BCBS Texas Lab Work Rates in Austin

Published Blue Cross Blue Shield of Texas negotiated rates for Lab Work at 7 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$11.09

BSW Medical Center Buda

all plan types

Highest Rate

$62.52

BSW Medical Center Pflugerville

all plan types

Rate Spread

across all plan types

Hospitals

with Blue Cross Blue Shield of Texas data

Blue Cross Blue Shield of Texas lab-work rates in Austin vary dramatically, with a 6x spread from $11.09 to $62.52 across 7 hospitals. The lowest rate at BSW Medical Center Buda reflects Medicare Advantage pricing, while commercial rates typically run higher. The median negotiated rate stands at $51.22.

Why the range is so wide: Blue Cross Blue Shield of Texas negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Blue Cross Blue Shield of Texas Lab Work Rates by Hospital

Hospital	Lowest Blue Cross Blue Shield of Texas Rate	Plan Type	Highest Rate	Plans
BSW Medical Center Buda	$11.09	Medicare Advantage	$62.52	20
BSW Medical Center Marble Falls	$11.09	Medicare Advantage	$62.52	20
BSW Medical Center Round Rock	$11.09	Medicare Advantage	$62.52	20
BSW Medical Center Taylor	$22.9	Medicare Advantage	$72.93	21
BSW Medical Center Austin	$37.68	Blue Premier	$62.52	18
BSW Medical Center Lakeway	$37.68	Blue Premier	$62.52	18
BSW Medical Center Pflugerville	$37.68	Blue Premier	$62.52	18

Rates shown are Blue Cross Blue Shield of Texas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Blue Cross Blue Shield of Texas plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Understanding Blue Cross Blue Shield of Texas Negotiated Rates

A negotiated rate is the price Blue Cross Blue Shield of Texas has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Blue Cross Blue Shield of Texas plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for Lab Work in Austin

Curative $67.52 - $160.98 8 hospitals Aetna $11.09 - $136.21 7 hospitals Baylor Scott & White Health Plan $10.03 - $141.56 7 hospitals Cigna $49.34 - $149.34 7 hospitals First Health/Coventry $72.71 - $173.36 7 hospitals Humana $10.56 - $231.53 7 hospitals

View all Lab Work prices in Austin (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Blue Cross Blue Shield of Texas Lab Work in Austin?

The lowest Blue Cross Blue Shield of Texas negotiated rate for Lab Work in Austin is $11.09 at BSW Medical Center Buda, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $62.52 at BSW Medical Center Pflugerville, a 6x difference. Commercial plan rates typically fall between these extremes.

Is the Blue Cross Blue Shield of Texas negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Blue Cross Blue Shield of Texas has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Blue Cross Blue Shield of Texas for a pre-service cost estimate specific to your plan.

How many Austin hospitals have published Blue Cross Blue Shield of Texas rates?

7 hospitals in the Austin area have published Blue Cross Blue Shield of Texas negotiated rates for Lab Work in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Blue Cross Blue Shield of Texas directly.

Can I get lab work done at a cheaper location with Blue Cross Blue Shield of Texas?

Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your Blue Cross Blue Shield of Texas plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.

We are not affiliated with Blue Cross Blue Shield of Texas or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Blue Cross Blue Shield of Texas or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official Blue Cross Blue Shield of Texas website: www.bcbstx.com