Venipuncture <3 yrs other vein at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$2,046.92
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.
$3,411.54
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.
$16.73 with Superior Health Plan vs $7,441.00 with Humana — 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 | $16.73 | ↓ -99% |
| United Healthcare | Medicaid/CHIP | $17.91 | ↓ -99% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $50.73 | ↓ -98% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $59.68 | ↓ -97% |
| Cigna | Local Plus | $64.70 | ↓ -97% |
| United Healthcare | Commercial | $68.75 | ↓ -97% |
| Blue Cross Blue Shield | Blue Advantage | $71.00 | ↓ -97% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | ↓ -96% |
| Cigna | HMO/PPO | $75.58 | ↓ -96% |
| QuikTrip | Employee Benefit Plan | $76.70 | ↓ -96% |
| Aetna | Commercial | $76.70 | ↓ -96% |
| MidCoast | Commercial | $76.70 | ↓ -96% |
| University of Mary Hardin-Baylor | Commercial | $80.88 | ↓ -96% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | ↓ -96% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | ↓ -96% |
| Curative | Commercial | $90.64 | ↓ -96% |
| Humana | Commercial PPO | $97.61 | ↓ -95% |
| First Health | PPO | $97.61 | ↓ -95% |
| TriWest | Community Care Network | $104.59 | ↓ -95% |
| Private Health Care System | PHCS Network | $104.59 | ↓ -95% |
| Humana | Commercial HMO | $7,441.00 | ↑ +264% |
Visitor-reported prices
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Venipuncture <3 yrs other vein at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $117.60 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $73.71 | $14.01 – $157.95 |
| St. Joseph Health Madison Hospital | Madisonville | $42.70 | $31.09 – $244.00 |
| St. Joseph Health College Station Hospital | College Station | $42.70 | $19.52 – $244.00 |
| St. Joseph Health Grimes Hospital | Navasota | $42.70 | $88.48 – $270.84 |
| Covenant Medical Center | Lubbock | $117.60 | $111.96 – $111.96 |
| St. Joseph Health Burleson Hospital | Caldwell | $42.70 | $53.68 – $244.00 |
| Covenant Hospital Plainview | Plainview | $120.96 | not published |