Valvuloplasty mitral at BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION
700 Scott & White Dr., College Station, TX · Baylor Scott & White Health · · NPI 1265772362
$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.
$3,349.76 with United Healthcare 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 |
|---|---|---|---|
| United Healthcare | Medicaid/CHIP | $3,349.76 | ↓ -68% |
| 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% |
| Employers Health Network | BSWQA Direct/EHN Rental | $8,174.39 | ↓ -22% |
| Aetna | Commercial | $9,565.78 | ↓ -8% |
| MidCoast | Commercial | $9,565.78 | ↓ -8% |
| Employers Health Network | EHN Network | $9,565.78 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $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% |
| Baylor Scott & White Health Plan | Medicare Advantage | $11,016.95 | ↑ +6% |
| CORVEL | Worker's Compensation | $11,248.89 | ↑ +8% |
| Curative | Commercial | $11,305.01 | ↑ +8% |
| Humana | Medicare | $11,596.79 | ↑ +11% |
| TriWest | Community Care Network | $11,596.79 | ↑ +11% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $11,596.79 | ↑ +11% |
| Humana | Commercial PPO | $12,174.62 | ↑ +17% |
| HealthSmart | Accel Network | $12,174.62 | ↑ +17% |
| First Health | PPO | $12,174.62 | ↑ +17% |
| Blue Cross Blue Shield | Medicare Advantage | $12,176.63 | ↑ +17% |
| American Health Plan | Medicare Advantage | $12,176.63 | ↑ +17% |
| ProCare Advantage | Medicare Advantage | $12,176.63 | ↑ +17% |
| Cigna | HMO/PPO | $12,475.00 | ↑ +20% |
| United Healthcare | Medicare Advantage | $12,988.40 | ↑ +24% |
| HealthSmart | Preferred Network | $13,044.24 | ↑ +25% |
| Private Health Care System | PHCS Network | $13,044.24 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $13,916.15 | ↑ +33% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $14,553.97 | ↑ +39% |
| Prime Health Services | Worker's Compensation | $14,623.55 | ↑ +40% |
| Three Rivers | Three Rivers Provider Network | $15,653.09 | ↑ +50% |
| Sedgwick | Preferred Network | $17,337.20 | ↑ +66% |
| CareWorks fka Rockport | Worker's Compensation | $17,337.20 | ↑ +66% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $19,134.70 | ↑ +83% |
| Humana | Commercial HMO | $24,657.00 | ↑ +136% |
| Mark Cuban | Commercial | $27,252.71 | ↑ +161% |
| Blue Cross Blue Shield | TX AM University | $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 - BRENHAM | Brenham | $10,435.39 | $2,147.95 – $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 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 |