Removal of breast lesion at BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION
700 Scott & White Dr., College Station, TX · Baylor Scott & White Health · · NPI 1265772362
$6,026.81
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.
?
What you pay up front if you don't use insurance.
$10,044.69
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.
?
The hospital's undiscounted list price — almost no one pays this.
$85.00 with Blue Cross Blue Shield vs $9,442.65 with Mark Cuban — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | TX AM University | $85.00 | ↓ -99% |
| United Healthcare | Medicaid/CHIP | $1,031.12 | ↓ -83% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $3,654.26 | ↓ -39% |
| Baylor Scott & White Health Plan | Medicare Advantage | $3,736.62 | ↓ -38% |
| CORVEL | Worker's Compensation | $3,815.28 | ↓ -37% |
| TriWest | Community Care Network | $3,933.28 | ↓ -35% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $3,933.28 | ↓ -35% |
| Humana | Medicare | $3,933.28 | ↓ -35% |
| Blue Cross Blue Shield | Medicare Advantage | $4,129.94 | ↓ -31% |
| American Health Plan | Medicare Advantage | $4,129.94 | ↓ -31% |
| ProCare Advantage | Medicare Advantage | $4,129.94 | ↓ -31% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $4,299.13 | ↓ -29% |
| United Healthcare | Medicare Advantage | $4,405.27 | ↓ -27% |
| Cigna | Local Plus | $4,463.00 | ↓ -26% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $4,719.94 | ↓ -22% |
| Employers Health Network | BSWQA Direct/EHN Rental | $4,721.00 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $4,936.27 | ↓ -18% |
| United Healthcare | Commercial | $4,952.03 | ↓ -18% |
| Prime Health Services | Worker's Compensation | $4,959.87 | ↓ -18% |
| Cigna | HMO/PPO | $5,250.00 | ↓ -13% |
| QuikTrip | Employee Benefit Plan | $5,524.58 | ↓ -8% |
| Aetna | Commercial | $5,524.58 | ↓ -8% |
| MidCoast | Commercial | $5,524.58 | ↓ -8% |
| Employers Health Network | EHN Network | $5,524.58 | ↓ -8% |
| HealthSmart | Accel Network | $5,619.00 | ↓ -7% |
| Imagine Health | Commercial | $5,825.92 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $5,825.92 | ↓ -3% |
| Sedgwick | Preferred Network | $5,880.25 | ↓ -2% |
| CareWorks fka Rockport | Worker's Compensation | $5,880.25 | ↓ -2% |
| Humana | Commercial HMO | $6,022.00 | ↓ -0% |
| Independent Medical System | Commercial PPO | $6,026.81 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $6,489.91 | ↑ +8% |
| Curative | Commercial | $6,529.05 | ↑ +8% |
| Humana | Commercial PPO | $7,031.28 | ↑ +17% |
| First Health | PPO | $7,031.28 | ↑ +17% |
| Private Health Care System | PHCS Network | $7,533.52 | ↑ +25% |
| HealthSmart | Preferred Network | $7,533.52 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $9,040.22 | ↑ +50% |
| Mark Cuban | Commercial | $9,442.65 | ↑ +57% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Removal of breast lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,920.97 | $963.66 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,026.81 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,165.63 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,920.97 | $963.66 – $9,442.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,026.81 | $963.66 – $9,442.65 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,165.63 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,920.97 | $963.66 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $4,920.97 | $963.66 – $9,442.65 |