Proctosigmoidoscopy w/fb remove 45307 at BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK
900 East Whitestone Boulevard, Cedar Park, TX · Baylor Scott & White Health · · NPI 1265568638
not published by hospital
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.
not published by hospital
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.
$939.93 with Superior Health Plan vs $6,955.62 with Mark Cuban — 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $939.93 | — |
| United Healthcare | Medicaid/CHIP | $1,005.73 | — |
| HealthSmart | Accel Network | $1,804.00 | — |
| Baylor Scott & White Health Plan | Medicare Advantage | $2,648.89 | — |
| CORVEL | Worker's Compensation | $2,704.66 | — |
| Humana | Medicare | $2,788.31 | — |
| TriWest | Community Care Network | $2,788.31 | — |
| Superior Health Plan | Medicare HMO/Medicare PPO | $2,788.31 | — |
| Aetna | Medicare Advantage | $2,927.73 | — |
| American Health Plan | Medicare Advantage | $2,927.73 | — |
| ProCare Advantage | Medicare Advantage | $2,927.73 | — |
| HealthSpring | Medicare Advantage | $2,927.73 | — |
| Blue Cross Blue Shield | Medicare Advantage | $2,927.73 | — |
| Cigna | Local Plus | $2,975.00 | — |
| United Healthcare | Medicare Advantage | $3,122.91 | — |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,345.97 | — |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $3,499.33 | — |
| Cigna | HMO/PPO | $3,500.00 | — |
| Prime Health Services | Worker's Compensation | $3,516.06 | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,680.36 | — |
| Blue Cross Blue Shield | Blue Advantage | $3,727.25 | — |
| Humana | Commercial HMO | $3,934.00 | — |
| Injury Management Organization | Med Select Network | $4,168.52 | — |
| Sedgwick | Preferred Network | $4,168.52 | — |
| CareWorks fka Rockport | Worker's Compensation | $4,168.52 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $4,266.41 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $4,500.83 | — |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $4,600.71 | — |
| United Healthcare | Commercial | $6,555.00 | — |
| Mark Cuban | Commercial | $6,955.62 | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy w/fb remove 45307 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $96.56 – $2,742.69 |
| Covenant Children's Hospital | Lubbock | $3,237.36 | $1,000.00 – $4,993.10 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,331.51 | $2,282.58 – $2,853.23 |
| Covenant Medical Center | Lubbock | $3,237.36 | $1,000.00 – $4,121.53 |
| Covenant Hospital Plainview | Plainview | $2,979.06 | $1,000.00 – $4,348.59 |
| Texas Health Hospital Mansfield | Mansfield | $28,080.34 | $2,475.45 – $5,576.62 |
| Covenant Hospital Levelland | Levelland | $2,971.50 | $1,000.00 – $7,044.00 |
| Covenant Specialty Hospital | Lubbock | $3,237.36 | not published |