healthcosts.net
Blood Count (CBC) Test (without differential) at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$93.57
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.
$155.95
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.
$5.43 with Superior Health Plan vs $116.96 with Private Health Care System — 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $5.43 | ↓ -94% |
| United Healthcare | Medicaid/CHIP | $5.81 | ↓ -94% |
| Baylor Scott & White Health Plan | Medicare Advantage | $6.15 | ↓ -93% |
| Humana | Medicare | $6.47 | ↓ -93% |
| TriWest | Community Care Network | $6.47 | ↓ -93% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $6.47 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $6.79 | ↓ -93% |
| ProCare Advantage | Medicare Advantage | $6.79 | ↓ -93% |
| HealthSpring | Medicare Advantage | $6.79 | ↓ -93% |
| American Health Plan | Medicare Advantage | $6.79 | ↓ -93% |
| United Healthcare | Medicare Advantage | $7.25 | ↓ -92% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $7.76 | ↓ -92% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $8.12 | ↓ -91% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $10.68 | ↓ -89% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $10.91 | ↓ -88% |
| United Healthcare | Commercial | $12.00 | ↓ -87% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $12.84 | ↓ -86% |
| Mark Cuban | Commercial | $15.53 | ↓ -83% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $33.45 | ↓ -64% |
| Blue Cross Blue Shield | Blue Advantage | $33.90 | ↓ -64% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $38.76 | ↓ -59% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $40.83 | ↓ -56% |
| Cigna | Local Plus | $72.36 | ↓ -23% |
| Cigna | HMO/PPO | $84.52 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $85.77 | ↓ -8% |
| Aetna | Commercial | $85.77 | ↓ -8% |
| MidCoast | Commercial | $85.77 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $90.45 | ↓ -3% |
| Curative | Commercial | $101.37 | ↑ +8% |
| Humana | Commercial HMO | $101.37 | ↑ +8% |
| Humana | Commercial PPO | $109.17 | ↑ +17% |
| First Health | PPO | $109.17 | ↑ +17% |
| Private Health Care System | PHCS Network | $116.96 | ↑ +25% |
Visitor-reported prices
Comments
Blood Count (CBC) Test (without differential) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $89.90 | $5.43 – $112.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $104.86 | $9.48 – $157.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $89.90 | $5.43 – $112.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $104.86 | $5.81 – $157.29 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $104.86 | $5.43 – $157.29 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $89.90 | $5.43 – $112.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $89.90 | $5.43 – $112.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $104.86 | $5.43 – $131.08 |