Igh@ var region somatic mutation analy at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$766.50
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.
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What you pay up front if you don't use insurance.
$1,277.50
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.
$36.00 with United Healthcare vs $1,858.42 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 | Commercial | $36.00 | ↓ -95% |
| Superior Health Plan | Medicaid | $247.40 | ↓ -68% |
| United Healthcare | Medicaid/CHIP | $264.72 | ↓ -65% |
| Baylor Scott & White Health Plan | Medicare Advantage | $279.79 | ↓ -63% |
| CORVEL | Worker's Compensation | $285.68 | ↓ -63% |
| Humana | Medicare | $294.52 | ↓ -62% |
| TriWest | Community Care Network | $294.52 | ↓ -62% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $294.52 | ↓ -62% |
| ProCare Advantage | Medicare Advantage | $309.25 | ↓ -60% |
| HealthSpring | Medicare Advantage | $309.25 | ↓ -60% |
| American Health Plan | Medicare Advantage | $309.25 | ↓ -60% |
| United Healthcare | Medicare Advantage | $329.86 | ↓ -57% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $353.42 | ↓ -54% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $369.62 | ↓ -52% |
| Prime Health Services | Worker's Compensation | $371.39 | ↓ -52% |
| Sedgwick | Preferred Network | $440.31 | ↓ -43% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $485.96 | ↓ -37% |
| Cigna | Local Plus | $522.00 | ↓ -32% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $536.61 | ↓ -30% |
| Cigna | HMO/PPO | $609.75 | ↓ -20% |
| Aetna | Commercial | $618.75 | ↓ -19% |
| MidCoast | Commercial | $618.75 | ↓ -19% |
| QuikTrip | Employee Benefit Plan | $618.75 | ↓ -19% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $631.30 | ↓ -18% |
| University of Mary Hardin-Baylor | Commercial | $652.50 | ↓ -15% |
| Independent Medical System | Commercial PPO | $675.00 | ↓ -12% |
| Mark Cuban | Commercial | $706.85 | ↓ -8% |
| Humana | Commercial HMO | $731.25 | ↓ -5% |
| Curative | Commercial | $731.25 | ↓ -5% |
| HealthSmart | Accel Network | $787.50 | ↑ +3% |
| Humana | Commercial PPO | $787.50 | ↑ +3% |
| First Health | PPO | $787.50 | ↑ +3% |
| Private Health Care System | PHCS Network | $843.75 | ↑ +10% |
| HealthSmart | Preferred Network | $843.75 | ↑ +10% |
| Three Rivers | Three Rivers Provider Network | $1,012.50 | ↑ +32% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,522.67 | ↑ +99% |
| Blue Cross Blue Shield | Blue Advantage | $1,543.28 | ↑ +101% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,764.17 | ↑ +130% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,858.42 | ↑ +142% |
Visitor-reported prices
Comments
Igh@ var region somatic mutation analy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $795.25 | $35.00 – $843.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $993.40 | $36.00 – $1,012.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $766.50 | $36.00 – $843.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $795.25 | $35.00 – $843.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $993.40 | $36.00 – $1,012.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $993.40 | $26.00 – $1,012.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $766.50 | $36.00 – $1,012.50 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $795.25 | $35.00 – $843.75 |