Oth resp proc, indiv at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$116.83
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.
$194.71
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.
$23.37 with Superior Health Plan vs $146.03 with Private Health Care System — 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 | $23.37 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $25.00 | ↓ -79% |
| Baylor Scott & White Health Plan | Medicare Advantage | $27.61 | ↓ -76% |
| TriWest | Community Care Network | $29.06 | ↓ -75% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $29.06 | ↓ -75% |
| Humana | Medicare | $29.06 | ↓ -75% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $30.47 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $30.51 | ↓ -74% |
| ProCare Advantage | Medicare Advantage | $30.51 | ↓ -74% |
| HealthSpring | Medicare Advantage | $30.51 | ↓ -74% |
| American Health Plan | Medicare Advantage | $30.51 | ↓ -74% |
| Blue Cross Blue Shield | Blue Advantage | $30.88 | ↓ -74% |
| United Healthcare | Medicare Advantage | $32.55 | ↓ -72% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $34.87 | ↓ -70% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $35.31 | ↓ -70% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $36.47 | ↓ -69% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $37.23 | ↓ -68% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $47.95 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $70.84 | ↓ -39% |
| Mark Cuban | Commercial | $73.76 | ↓ -37% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $83.34 | ↓ -29% |
| Cigna | Local Plus | $90.35 | ↓ -23% |
| Cigna | HMO/PPO | $105.53 | ↓ -10% |
| MidCoast | Commercial | $107.09 | ↓ -8% |
| Aetna | Commercial | $107.09 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $107.09 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $112.93 | ↓ -3% |
| Curative | Commercial | $126.56 | ↑ +8% |
| Humana | Commercial HMO | $126.56 | ↑ +8% |
| United Healthcare | Commercial | $134.54 | ↑ +15% |
| First Health | PPO | $136.30 | ↑ +17% |
| Humana | Commercial PPO | $136.30 | ↑ +17% |
| Private Health Care System | PHCS Network | $146.03 | ↑ +25% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $119.59 | $27.61 – $149.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.53 | $27.69 – $201.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $119.59 | $23.61 – $149.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.53 | $27.61 – $201.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.53 | $69.51 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $116.83 | $27.61 – $175.24 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $119.59 | $27.61 – $149.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $119.59 | $27.64 – $149.48 |