MRI upper extremity other than joint without contrast (both sides) at Ascension Seton Smithville (Ascension Seton)
1201 Hill Rd, Smithville, TX · Ascension · · NPI 1154612638
$1,103.76
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.
$3,066.00
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.
$232.31 with WELLPOINT STAR vs $2,689.74 with AETNA POS 20140601 — 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 |
|---|---|---|---|
| WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $232.31 | ↓ -79% |
| UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $232.31 | ↓ -79% |
| UHC STAR KIDS | 4328_UHC STAR KIDS (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $232.31 | ↓ -79% |
| UHC STAR PLUS | 3754_CHIRP UHC STAR PLUS (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| UHC STAR | 3743_CHIRP UHC STAR (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| WELLPOINT CHIP/CHIP PERINATE | 3589_WELLPOINT CHIP/STAR KIDS (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $232.31 | ↓ -79% |
| BCBS CHIP/CHIP PERINATE | 3600_BLUE CROSS CHIP/STAR KIDS (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $232.31 | ↓ -79% |
| WELLPOINT STAR | 3677_CHIRP WELLPOINT/AMERIGROUP STAR (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $232.31 | ↓ -79% |
| BCBS STAR | 3699_CHIRP BLUE CROSS STAR (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| WELLPOINT STAR PLUS | 3688_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $232.31 | ↓ -79% |
| DELL CHIP/CHIP PERINATE | 3611_DELL CHIP/STAR KIDS (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $232.31 | ↓ -79% |
| DELL STAR | 3710_CHIRP DELL STAR (SMV) INPATIENT 20240901 | $232.31 | ↓ -79% |
| SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $233.52 | ↓ -79% |
| BCBS CHIP/CHIP PERINATE | 4174_BLUE CROSS CHIP (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT STAR PLUS | 4214_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT STAR | 4203_CHIRP AMERIGROUP STAR (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| DELL STAR | 4236_CHIRP DELL STAR (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT STAR KIDS | 4982_WELLPOINT/AMERIGROUP STAR KIDS (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| DELL CHIP/CHIP PERINATE | 4185_DELL CHIP/STAR KIDS (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| UHC STAR KIDS | 4317_UHC STAR KIDS (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT CHIP/CHIP PERINATE | 4163_WELLPOINT/AMERIGROUP CHIP (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| UHC STAR | 4259_CHIRP UHC STAR (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| UHC STAR PLUS | 4270_CHIRP UHC STAR PLUS (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| BCBS STAR KIDS | 5015_BLUE CROSS STAR KIDS (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT CHIP/CHIP PERINATE | 4163_AMERIGROUP CHIP/STAR KIDS (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT STAR | 4203_CHIRP WELLPOINT/AMERIGROUP STAR (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| WELLPOINT STAR PLUS | 4214_CHIRP AMERIGROUP STAR PLUS (SMV) OUTPATIENT 20241201 | $233.52 | ↓ -79% |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $247.02 | ↓ -78% |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | $250.48 | ↓ -77% |
| TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $264.28 | ↓ -76% |
| UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| BCBS CHIP/CHIP PERINATE | 4174_BLUE CROSS CHIP/STAR KIDS (SMV) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| SUPERIOR AMBETTER | 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901 | $273.54 | ↓ -75% |
| DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| BCBS STAR | 4225_CHIRP BLUE CROSS STAR (SMV) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $273.54 | ↓ -75% |
| BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $273.54 | ↓ -75% |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | $297.97 | ↓ -73% |
| SENDERO IDEALCARE | 1571_SENDERO IDEALCARE OP 20200101 | $409.94 | ↓ -63% |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | $501.80 | ↓ -55% |
| SETON PERFORMANCE PLUS | 788_SETON PERFORMANCE EPO PPO (WIL,DEL,BRK,BAS) 20180101 | $755.47 | ↓ -32% |
| SETON PERFORMANCE PLUS | 785_SETON PERFORMANCE EPO PPO (AUS,NW,SW,HAY) 20180101 | $755.47 | ↓ -32% |
| SUPERIOR STAR PLUS | 4381_CHIRP SUPERIOR STAR PLUS (SMV) INPATIENT 20240901 | $773.70 | ↓ -30% |
| SUPERIOR STAR | 3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901 | $773.70 | ↓ -30% |
| SUPERIOR STAR | 4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201 | $773.70 | ↓ -30% |
| SUPERIOR STAR | 3515_CHIRP SUPERIOR STAR (SMV) INPATIENT 20240901 | $773.70 | ↓ -30% |
| SUPERIOR STAR | 4247_CHIRP SUPERIOR STAR (SMV) OUTPATIENT 20241201 | $773.70 | ↓ -30% |
| SUPERIOR STAR FOSTER | 4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201 | $773.70 | ↓ -30% |
| SUPERIOR STAR FOSTER | 4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201 | $773.70 | ↓ -30% |
| SUPERIOR STAR KIDS | 4888_SUPERIOR STAR KIDS OUTPATIENT 20241201 | $773.70 | ↓ -30% |
| SUPERIOR STAR KIDS | 4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $773.70 | ↓ -30% |
| SUPERIOR STAR PLUS | 4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901 | $773.70 | ↓ -30% |
| SUPERIOR STAR PLUS | 4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $773.70 | ↓ -30% |
| SUPERIOR STAR PLUS | 4401_CHIRP SUPERIOR STAR PLUS (SMV) OUTPATIENT 20241201 | $773.70 | ↓ -30% |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $855.26 | ↓ -23% |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $855.26 | ↓ -23% |
| SUPERIOR CHIP/CHIP PERINATE | 3619_SUPERIOR CHIP INPATIENT 20240901 | $870.41 | ↓ -21% |
| SUPERIOR CHIP/CHIP PERINATE | 4190_SUPERIOR CHIP OUTPATIENT 20241201 | $870.41 | ↓ -21% |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $941.48 | ↓ -15% |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,041.69 | ↓ -6% |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | $1,750.00 | ↑ +59% |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | $1,750.00 | ↑ +59% |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $1,753.34 | ↑ +59% |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $1,797.18 | ↑ +63% |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $1,972.51 | ↑ +79% |
| AETNA HMO | 4486_AETNA HMO 20250801 | $2,191.68 | ↑ +99% |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | $2,191.68 | ↑ +99% |
| AETNA CHOICE | 236_AETNA ELECT CHOICE 20140601 | $2,689.74 | ↑ +144% |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $2,689.74 | ↑ +144% |
| AETNA POS 20140601 | 235_AETNA POS 20140601 | $2,689.74 | ↑ +144% |
Visitor-reported prices
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MRI upper extremity other than joint without contrast (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,074.10 | $227.71 – $2,592.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,614.40 | $314.76 – $3,921.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,370.78 | $227.71 – $2,963.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,074.10 | $227.71 – $2,592.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,614.40 | $227.71 – $3,921.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,614.40 | $233.47 – $3,921.61 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,370.78 | $227.71 – $3,556.17 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,074.10 | $227.71 – $2,592.62 |