Handle/convey/speciman/office-lab 99000 at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$30.36
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.
$50.60
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.
$5.06 with Superior Health Plan vs $77.30 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $5.06 | ↓ -83% |
| United Healthcare | Medicaid/CHIP | $5.41 | ↓ -82% |
| United Healthcare | Commercial | $12.00 | ↓ -60% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $15.34 | ↓ -49% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $18.05 | ↓ -41% |
| Cigna | Local Plus | $19.57 | ↓ -36% |
| Cigna | HMO/PPO | $22.86 | ↓ -25% |
| QuikTrip | Employee Benefit Plan | $23.19 | ↓ -24% |
| Aetna | Commercial | $23.19 | ↓ -24% |
| MidCoast | Commercial | $23.19 | ↓ -24% |
| University of Mary Hardin-Baylor | Commercial | $24.46 | ↓ -19% |
| Curative | Commercial | $27.41 | ↓ -10% |
| Humana | Commercial HMO | $27.41 | ↓ -10% |
| Humana | Commercial PPO | $29.52 | ↓ -3% |
| First Health | PPO | $29.52 | ↓ -3% |
| TriWest | Community Care Network | $31.63 | ↑ +4% |
| Private Health Care System | PHCS Network | $31.63 | ↑ +4% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $63.33 | ↑ +109% |
| Blue Cross Blue Shield | Blue Advantage | $64.19 | ↑ +111% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $73.38 | ↑ +142% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $77.30 | ↑ +155% |
Visitor-reported prices
Comments
Handle/convey/speciman/office-lab 99000 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $30.36 | $8.60 – $43.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $35.06 | $5.98 – $43.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $30.36 | $8.10 – $43.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $35.06 | $9.32 – $77.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $35.06 | $8.00 – $43.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $30.36 | $8.43 – $63.33 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $30.36 | $8.10 – $43.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $30.36 | $7.59 – $43.01 |