Immunoassay tumor antigen quantitative ca 125 at BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO
4700 Alliance Blvd., Plano, TX · Baylor Scott & White Health · · NPI 1649273434
$190.18
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.
$316.97
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.
$10.00 with United Healthcare vs $107.38 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| United Healthcare | Charter | $10.00 | ↓ -95% |
| United Healthcare | Nexus | $10.00 | ↓ -95% |
| United Healthcare | Commercial Broad | $11.00 | ↓ -94% |
| Superior Health Plan | Medicaid | $17.48 | ↓ -91% |
| United Healthcare | Medicaid/CHIP | $18.70 | ↓ -90% |
| Baylor Scott & White Health Plan | Medicare Advantage | $19.77 | ↓ -90% |
| CORVEL | Worker's Compensation | $20.19 | ↓ -89% |
| Humana | Medicare | $20.81 | ↓ -89% |
| TriWest | Community Care Network | $20.81 | ↓ -89% |
| Aetna | Medicare Advantage | $20.81 | ↓ -89% |
| ProCare Advantage | Medicare Advantage | $21.85 | ↓ -89% |
| American Health Plan | Medicare Advantage | $21.85 | ↓ -89% |
| Blue Cross Blue Shield | Medicare Advantage | $21.85 | ↓ -89% |
| Superior Health Plan | Medicare | $21.85 | ↓ -89% |
| HealthSpring | Medicare Advantage | $21.85 | ↓ -89% |
| United Healthcare | Medicare Advantage | $23.31 | ↓ -88% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $24.97 | ↓ -87% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $26.12 | ↓ -86% |
| Prime Health Services | Worker's Compensation | $26.24 | ↓ -86% |
| Sedgwick | Preferred Network | $31.11 | ↓ -84% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $32.13 | ↓ -83% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $34.34 | ↓ -82% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $37.80 | ↓ -80% |
| Superior Ambetter | Ambetter Exchange | $44.74 | ↓ -76% |
| Mark Cuban | Commercial | $49.94 | ↓ -74% |
| Blue Cross Blue Shield | Blue Advantage | $50.78 | ↓ -73% |
| Employers Health Network | BSWQA Direct/EHN Rental | $58.75 | ↓ -69% |
| Cigna | Local Plus | $61.62 | ↓ -68% |
| Aetna | Commercial | $68.75 | ↓ -64% |
| Employers Health Network | EHN Network | $68.75 | ↓ -64% |
| QuikTrip | Employee Benefit Plan | $68.75 | ↓ -64% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $72.00 | ↓ -62% |
| Imagine Health | Commercial | $72.50 | ↓ -62% |
| University of Mary Hardin-Baylor | Commercial | $72.50 | ↓ -62% |
| Cigna | HMO/PPO | $72.50 | ↓ -62% |
| Independent Medical System | Commercial PPO | $75.00 | ↓ -61% |
| Curative | Commercial | $81.25 | ↓ -57% |
| Optum | Commercial | $87.50 | ↓ -54% |
| Humana | Commercial PPO | $87.50 | ↓ -54% |
| HealthSmart | Accel Network | $87.50 | ↓ -54% |
| First Health | PPO | $87.50 | ↓ -54% |
| HealthSmart | Preferred Network | $93.75 | ↓ -51% |
| Private Health Care System | PHCS Network | $93.75 | ↓ -51% |
| Blue Cross Blue Shield | City of Dallas | $96.56 | ↓ -49% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $101.97 | ↓ -46% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $107.38 | ↓ -44% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 125 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $337.27 | $18.73 – $80.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $190.18 | $10.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $139.88 | $12.00 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $169.05 | $12.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $190.18 | $10.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $139.88 | $12.00 – $112.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $139.88 | $8.00 – $112.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $169.05 | $12.00 – $112.50 |