_afb id by dna probe rflx ast at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$292.41
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.
$487.35
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.
$12.00 with United Healthcare vs $161.19 with Private Health Care System — 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 | Commercial | $12.00 | ↓ -96% |
| Superior Health Plan | Medicaid | $16.84 | ↓ -94% |
| United Healthcare | Medicaid/CHIP | $18.02 | ↓ -94% |
| Baylor Scott & White Health Plan | Medicare Advantage | $19.05 | ↓ -93% |
| Humana | Medicare | $20.05 | ↓ -93% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $20.05 | ↓ -93% |
| TriWest | Community Care Network | $20.05 | ↓ -93% |
| ProCare Advantage | Medicare Advantage | $21.05 | ↓ -93% |
| American Health Plan | Medicare Advantage | $21.05 | ↓ -93% |
| HealthSpring | Medicare Advantage | $21.05 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $21.05 | ↓ -93% |
| United Healthcare | Medicare Advantage | $22.46 | ↓ -92% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $24.06 | ↓ -92% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $25.16 | ↓ -91% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $33.08 | ↓ -89% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $36.38 | ↓ -88% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $42.80 | ↓ -85% |
| Mark Cuban | Commercial | $48.12 | ↓ -84% |
| Cigna | Local Plus | $99.72 | ↓ -66% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $103.66 | ↓ -65% |
| Blue Cross Blue Shield | Blue Advantage | $105.06 | ↓ -64% |
| Cigna | HMO/PPO | $116.49 | ↓ -60% |
| MidCoast | Commercial | $118.21 | ↓ -60% |
| Aetna | Commercial | $118.21 | ↓ -60% |
| QuikTrip | Employee Benefit Plan | $118.21 | ↓ -60% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $120.10 | ↓ -59% |
| University of Mary Hardin-Baylor | Commercial | $124.65 | ↓ -57% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $126.52 | ↓ -57% |
| Humana | Commercial HMO | $139.70 | ↓ -52% |
| Curative | Commercial | $139.70 | ↓ -52% |
| Humana | Commercial PPO | $150.44 | ↓ -49% |
| First Health | PPO | $150.44 | ↓ -49% |
| Private Health Care System | PHCS Network | $161.19 | ↓ -45% |
Visitor-reported prices
Comments
_afb id by dna probe rflx ast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $292.41 | $12.00 – $166.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $292.41 | $12.00 – $166.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $292.41 | $8.00 – $166.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $292.41 | $12.00 – $193.43 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $307.03 | $10.00 – $166.69 |