Valvuloplasty mitral at BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM
700 Medical Parkway, Brenham, TX · Baylor Scott & White Health · · NPI 1154315307
$10,435.39
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.
$17,392.32
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.
$2,147.95 with Baylor Scott & White Health Plan vs $33,292.49 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $2,147.95 | ↓ -79% |
| TriWest | Community Care Network | $2,261.00 | ↓ -78% |
| American Health Plan | Medicare Advantage | $2,261.00 | ↓ -78% |
| CORVEL | Worker's Compensation | $2,368.83 | ↓ -77% |
| Prime Health Services | Worker's Compensation | $2,368.83 | ↓ -77% |
| Blue Cross Blue Shield | Medicare Advantage | $2,374.05 | ↓ -77% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $2,374.05 | ↓ -77% |
| HealthSpring | Medicare Advantage | $2,374.05 | ↓ -77% |
| ProCare Advantage | Medicare Advantage | $2,374.05 | ↓ -77% |
| United Healthcare | Medicare Advantage | $2,532.32 | ↓ -76% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $2,713.20 | ↓ -74% |
| CareWorks fka Rockport | Worker's Compensation | $2,808.86 | ↓ -73% |
| Sedgwick | Preferred Network | $2,808.86 | ↓ -73% |
| Injury Management Organization | Med Select Network | $2,808.86 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $2,838.43 | ↓ -73% |
| United Healthcare | Medicaid/CHIP | $3,274.97 | ↓ -69% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $4,069.80 | ↓ -61% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $6,327.33 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $7,443.91 | ↓ -29% |
| MidCoast | Commercial | $9,565.78 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $9,565.78 | ↓ -8% |
| Aetna | Commercial | $9,565.78 | ↓ -8% |
| United Healthcare | Commercial | $9,751.00 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $10,087.55 | ↓ -3% |
| Independent Medical System | Commercial PPO | $10,435.39 | ↑ +0% |
| Cigna | Local Plus | $10,604.00 | ↑ +2% |
| Curative | Commercial | $11,305.01 | ↑ +8% |
| First Health | PPO | $12,174.62 | ↑ +17% |
| HealthSmart | Accel Network | $12,174.62 | ↑ +17% |
| Humana | Commercial PPO | $12,174.62 | ↑ +17% |
| Cigna | HMO/PPO | $12,475.00 | ↑ +20% |
| Private Health Care System | PHCS Network | $13,044.24 | ↑ +25% |
| HealthSmart | Preferred Network | $13,044.24 | ↑ +25% |
| Humana | Commercial HMO | $13,913.86 | ↑ +33% |
| BlueBell Creameries | Self Insured | $15,653.09 | ↑ +50% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $27,248.32 | ↑ +161% |
| Mark Cuban | Commercial | $27,252.71 | ↑ +161% |
| Blue Cross Blue Shield | Blue Advantage | $27,644.66 | ↑ +165% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $31,608.05 | ↑ +203% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $33,292.49 | ↑ +219% |
| Imagine Health | Commercial | not published by hospital | — |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty mitral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $17,175.83 | $4,866.49 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,570.77 | $2,314.15 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $17,175.83 | $4,580.22 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,435.39 | $3,349.76 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,435.39 | $5,391.62 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,570.77 | $3,856.92 – $27,252.71 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $17,175.83 | $4,580.22 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $17,175.83 | $4,293.96 – $27,252.71 |