Ghs simple repair 12.6 - 20.0 cm - 12005 at BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK
900 East Whitestone Boulevard, Cedar Park, TX · Baylor Scott & White Health · · NPI 1265568638
$624.34
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.
$1,040.57
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 $1,076.00 with Humana — 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 | ↓ -89% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | ↓ -88% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | ↓ -87% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | ↓ -86% |
| Superior Health Plan | Medicaid | $143.08 | ↓ -77% |
| United Healthcare | Medicaid/CHIP | $153.10 | ↓ -75% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $378.56 | ↓ -39% |
| Baylor Scott & White Health Plan | Medicare Advantage | $387.95 | ↓ -38% |
| CORVEL | Worker's Compensation | $396.12 | ↓ -37% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $408.37 | ↓ -35% |
| TriWest | Community Care Network | $408.37 | ↓ -35% |
| Humana | Medicare | $408.37 | ↓ -35% |
| HealthSpring | Medicare Advantage | $428.79 | ↓ -31% |
| American Health Plan | Medicare Advantage | $428.79 | ↓ -31% |
| Aetna | Medicare Advantage | $428.79 | ↓ -31% |
| Blue Cross Blue Shield | Medicare Advantage | $428.79 | ↓ -31% |
| ProCare Advantage | Medicare Advantage | $428.79 | ↓ -31% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $445.36 | ↓ -29% |
| United Healthcare | Medicare Advantage | $457.37 | ↓ -27% |
| Cigna | Local Plus | $482.82 | ↓ -23% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $490.04 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $512.50 | ↓ -18% |
| United Healthcare | Commercial | $513.00 | ↓ -18% |
| Prime Health Services | Worker's Compensation | $514.95 | ↓ -18% |
| Cigna | HMO/PPO | $563.99 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $572.31 | ↓ -8% |
| Aetna | Commercial | $572.31 | ↓ -8% |
| MidCoast | Commercial | $572.31 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $603.53 | ↓ -3% |
| Sedgwick | Preferred Network | $610.51 | ↓ -2% |
| Injury Management Organization | Med Select Network | $610.51 | ↓ -2% |
| CareWorks fka Rockport | Worker's Compensation | $610.51 | ↓ -2% |
| Independent Medical System | Commercial PPO | $624.34 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $673.81 | ↑ +8% |
| Curative | Commercial | $676.37 | ↑ +8% |
| HealthSmart | Accel Network | $728.40 | ↑ +17% |
| Humana | Commercial PPO | $728.40 | ↑ +17% |
| First Health | PPO | $728.40 | ↑ +17% |
| HealthSmart | Preferred Network | $780.43 | ↑ +25% |
| BlueBell Creameries | Self Insured | $780.43 | ↑ +25% |
| Private Health Care System | PHCS Network | $780.43 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $936.51 | ↑ +50% |
| Mark Cuban | Commercial | $987.79 | ↑ +58% |
| Humana | Commercial HMO | $1,076.00 | ↑ +72% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12005 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $94.63 – $1,000.00 |
| Adventhealth Rollins Brook | Lampasas | $2,273.04 | $399.39 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $744.69 | $143.08 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $563.75 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $624.34 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $744.69 | $143.08 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $563.75 | $85.00 – $987.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $563.75 | $143.08 – $987.79 |