Infect ag na resp virus 12-25 targets at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$1,100.20
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.
$1,833.66
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.
$12.00 with United Healthcare vs $2,629.88 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| United Healthcare | Commercial | $12.00 | ↓ -99% |
| Superior Health Plan | Medicaid | $350.10 | ↓ -68% |
| United Healthcare | Medicaid/CHIP | $374.61 | ↓ -66% |
| Baylor Scott & White Health Plan | Medicare Advantage | $395.94 | ↓ -64% |
| Humana | Medicare | $416.78 | ↓ -62% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $416.78 | ↓ -62% |
| TriWest | Community Care Network | $416.78 | ↓ -62% |
| ProCare Advantage | Medicare Advantage | $437.62 | ↓ -60% |
| American Health Plan | Medicare Advantage | $437.62 | ↓ -60% |
| Blue Cross Blue Shield | Medicare Advantage | $437.62 | ↓ -60% |
| HealthSpring | Medicare Advantage | $437.62 | ↓ -60% |
| United Healthcare | Medicare Advantage | $466.79 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $500.14 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $523.06 | ↓ -52% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $687.69 | ↓ -37% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $758.52 | ↓ -31% |
| Cigna | Local Plus | $850.82 | ↓ -23% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $892.38 | ↓ -19% |
| Cigna | HMO/PPO | $993.84 | ↓ -10% |
| Mark Cuban | Commercial | $1,000.27 | ↓ -9% |
| Aetna | Commercial | $1,008.51 | ↓ -8% |
| MidCoast | Commercial | $1,008.51 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $1,008.51 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $1,063.52 | ↓ -3% |
| Curative | Commercial | $1,191.88 | ↑ +8% |
| Humana | Commercial HMO | $1,191.88 | ↑ +8% |
| Humana | Commercial PPO | $1,283.56 | ↑ +17% |
| First Health | PPO | $1,283.56 | ↑ +17% |
| Private Health Care System | PHCS Network | $1,375.24 | ↑ +25% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,154.75 | ↑ +96% |
| Blue Cross Blue Shield | Blue Advantage | $2,183.93 | ↑ +99% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,496.51 | ↑ +127% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,629.88 | ↑ +139% |
Visitor-reported prices
Comments
Infect ag na resp virus 12-25 targets at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,078.16 | $10.00 – $1,347.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,250.48 | $12.00 – $1,875.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,078.16 | $10.00 – $1,347.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,250.48 | $12.00 – $1,875.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,250.48 | $8.00 – $1,875.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,100.20 | $12.00 – $1,650.29 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,078.16 | $10.00 – $1,347.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,078.16 | $10.00 – $1,347.70 |