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Diagnostic Mammogram (one breast) at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$272.16
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.
$453.60
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.
$54.43 with Superior Health Plan vs $384.71 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $54.43 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $58.24 | ↓ -79% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $165.02 | ↓ -39% |
| United Healthcare | Commercial | $170.00 | ↓ -38% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $194.14 | ↓ -29% |
| Cigna | Local Plus | $210.47 | ↓ -23% |
| Cigna | HMO/PPO | $245.85 | ↓ -10% |
| Aetna | Commercial | $249.48 | ↓ -8% |
| MidCoast | Commercial | $249.48 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $249.48 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $263.09 | ↓ -3% |
| Curative | Commercial | $294.84 | ↑ +8% |
| Humana | Commercial HMO | $294.84 | ↑ +8% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $316.04 | ↑ +16% |
| First Health | PPO | $317.52 | ↑ +17% |
| Humana | Commercial PPO | $317.52 | ↑ +17% |
| Blue Cross Blue Shield | Blue Advantage | $319.80 | ↑ +18% |
| Private Health Care System | PHCS Network | $340.20 | ↑ +25% |
| TriWest | Community Care Network | $340.20 | ↑ +25% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $365.89 | ↑ +34% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $384.71 | ↑ +41% |
Visitor-reported prices
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Diagnostic Mammogram (one breast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $272.16 | $77.11 – $385.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $272.16 | $56.02 – $408.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $272.16 | $72.58 – $385.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $272.16 | $87.36 – $408.24 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $272.16 | $140.62 – $408.24 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $272.16 | $72.58 – $385.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $272.16 | $68.04 – $385.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $272.16 | $54.43 – $385.56 |