Surgical pathology level 3 gross & microscopic examination at BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE
6800 Scenic Drive, Rowlett, TX · Baylor Scott & White Health · · NPI 1205018439
$239.50
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.
$399.16
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.
$35.00 with United Healthcare vs $380.42 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| United Healthcare | Charter | $35.00 | ↓ -85% |
| United Healthcare | Nexus | $35.00 | ↓ -85% |
| United Healthcare | Commercial Broad | $39.00 | ↓ -84% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $43.91 | ↓ -82% |
| Superior Health Plan | Medicaid | $43.91 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $46.98 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $49.73 | ↓ -79% |
| CORVEL | Worker's Compensation | $50.78 | ↓ -79% |
| Humana | Medicare | $52.35 | ↓ -78% |
| TriWest | Community Care Network | $52.35 | ↓ -78% |
| WellPoint (fka Amerigroup) | Medicare | $53.92 | ↓ -77% |
| Superior Health Plan | Medicare | $54.97 | ↓ -77% |
| American Health Plan | Medicare Advantage | $54.97 | ↓ -77% |
| HealthSpring | Medicare Advantage | $54.97 | ↓ -77% |
| Blue Cross Blue Shield | Medicare Advantage | $54.97 | ↓ -77% |
| Molina | Medicare Advantage | $54.97 | ↓ -77% |
| ProCare Advantage | Medicare Advantage | $54.97 | ↓ -77% |
| United Healthcare | Medicare Advantage | $58.63 | ↓ -76% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $62.82 | ↓ -74% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $65.70 | ↓ -73% |
| Prime Health Services | Worker's Compensation | $66.01 | ↓ -72% |
| Sedgwick | Preferred Network | $78.26 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $86.38 | ↓ -64% |
| Superior Ambetter | Ambetter Exchange | $112.55 | ↓ -53% |
| Mark Cuban | Commercial | $134.24 | ↓ -44% |
| Blue Cross Blue Shield | Blue Advantage | $180.07 | ↓ -25% |
| Employers Health Network | BSWQA Direct/EHN Rental | $187.61 | ↓ -22% |
| Cigna | Local Plus | $196.79 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $196.79 | ↓ -18% |
| Aetna | Commercial | $219.54 | ↓ -8% |
| Employers Health Network | EHN Network | $219.54 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $219.54 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $231.51 | ↓ -3% |
| Cigna | HMO/PPO | $231.51 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $231.51 | ↓ -3% |
| Imagine Health | Commercial | $231.51 | ↓ -3% |
| Texas A&M Commerce | Injured Athletes | $239.50 | ↑ +0% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $254.77 | ↑ +6% |
| Curative | Commercial | $259.45 | ↑ +8% |
| HealthSmart | Accel Network | $279.41 | ↑ +17% |
| Humana | Commercial PPO | $279.41 | ↑ +17% |
| First Health | PPO | $279.41 | ↑ +17% |
| HealthSmart | Preferred Network | $299.37 | ↑ +25% |
| Private Health Care System | PHCS Network | $299.37 | ↑ +25% |
| Blue Cross Blue Shield | City of Dallas | $342.33 | ↑ +43% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $361.63 | ↑ +51% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $380.42 | ↑ +59% |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $659.75 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $239.50 | $35.00 – $299.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $266.74 | $36.00 – $400.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $217.32 | $36.00 – $271.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $239.50 | $35.00 – $299.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $266.74 | $36.00 – $400.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $266.74 | $26.00 – $400.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $217.32 | $36.00 – $325.98 |