Pt evaluation moderate complexity patient/family at Ascension Seton Smithville (Ascension Seton)
1201 Hill Rd, Smithville, TX · Ascension · · NPI 1154612638
$135.09
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.
?
What you pay up front if you don't use insurance.
$375.25
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.
?
The hospital's undiscounted list price — almost no one pays this.
$83.55 with CHAMPVA vs $462.00 with COVENANT HEALTH — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $83.55 | ↓ -38% |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | $86.08 | ↓ -36% |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $147.90 | ↑ +9% |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $165.10 | ↑ +22% |
| SENDERO IDEALCARE | 1571_SENDERO IDEALCARE OP 20200101 | $166.84 | ↑ +24% |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | $180.42 | ↑ +34% |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | $180.42 | ↑ +34% |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $294.07 | ↑ +118% |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $294.07 | ↑ +118% |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $324.34 | ↑ +140% |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $358.93 | ↑ +166% |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $370.64 | ↑ +174% |
| AETNA HMO | 4486_AETNA HMO 20250801 | $462.00 | ↑ +242% |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | $462.00 | ↑ +242% |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $554.20 | $332.99 – $332.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $285.10 | $80.78 – $403.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $332.36 | $68.41 – $498.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $352.31 | $70.46 – $440.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $285.10 | $76.03 – $403.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $332.36 | $106.69 – $498.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $332.36 | $155.00 – $498.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $352.31 | $108.00 – $528.46 |