MRA upper extremity post contrast-bil 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

$1,358.46

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.

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

$3,773.50

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.

$257.83 with CHAMPVA vs $3,756.57 with AETNA ACO HMO — 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
CHAMPVA 1136_CHAMPVA AUSTIN 20180301 $257.83 ↓ -81%
CHAMPVA 1135_CHAMPVA REST_TX 20180301 $322.69 ↓ -76%
BCBS BAV EXCHANGE 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 $326.24 ↓ -76%
HUMANA HMO 2668_HUMANA HMO 20230701 $537.17 ↓ -60%
BCBS HPN 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 $1,129.52 ↓ -17%
BCBS HPN 4440_BLUE CROSS BLUE SHIELD HPN 20250501 $1,129.52 ↓ -17%
BCBS HMO ESSENTIALS 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 $1,243.39 ↓ -8%
BCBS PPO 4094_BLUE CROSS BLUE SHIELD PPO 20250101 $1,375.73 ↑ +1%
CIGNA HMO 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 $1,750.00 ↑ +29%
CIGNA HMO 4476_CIGNA HMO (WIL,DEL) 20250701 $1,750.00 ↑ +29%
AETNA SHA AISD 4335_AETNA SHA AISD 20250101 $1,969.00 ↑ +45%
COVENANT HEALTH 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 $2,930.04 ↑ +116%
AETNA HMO 4486_AETNA HMO 20250801 $2,930.04 ↑ +116%
AETNA POS 20140601 235_AETNA POS 20140601 $3,137.58 ↑ +131%
AETNA HMO EXCHANGE 1377_AETNA HMO EXCHANGE 20200101 $3,137.58 ↑ +131%
AETNA CHOICE 236_AETNA ELECT CHOICE 20140601 $3,137.58 ↑ +131%
AETNA MULTI-TIER WHOLE HEALTH SHA 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 $3,756.57 ↑ +177%
AETNA ACO HMO 4489_AETNA ACO HMO 20250801 $3,756.57 ↑ +177%

Visitor-reported prices

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MRA upper extremity post contrast-bil at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,224.43 $346.92 – $2,149.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,943.87 $400.11 – $2,915.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,680.56 $336.11 – $2,577.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,224.43 $326.51 – $2,577.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,943.87 $623.98 – $2,915.80
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,943.87 $1,004.33 – $2,915.80
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $1,680.56 $560.19 – $2,520.85
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $1,224.43 $326.51 – $2,149.00

All Texas hospitals for this procedure →