Pentostatin 10 mg intravenous solution at Ascension Seton Smithville (Ascension Seton)
1201 Hill Rd, Smithville, TX · Ascension · · NPI 1154612638
$2,581.74
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.
$7,171.50
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.
$1,471.48 with TRICARE vs $4,003.80 with COVENANT HEALTH — 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 |
|---|---|---|---|
| TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $1,471.48 | ↓ -43% |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | $1,984.76 | ↓ -23% |
| UHC | 4498_UNITED HEALTHCARE (AUS,NW,SW, BAS) 20250701 | $2,387.73 | ↓ -8% |
| UHC | 4500_UNITED HEALTHCARE (WIL,HAYS) 20250701 | $2,387.73 | ↓ -8% |
| UHC NEXUS CITY HMO | 4501_UNITED HEALTHCARE NEXUS CITY HMO (AUS,NW,SW,BAS) 20250701 | $2,387.73 | ↓ -8% |
| UHC NEXUS CITY HMO | 4503_UNITED HEALTHCARE NEXUS CITY HMO (WIL,HAYS) 20250701 | $2,387.73 | ↓ -8% |
| UHC NEXUS CITY PPO | 4504_UNITED HEALTHCARE NEXUS CITY PPO (AUS,NW,SW,BAS) 20250401 | $2,387.73 | ↓ -8% |
| UHC NEXUS CITY PPO | 4506_UNITED HEALTHCARE NEXUS CITY PPO (WIL,HAYS) 20250701 | $2,387.73 | ↓ -8% |
| UHC STANDARD NEXUS ACO | 4507_UNITED HEALTHCARE STANDARD NEXUS ACO (AUS,NW,SW,BAS) 20250701 | $2,387.73 | ↓ -8% |
| UHC STANDARD NEXUS ACO | 4509_UNITED HEALTHCARE STANDARD NEXUS ACO (WIL,HAYS) 20250701 | $2,387.73 | ↓ -8% |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $2,878.95 | ↑ +12% |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $3,203.04 | ↑ +24% |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $3,283.12 | ↑ +27% |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $3,603.42 | ↑ +40% |
| AETNA HMO | 4486_AETNA HMO 20250801 | $4,003.80 | ↑ +55% |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | $4,003.80 | ↑ +55% |
Visitor-reported prices
Comments
Pentostatin 10 mg intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $10,280.77 | $8,499.15 – $9,073.47 |
| Baylor St Luke's Medical Center | Houston | $6,112.62 | $2,045.25 – $17,464.62 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,112.62 | $2,477.03 – $17,464.62 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $6,112.62 | $2,477.03 – $17,464.62 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $6,112.62 | $2,477.03 – $17,464.62 |
| St. Luke's Health - The Vintage Hospital | Houston | $6,112.62 | $2,477.03 – $17,464.62 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $3,858.70 | $1,471.48 – $9,521.78 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $2,581.74 | $1,471.48 – $4,003.80 |