BSW Health Plan Echocardiogram Rates in Austin

Published Baylor Scott & White Health Plan negotiated rates for Echocardiogram at 7 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$462.14

BSW Medical Center Marble Falls

all plan types

Highest Rate

$1,847.22

BSW Medical Center Taylor

all plan types

Rate Spread

4x

across all plan types

Hospitals

7

with Baylor Scott & White Health Plan data

Echocardiogram rates at Baylor Scott & White facilities in Austin vary dramatically, with a 4x spread between the lowest rate of $462 at Marble Falls (Medicare Advantage) and highest of $1,847 at Taylor. The median rate across 7 hospitals is $814. Note that the lowest rates often reflect Medicare or Medicaid pricing rather than commercial insurance rates.

Why the range is so wide: Baylor Scott & White Health Plan 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.

Baylor Scott & White Health Plan Echocardiogram Rates by Hospital

Hospital Lowest Baylor Scott & White Health Plan Rate
BSW Medical Center Marble Falls $462.14
BSW Medical Center Austin $468.79
BSW Medical Center Buda $468.79
BSW Medical Center Lakeway $468.79
BSW Medical Center Pflugerville $468.79
BSW Medical Center Round Rock $468.79
BSW Medical Center Taylor $861.03

Rates shown are Baylor Scott & White Health Plan's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Baylor Scott & White Health Plan 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 Baylor Scott & White Health Plan Negotiated Rates

A negotiated rate is the price Baylor Scott & White Health Plan 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 Baylor Scott & White Health Plan 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 Echocardiogram in Austin

View all Echocardiogram prices in Austin (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Baylor Scott & White Health Plan Echocardiogram in Austin?

The lowest Baylor Scott & White Health Plan negotiated rate for Echocardiogram in Austin is $462.14 at BSW Medical Center Marble Falls, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,847.22 at BSW Medical Center Taylor, a 4x difference. Commercial plan rates typically fall between these extremes.

Is the Baylor Scott & White Health Plan negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Baylor Scott & White Health Plan 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 Baylor Scott & White Health Plan for a pre-service cost estimate specific to your plan.

How many Austin hospitals have published Baylor Scott & White Health Plan rates?

7 hospitals in the Austin area have published Baylor Scott & White Health Plan negotiated rates for Echocardiogram in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Baylor Scott & White Health Plan directly.

Does Baylor Scott & White Health Plan require prior authorization for an echocardiogram?

Many Baylor Scott & White Health Plan plans require prior authorization for echocardiograms. Without it, the claim may be denied. Your referring provider's office typically handles the authorization request. The rates shown here are facility fees; the physician reading fee is billed separately.

We are not affiliated with Baylor Scott & White Health Plan 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 Baylor Scott & White Health Plan 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 Baylor Scott & White Health Plan website: www.bswhealthplan.com