Esrd svc pr day pt 2-11 at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$448.10
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.
$746.83
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.
$89.62 with Superior Health Plan vs $946.00 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 | $89.62 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $95.89 | ↓ -79% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $271.70 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $319.64 | ↓ -29% |
| Blue Cross Blue Shield | Blue Advantage | $343.54 | ↓ -23% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $343.54 | ↓ -23% |
| Cigna | Local Plus | $346.53 | ↓ -23% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $395.82 | ↓ -12% |
| Cigna | HMO/PPO | $404.78 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $410.76 | ↓ -8% |
| MidCoast | Commercial | $410.76 | ↓ -8% |
| Aetna | Commercial | $410.76 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $418.22 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $433.16 | ↓ -3% |
| Curative | Commercial | $485.44 | ↑ +8% |
| United Healthcare | Commercial | $516.06 | ↑ +15% |
| Humana | Commercial PPO | $522.78 | ↑ +17% |
| First Health | PPO | $522.78 | ↑ +17% |
| TriWest | Community Care Network | $560.12 | ↑ +25% |
| Private Health Care System | PHCS Network | $560.12 | ↑ +25% |
| Humana | Commercial HMO | $946.00 | ↑ +111% |
Visitor-reported prices
Comments
Esrd svc pr day pt 2-11 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $14.39 – $150.29 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $14.39 – $150.29 |
| HCA HOUSTON CONROE | CONROE | not published | $14.74 – $150.29 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $15.30 – $150.29 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $14.39 – $150.29 |
| HCA HOUSTON PEARLAND | Pearland | not published | $14.07 – $150.29 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $14.39 – $150.29 |
| HCA HOUSTON WEST | HOUSTON | not published | $15.30 – $150.29 |