Bx breast add lesion strtctc at BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM
700 Medical Parkway, Brenham, TX · Baylor Scott & White Health · · NPI 1154315307
$764.56
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.
$1,274.27
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.
$71.00 with Blue Cross Blue Shield vs $1,146.84 with BlueBell Creameries — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Blue Advantage | $71.00 | ↓ -91% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | ↓ -90% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | ↓ -89% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | ↓ -89% |
| Baylor Scott & White Health Plan | Medicare Advantage | $157.37 | ↓ -79% |
| American Health Plan | Medicare Advantage | $165.66 | ↓ -78% |
| TriWest | Community Care Network | $165.66 | ↓ -78% |
| Prime Health Services | Worker's Compensation | $173.56 | ↓ -77% |
| CORVEL | Worker's Compensation | $173.56 | ↓ -77% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $173.94 | ↓ -77% |
| HealthSpring | Medicare Advantage | $173.94 | ↓ -77% |
| ProCare Advantage | Medicare Advantage | $173.94 | ↓ -77% |
| Blue Cross Blue Shield | Medicare Advantage | $173.94 | ↓ -77% |
| United Healthcare | Medicare Advantage | $185.53 | ↓ -76% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $198.79 | ↓ -74% |
| Injury Management Organization | Med Select Network | $205.79 | ↓ -73% |
| CareWorks fka Rockport | Worker's Compensation | $205.79 | ↓ -73% |
| Sedgwick | Preferred Network | $205.79 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $207.96 | ↓ -73% |
| United Healthcare | Medicaid/CHIP | $239.95 | ↓ -69% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $298.18 | ↓ -61% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $463.58 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $545.39 | ↓ -29% |
| United Healthcare | Commercial | $628.22 | ↓ -18% |
| Cigna | Local Plus | $639.68 | ↓ -16% |
| QuikTrip | Employee Benefit Plan | $700.85 | ↓ -8% |
| MidCoast | Commercial | $700.85 | ↓ -8% |
| Aetna | Commercial | $700.85 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $739.08 | ↓ -3% |
| Imagine Health | Commercial | $739.08 | ↓ -3% |
| Cigna | HMO/PPO | $751.82 | ↓ -2% |
| Independent Medical System | Commercial PPO | $764.56 | ↑ +0% |
| Curative | Commercial | $828.28 | ↑ +8% |
| First Health | PPO | $891.99 | ↑ +17% |
| Humana | Commercial PPO | $891.99 | ↑ +17% |
| HealthSmart | Accel Network | $891.99 | ↑ +17% |
| Private Health Care System | PHCS Network | $955.70 | ↑ +25% |
| HealthSmart | Preferred Network | $955.70 | ↑ +25% |
| Humana | Commercial HMO | $1,019.42 | ↑ +33% |
| BlueBell Creameries | Self Insured | $1,146.84 | ↑ +50% |
Visitor-reported prices
Comments
Bx breast add lesion strtctc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,339.34 | $379.48 – $1,897.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $928.58 | $71.00 – $1,160.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,339.34 | $357.16 – $1,897.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $764.56 | $85.00 – $1,146.84 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $764.56 | $395.02 – $1,146.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $928.58 | $71.00 – $1,392.87 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,339.34 | $357.16 – $1,897.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,339.34 | $334.84 – $1,897.40 |