Surgical pathology level 6 gross & microscopic examination at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$677.44
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.
$1,129.06
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 $3,963.94 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 | $124.20 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $132.89 | ↓ -80% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $410.75 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $483.24 | ↓ -29% |
| Cigna | Local Plus | $523.88 | ↓ -23% |
| Cigna | HMO/PPO | $611.95 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $620.98 | ↓ -8% |
| MidCoast | Commercial | $620.98 | ↓ -8% |
| Aetna | Commercial | $620.98 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $654.85 | ↓ -3% |
| Independent Medical System | Commercial PPO | $677.44 | ↑ +0% |
| Curative | Commercial | $733.89 | ↑ +8% |
| Humana | Commercial HMO | $733.89 | ↑ +8% |
| Baylor Scott & White Health Plan | Medicare Advantage | $768.88 | ↑ +13% |
| CORVEL | Worker's Compensation | $785.07 | ↑ +16% |
| Humana | Commercial PPO | $790.34 | ↑ +17% |
| First Health | PPO | $790.34 | ↑ +17% |
| HealthSmart | Accel Network | $790.34 | ↑ +17% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $809.35 | ↑ +19% |
| TriWest | Community Care Network | $809.35 | ↑ +19% |
| Humana | Medicare | $809.35 | ↑ +19% |
| Private Health Care System | PHCS Network | $846.79 | ↑ +25% |
| HealthSmart | Preferred Network | $846.79 | ↑ +25% |
| HealthSpring | Medicare Advantage | $849.82 | ↑ +25% |
| American Health Plan | Medicare Advantage | $849.82 | ↑ +25% |
| ProCare Advantage | Medicare Advantage | $849.82 | ↑ +25% |
| United Healthcare | Medicare Advantage | $906.47 | ↑ +34% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $971.22 | ↑ +43% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,015.73 | ↑ +50% |
| Three Rivers | Three Rivers Provider Network | $1,016.15 | ↑ +50% |
| Prime Health Services | Worker's Compensation | $1,020.59 | ↑ +51% |
| Sedgwick | Preferred Network | $1,209.98 | ↑ +79% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,335.43 | ↑ +97% |
| Mark Cuban | Commercial | $2,130.15 | ↑ +214% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,247.79 | ↑ +379% |
| Blue Cross Blue Shield | Blue Advantage | $3,291.77 | ↑ +386% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,762.92 | ↑ +455% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,963.94 | ↑ +485% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $657.12 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $880.68 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $677.44 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $657.12 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $880.68 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $880.68 | $26.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $677.44 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $657.12 | $35.00 – $2,130.15 |