Bundle his recording at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$4,251.46
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.
$7,085.76
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.
$850.29 with Superior Health Plan vs $24,657.00 with Humana — 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 | $850.29 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $909.81 | ↓ -79% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,577.80 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $3,032.71 | ↓ -29% |
| Cigna | Local Plus | $3,287.79 | ↓ -23% |
| Cigna | HMO/PPO | $3,840.48 | ↓ -10% |
| Aetna | Commercial | $3,897.17 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $3,897.17 | ↓ -8% |
| MidCoast | Commercial | $3,897.17 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $4,109.74 | ↓ -3% |
| Curative | Commercial | $4,605.74 | ↑ +8% |
| United Healthcare | Commercial | $4,896.26 | ↑ +15% |
| First Health | PPO | $4,960.03 | ↑ +17% |
| Humana | Commercial PPO | $4,960.03 | ↑ +17% |
| Private Health Care System | PHCS Network | $5,314.32 | ↑ +25% |
| Baylor Scott & White Health Plan | Medicare Advantage | $7,443.45 | ↑ +75% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $7,835.21 | ↑ +84% |
| Humana | Medicare | $7,835.21 | ↑ +84% |
| TriWest | Community Care Network | $7,835.21 | ↑ +84% |
| HealthSpring | Medicare Advantage | $8,226.97 | ↑ +94% |
| American Health Plan | Medicare Advantage | $8,226.97 | ↑ +94% |
| Blue Cross Blue Shield | Medicare Advantage | $8,226.97 | ↑ +94% |
| ProCare Advantage | Medicare Advantage | $8,226.97 | ↑ +94% |
| United Healthcare | Medicare Advantage | $8,775.44 | ↑ +106% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $9,402.25 | ↑ +121% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $9,833.19 | ↑ +131% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $12,928.10 | ↑ +204% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $17,774.84 | ↑ +318% |
| Blue Cross Blue Shield | Blue Advantage | $18,010.27 | ↑ +324% |
| Mark Cuban | Commercial | $18,500.61 | ↑ +335% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $20,599.99 | ↑ +385% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $21,718.27 | ↑ +411% |
| Humana | Commercial HMO | $24,657.00 | ↑ +480% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Bundle his recording at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,557.78 | $1,574.70 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,958.33 | $814.76 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,557.78 | $1,482.08 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,958.33 | $1,270.62 – $18,500.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,958.33 | $2,045.14 – $18,500.61 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,251.46 | $1,417.15 – $18,500.61 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5,557.78 | $1,482.08 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $5,557.78 | $1,389.45 – $18,500.61 |