — |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $919.53 | — |
| HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — |
| OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — |
| SENDERO IDEALCARE | 1571_SENDERO IDEALCARE OP 20200101 | $1,590.03 | — |
Visitor-reported prices
Comments
Egd remove foreign body at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,127.28 | $879.87 – $7,034.24 |
| St. Luke's Health - Patients Medical Center | Pasadena | $815.85 | $1,398.60 – $1,748.25 |
| St. Joseph Health Madison Hospital | Madisonville | $421.40 | $306.78 – $2,408.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $334.34 | $846.98 – $2,006.00 |
| St. Joseph Health College Station Hospital | College Station | $421.40 | $1,324.40 – $2,408.00 |
| St. Joseph Health Grimes Hospital | Navasota | $421.40 | $873.15 – $2,672.88 |
| St. Luke's Health Memorial Livingston | Livingston | $334.34 | $401.20 – $2,006.00 |
| Covenant Medical Center | Lubbock | $1,127.28 | $894.72 – $6,330.82 |