Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$1,080.06
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.
$1,800.10
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.
$27.96 with Superior Health Plan vs $1,350.08 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $27.96 | ↓ -97% |
| United Healthcare | Medicaid/CHIP | $29.92 | ↓ -97% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $48.73 | ↓ -95% |
| Blue Cross Blue Shield | Blue Advantage | $49.35 | ↓ -95% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $56.49 | ↓ -95% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $59.60 | ↓ -94% |
| Baylor Scott & White Health Plan | Medicare Advantage | $292.93 | ↓ -73% |
| Humana | Medicare | $308.35 | ↓ -71% |
| TriWest | Community Care Network | $308.35 | ↓ -71% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $308.35 | ↓ -71% |
| Blue Cross Blue Shield | Medicare Advantage | $323.77 | ↓ -70% |
| ProCare Advantage | Medicare Advantage | $323.77 | ↓ -70% |
| HealthSpring | Medicare Advantage | $323.77 | ↓ -70% |
| American Health Plan | Medicare Advantage | $323.77 | ↓ -70% |
| United Healthcare | Medicare Advantage | $345.35 | ↓ -68% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $370.02 | ↓ -66% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $386.98 | ↓ -64% |
| Humana | Commercial HMO | $442.00 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $508.78 | ↓ -53% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $654.88 | ↓ -39% |
| Mark Cuban | Commercial | $733.72 | ↓ -32% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $770.44 | ↓ -29% |
| Cigna | Local Plus | $835.25 | ↓ -23% |
| United Healthcare | Commercial | $887.45 | ↓ -18% |
| Cigna | HMO/PPO | $975.65 | ↓ -10% |
| Aetna | Commercial | $990.05 | ↓ -8% |
| MidCoast | Commercial | $990.05 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $990.05 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $1,044.06 | ↓ -3% |
| Curative | Commercial | $1,170.07 | ↑ +8% |
| Humana | Commercial PPO | $1,260.07 | ↑ +17% |
| First Health | PPO | $1,260.07 | ↑ +17% |
| Private Health Care System | PHCS Network | $1,350.08 | ↑ +25% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $658.01 | $38.80 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $715.37 | $27.96 – $894.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $592.44 | $29.92 – $888.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $715.37 | $27.96 – $894.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $592.44 | $29.92 – $888.66 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $592.44 | $27.96 – $888.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,080.06 | $27.96 – $1,620.09 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $715.37 | $27.96 – $894.22 |