Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$143.44
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.
$239.06
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.
$28.69 with Superior Health Plan vs $179.29 with TriWest — 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 | $28.69 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $30.70 | ↓ -79% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $86.97 | ↓ -39% |
| Mark Cuban | Commercial | $87.03 | ↓ -39% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $94.68 | ↓ -34% |
| Blue Cross Blue Shield | Blue Advantage | $95.93 | ↓ -33% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $102.32 | ↓ -29% |
| Aetna | Commercial | $108.00 | ↓ -25% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $109.72 | ↓ -24% |
| Cigna | Local Plus | $110.92 | ↓ -23% |
| United Healthcare | Commercial | $112.00 | ↓ -22% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $115.68 | ↓ -19% |
| Cigna | HMO/PPO | $129.57 | ↓ -10% |
| MidCoast | Commercial | $131.48 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $131.48 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $138.65 | ↓ -3% |
| Humana | Commercial HMO | $155.39 | ↑ +8% |
| Curative | Commercial | $155.39 | ↑ +8% |
| Humana | Commercial PPO | $167.34 | ↑ +17% |
| First Health | PPO | $167.34 | ↑ +17% |
| Private Health Care System | PHCS Network | $179.29 | ↑ +25% |
| TriWest | Community Care Network | $179.29 | ↑ +25% |
Visitor-reported prices
Comments
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $274.83 | $120.70 – $120.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $125.24 | $35.48 – $177.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $149.57 | $30.79 – $224.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $125.24 | $33.40 – $177.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $149.57 | $48.01 – $224.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $149.57 | $77.28 – $224.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $143.44 | $47.81 – $215.15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $125.24 | $33.40 – $177.42 |