Serpina1 gene at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$310.54
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.
$517.57
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.
$36.00 with United Healthcare vs $465.81 with Three Rivers — 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 | Commercial | $36.00 | ↓ -88% |
| Superior Health Plan | Medicaid | $36.67 | ↓ -88% |
| United Healthcare | Medicaid/CHIP | $39.24 | ↓ -87% |
| Baylor Scott & White Health Plan | Medicare Advantage | $41.47 | ↓ -87% |
| CORVEL | Worker's Compensation | $42.34 | ↓ -86% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $43.65 | ↓ -86% |
| Humana | Medicare | $43.65 | ↓ -86% |
| TriWest | Community Care Network | $43.65 | ↓ -86% |
| ProCare Advantage | Medicare Advantage | $45.83 | ↓ -85% |
| American Health Plan | Medicare Advantage | $45.83 | ↓ -85% |
| HealthSpring | Medicare Advantage | $45.83 | ↓ -85% |
| United Healthcare | Medicare Advantage | $48.89 | ↓ -84% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $52.38 | ↓ -83% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $54.78 | ↓ -82% |
| Prime Health Services | Worker's Compensation | $55.04 | ↓ -82% |
| Sedgwick | Preferred Network | $65.26 | ↓ -79% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $72.02 | ↓ -77% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $80.04 | ↓ -74% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $94.16 | ↓ -70% |
| Mark Cuban | Commercial | $104.76 | ↓ -66% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $225.67 | ↓ -27% |
| Blue Cross Blue Shield | Blue Advantage | $228.73 | ↓ -26% |
| Cigna | Local Plus | $240.15 | ↓ -23% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $261.46 | ↓ -16% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $275.43 | ↓ -11% |
| Cigna | HMO/PPO | $280.52 | ↓ -10% |
| Aetna | Commercial | $284.66 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $284.66 | ↓ -8% |
| MidCoast | Commercial | $284.66 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $300.19 | ↓ -3% |
| Independent Medical System | Commercial PPO | $310.54 | ↑ +0% |
| Humana | Commercial HMO | $336.42 | ↑ +8% |
| Curative | Commercial | $336.42 | ↑ +8% |
| First Health | PPO | $362.30 | ↑ +17% |
| Humana | Commercial PPO | $362.30 | ↑ +17% |
| HealthSmart | Accel Network | $362.30 | ↑ +17% |
| HealthSmart | Preferred Network | $388.18 | ↑ +25% |
| Private Health Care System | PHCS Network | $388.18 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $465.81 | ↑ +50% |
Visitor-reported prices
Comments
Serpina1 gene at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $335.18 | $35.00 – $418.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $310.54 | $36.00 – $465.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $310.54 | $36.00 – $388.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $335.18 | $35.00 – $418.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $310.54 | $36.00 – $465.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $310.54 | $26.00 – $465.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $310.54 | $36.00 – $465.81 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $335.18 | $35.00 – $418.97 |