Warde lipoprotein-associated phospholipase a2 at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$178.47
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.
$297.45
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.
$12.00 with United Healthcare vs $292.22 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 | $12.00 | ↓ -93% |
| Superior Health Plan | Medicaid | $38.90 | ↓ -78% |
| United Healthcare | Medicaid/CHIP | $41.62 | ↓ -77% |
| Baylor Scott & White Health Plan | Medicare Advantage | $43.99 | ↓ -75% |
| TriWest | Community Care Network | $46.31 | ↓ -74% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $46.31 | ↓ -74% |
| Humana | Medicare | $46.31 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $48.63 | ↓ -73% |
| ProCare Advantage | Medicare Advantage | $48.63 | ↓ -73% |
| American Health Plan | Medicare Advantage | $48.63 | ↓ -73% |
| HealthSpring | Medicare Advantage | $48.63 | ↓ -73% |
| United Healthcare | Medicare Advantage | $51.87 | ↓ -71% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $55.57 | ↓ -69% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $58.12 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $76.41 | ↓ -57% |
| Cigna | Local Plus | $81.20 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $83.67 | ↓ -53% |
| Cigna | HMO/PPO | $94.85 | ↓ -47% |
| Aetna | Commercial | $96.25 | ↓ -46% |
| MidCoast | Commercial | $96.25 | ↓ -46% |
| QuikTrip | Employee Benefit Plan | $96.25 | ↓ -46% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $98.44 | ↓ -45% |
| University of Mary Hardin-Baylor | Commercial | $101.50 | ↓ -43% |
| Mark Cuban | Commercial | $111.14 | ↓ -38% |
| Curative | Commercial | $113.75 | ↓ -36% |
| Humana | Commercial HMO | $113.75 | ↓ -36% |
| Humana | Commercial PPO | $122.50 | ↓ -31% |
| First Health | PPO | $122.50 | ↓ -31% |
| Private Health Care System | PHCS Network | $131.25 | ↓ -26% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $239.42 | ↑ +34% |
| Blue Cross Blue Shield | Blue Advantage | $242.66 | ↑ +36% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $277.40 | ↑ +55% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $292.22 | ↑ +64% |
Visitor-reported prices
Comments
Warde lipoprotein-associated phospholipase a2 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $187.39 | $10.00 – $131.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $162.77 | $12.00 – $157.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $187.39 | $10.00 – $131.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $162.77 | $12.00 – $157.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $162.77 | $8.00 – $157.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $178.47 | $12.00 – $157.50 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $187.39 | $10.00 – $131.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $187.39 | $10.00 – $131.25 |