External ocular photography at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$186.63
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.
$311.05
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.
$35.64 with Baylor Scott & White Health Plan vs $233.29 with Private Health Care System — 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $35.64 | ↓ -81% |
| Superior Health Plan | Medicaid | $37.33 | ↓ -80% |
| Humana | Medicare | $37.52 | ↓ -80% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $37.52 | ↓ -80% |
| TriWest | Community Care Network | $37.52 | ↓ -80% |
| ProCare Advantage | Medicare Advantage | $39.40 | ↓ -79% |
| Blue Cross Blue Shield | Medicare Advantage | $39.40 | ↓ -79% |
| HealthSpring | Medicare Advantage | $39.40 | ↓ -79% |
| American Health Plan | Medicare Advantage | $39.40 | ↓ -79% |
| United Healthcare | Medicaid/CHIP | $39.94 | ↓ -79% |
| United Healthcare | Medicare Advantage | $42.02 | ↓ -77% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $45.02 | ↓ -76% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $47.09 | ↓ -75% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $61.91 | ↓ -67% |
| Mark Cuban | Commercial | $99.35 | ↓ -47% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $113.16 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $133.13 | ↓ -29% |
| Cigna | Local Plus | $144.33 | ↓ -23% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $166.13 | ↓ -11% |
| Blue Cross Blue Shield | Blue Advantage | $168.33 | ↓ -10% |
| Cigna | HMO/PPO | $168.59 | ↓ -10% |
| MidCoast | Commercial | $171.08 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $171.08 | ↓ -8% |
| Aetna | Commercial | $171.08 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $180.41 | ↓ -3% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $192.53 | ↑ +3% |
| Humana | Commercial HMO | $202.18 | ↑ +8% |
| Curative | Commercial | $202.18 | ↑ +8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $202.99 | ↑ +9% |
| United Healthcare | Commercial | $214.94 | ↑ +15% |
| First Health | PPO | $217.74 | ↑ +17% |
| Humana | Commercial PPO | $217.74 | ↑ +17% |
| Private Health Care System | PHCS Network | $233.29 | ↑ +25% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
External ocular photography at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $201.26 | $41.43 – $301.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $201.26 | $35.64 – $301.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $201.26 | $99.35 – $301.90 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $186.63 | $35.64 – $279.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $201.26 | $35.64 – $251.58 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $201.26 | $35.64 – $301.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $186.63 | $34.22 – $279.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $186.63 | $59.10 – $248.84 |