Esoph egd dilation <30 mm at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
not published by hospital
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.
not published by hospital
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.
$564.97 with Superior Health Plan vs $5,266.00 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $564.97 | — |
| United Healthcare | Medicaid/CHIP | $604.52 | — |
| Baylor Scott & White Health Plan | Medicare Advantage | $1,831.27 | — |
| Humana | Medicare | $1,927.65 | — |
| TriWest | Community Care Network | $1,927.65 | — |
| Superior Health Plan | Medicare HMO/Medicare PPO | $1,927.65 | — |
| American Health Plan | Medicare Advantage | $2,024.03 | — |
| Blue Cross Blue Shield | Medicare Advantage | $2,024.03 | — |
| HealthSpring | Medicare Advantage | $2,024.03 | — |
| ProCare Advantage | Medicare Advantage | $2,024.03 | — |
| United Healthcare | Medicare Advantage | $2,158.97 | — |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $2,313.18 | — |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $2,419.20 | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,445.12 | — |
| Blue Cross Blue Shield | Blue Advantage | $2,476.27 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,834.47 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,990.21 | — |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $3,180.62 | — |
| Cigna | Local Plus | $3,421.00 | — |
| Cigna | HMO/PPO | $4,025.00 | — |
| United Healthcare | Commercial | $4,563.00 | — |
| Mark Cuban | Commercial | $4,713.77 | — |
| Humana | Commercial HMO | $5,266.00 | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Esoph egd dilation <30 mm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,962.24 | $1,256.62 – $7,034.24 |
| St. Luke's Health - Patients Medical Center | Pasadena | $813.33 | $1,394.28 – $1,742.85 |
| Covenant Medical Center | Lubbock | $1,962.24 | $1,277.84 – $6,330.82 |
| Covenant Hospital Plainview | Plainview | $2,026.08 | $1,869.82 – $2,793.46 |
| Texas Health Hospital Mansfield | Mansfield | $8,408.35 | $1,644.61 – $3,855.30 |
| Covenant Hospital Levelland | Levelland | $1,759.38 | $1,869.82 – $4,524.95 |
| Covenant Specialty Hospital | Lubbock | $1,962.24 | not published |
| Adventhealth Rollins Brook | Lampasas | not published | $1,946.75 – $3,432.54 |