Lap sleeve gastrectomy 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.
$839.69 with BCBS BAV EXCHANGE vs $10,225.00 with UHC — 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 |
|---|---|---|---|
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $839.69 | — |
| HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — |
| OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | $1,115.15 | — |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,119.58 | — |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,119.58 | — |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | $1,126.35 | — |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,201.22 | — |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,364.49 | — |
| UHC | 4498_UNITED HEALTHCARE (AUS,NW,SW, BAS) 20250701 | $10,224.00 | — |
| UHC | 4500_UNITED HEALTHCARE (WIL,HAYS) 20250701 | $10,225.00 | — |
Visitor-reported prices
Comments
Lap sleeve gastrectomy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,800.01 | $342.01 – $3,857.15 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,457.79 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $1,970.93 – $20,285.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $2,239.16 – $18,555.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | not published | $1,830.98 – $18,555.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | not published | $1,970.93 – $20,285.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | not published | $1,446.13 – $20,285.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | not published | $1,830.98 – $18,555.00 |