Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$138.91
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.
$231.52
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 $1,354.25 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 | ↓ -74% |
| Cigna | Local Plus | $62.25 | ↓ -55% |
| Cigna | HMO/PPO | $72.72 | ↓ -48% |
| Aetna | Commercial | $73.79 | ↓ -47% |
| QuikTrip | Employee Benefit Plan | $73.79 | ↓ -47% |
| MidCoast | Commercial | $73.79 | ↓ -47% |
| University of Mary Hardin-Baylor | Commercial | $77.82 | ↓ -44% |
| Independent Medical System | Commercial PPO | $80.50 | ↓ -42% |
| Humana | Commercial HMO | $87.21 | ↓ -37% |
| Curative | Commercial | $87.21 | ↓ -37% |
| Humana | Commercial PPO | $93.92 | ↓ -32% |
| HealthSmart | Accel Network | $93.92 | ↓ -32% |
| First Health | PPO | $93.92 | ↓ -32% |
| HealthSmart | Preferred Network | $100.63 | ↓ -28% |
| Private Health Care System | PHCS Network | $100.63 | ↓ -28% |
| Three Rivers | Three Rivers Provider Network | $120.75 | ↓ -13% |
| Superior Health Plan | Medicaid | $180.28 | ↑ +30% |
| United Healthcare | Medicaid/CHIP | $192.90 | ↑ +39% |
| Baylor Scott & White Health Plan | Medicare Advantage | $203.89 | ↑ +47% |
| CORVEL | Worker's Compensation | $208.18 | ↑ +50% |
| Humana | Medicare | $214.62 | ↑ +55% |
| TriWest | Community Care Network | $214.62 | ↑ +55% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $214.62 | ↑ +55% |
| ProCare Advantage | Medicare Advantage | $225.35 | ↑ +62% |
| American Health Plan | Medicare Advantage | $225.35 | ↑ +62% |
| HealthSpring | Medicare Advantage | $225.35 | ↑ +62% |
| United Healthcare | Medicare Advantage | $240.37 | ↑ +73% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $257.54 | ↑ +85% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $269.35 | ↑ +94% |
| Prime Health Services | Worker's Compensation | $270.64 | ↑ +95% |
| Sedgwick | Preferred Network | $320.86 | ↑ +131% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $354.12 | ↑ +155% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $391.08 | ↑ +182% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $460.10 | ↑ +231% |
| Mark Cuban | Commercial | $515.09 | ↑ +271% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,109.59 | ↑ +699% |
| Blue Cross Blue Shield | Blue Advantage | $1,124.61 | ↑ +710% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,285.57 | ↑ +825% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,354.25 | ↑ +875% |
Visitor-reported prices
Comments
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $386.06 | $35.00 – $515.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $138.91 | $16.57 – $515.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $138.91 | $36.00 – $515.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $386.06 | $35.00 – $515.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $138.91 | $36.00 – $515.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $138.91 | $26.00 – $515.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $138.91 | $36.00 – $515.09 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $386.06 | $35.00 – $515.09 |