Pretreat rbc w enzyme reference at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$94.50
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.
$157.50
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.
$12.00 with United Healthcare vs $1,788.32 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 | $12.00 | ↓ -87% |
| Superior Health Plan | Medicaid | $14.67 | ↓ -84% |
| United Healthcare | Medicaid/CHIP | $15.70 | ↓ -83% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $48.52 | ↓ -49% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $57.09 | ↓ -40% |
| Cigna | Local Plus | $61.89 | ↓ -35% |
| Cigna | HMO/PPO | $72.29 | ↓ -24% |
| MidCoast | Commercial | $73.36 | ↓ -22% |
| Aetna | Commercial | $73.36 | ↓ -22% |
| QuikTrip | Employee Benefit Plan | $73.36 | ↓ -22% |
| University of Mary Hardin-Baylor | Commercial | $77.36 | ↓ -18% |
| Independent Medical System | Commercial PPO | $80.03 | ↓ -15% |
| Curative | Commercial | $86.70 | ↓ -8% |
| Humana | Commercial HMO | $86.70 | ↓ -8% |
| HealthSmart | Accel Network | $93.37 | ↓ -1% |
| Humana | Commercial PPO | $93.37 | ↓ -1% |
| First Health | PPO | $93.37 | ↓ -1% |
| HealthSmart | Preferred Network | $100.03 | ↑ +6% |
| Private Health Care System | PHCS Network | $100.03 | ↑ +6% |
| Three Rivers | Three Rivers Provider Network | $120.04 | ↑ +27% |
| Baylor Scott & White Health Plan | Medicare Advantage | $162.59 | ↑ +72% |
| CORVEL | Worker's Compensation | $166.02 | ↑ +76% |
| Humana | Medicare | $171.15 | ↑ +81% |
| TriWest | Community Care Network | $171.15 | ↑ +81% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $171.15 | ↑ +81% |
| American Health Plan | Medicare Advantage | $179.71 | ↑ +90% |
| ProCare Advantage | Medicare Advantage | $179.71 | ↑ +90% |
| HealthSpring | Medicare Advantage | $179.71 | ↑ +90% |
| United Healthcare | Medicare Advantage | $191.69 | ↑ +103% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $205.38 | ↑ +117% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $214.79 | ↑ +127% |
| Prime Health Services | Worker's Compensation | $215.82 | ↑ +128% |
| Sedgwick | Preferred Network | $255.87 | ↑ +171% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $282.40 | ↑ +199% |
| Mark Cuban | Commercial | $423.12 | ↑ +348% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,465.23 | ↑ +1451% |
| Blue Cross Blue Shield | Blue Advantage | $1,485.07 | ↑ +1472% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,697.63 | ↑ +1696% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,788.32 | ↑ +1792% |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $214.33 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $198.45 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $94.50 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $214.33 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $198.45 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $198.45 | $8.00 – $423.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $94.50 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $214.33 | $10.00 – $423.12 |