Blepharp lwr eyelid fat pad at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$3,227.49
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.
$5,379.15
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.
$71.00 with Blue Cross Blue Shield vs $6,022.00 with Humana — 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 | Blue Advantage | $71.00 | ↓ -98% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | ↓ -98% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | ↓ -97% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | ↓ -97% |
| Superior Health Plan | Medicaid | $709.01 | ↓ -78% |
| United Healthcare | Medicaid/CHIP | $758.64 | ↓ -76% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,956.93 | ↓ -39% |
| Baylor Scott & White Health Plan | Medicare Advantage | $1,969.05 | ↓ -39% |
| Humana | Medicare | $2,072.68 | ↓ -36% |
| TriWest | Community Care Network | $2,072.68 | ↓ -36% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $2,072.68 | ↓ -36% |
| ProCare Advantage | Medicare Advantage | $2,176.31 | ↓ -33% |
| Blue Cross Blue Shield | Medicare Advantage | $2,176.31 | ↓ -33% |
| HealthSpring | Medicare Advantage | $2,176.31 | ↓ -33% |
| American Health Plan | Medicare Advantage | $2,176.31 | ↓ -33% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $2,302.28 | ↓ -29% |
| United Healthcare | Medicare Advantage | $2,321.40 | ↓ -28% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $2,487.22 | ↓ -23% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $2,601.21 | ↓ -19% |
| United Healthcare | Commercial | $2,651.92 | ↓ -18% |
| Aetna | Commercial | $2,958.53 | ↓ -8% |
| MidCoast | Commercial | $2,958.53 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $2,958.53 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $3,119.91 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $3,419.92 | ↑ +6% |
| Curative | Commercial | $3,496.45 | ↑ +8% |
| First Health | PPO | $3,765.41 | ↑ +17% |
| Humana | Commercial PPO | $3,765.41 | ↑ +17% |
| Private Health Care System | PHCS Network | $4,034.36 | ↑ +25% |
| Cigna | Local Plus | $4,463.00 | ↑ +38% |
| Mark Cuban | Commercial | $4,517.58 | ↑ +40% |
| Cigna | HMO/PPO | $5,250.00 | ↑ +63% |
| Humana | Commercial HMO | $6,022.00 | ↑ +87% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Blepharp lwr eyelid fat pad at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,227.49 | $71.00 – $4,841.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,227.49 | $85.00 – $4,841.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,227.49 | $709.01 – $4,841.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,227.49 | $71.00 – $4,841.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,227.49 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $3,227.49 | $71.00 – $4,841.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $3,227.49 | $71.00 – $4,841.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $3,227.49 | $71.00 – $4,517.58 |