Penile vascular study at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$605.42
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.
$1,009.03
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.
$70.50 with Superior Health Plan vs $1,117.00 with Aetna — 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 | $70.50 | ↓ -88% |
| United Healthcare | Medicaid/CHIP | $75.44 | ↓ -88% |
| Baylor Scott & White Health Plan | Medicare Advantage | $99.77 | ↓ -84% |
| Humana | Medicare | $105.02 | ↓ -83% |
| TriWest | Community Care Network | $105.02 | ↓ -83% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $105.02 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $110.27 | ↓ -82% |
| American Health Plan | Medicare Advantage | $110.27 | ↓ -82% |
| HealthSpring | Medicare Advantage | $110.27 | ↓ -82% |
| ProCare Advantage | Medicare Advantage | $110.27 | ↓ -82% |
| United Healthcare | Medicare Advantage | $117.62 | ↓ -81% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $126.02 | ↓ -79% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $131.80 | ↓ -78% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $166.52 | ↓ -72% |
| Blue Cross Blue Shield | Blue Advantage | $168.73 | ↓ -72% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $173.28 | ↓ -71% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $192.99 | ↓ -68% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $203.47 | ↓ -66% |
| Mark Cuban | Commercial | $272.35 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $367.09 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $431.86 | ↓ -29% |
| Cigna | Local Plus | $468.19 | ↓ -23% |
| Cigna | HMO/PPO | $546.89 | ↓ -10% |
| MidCoast | Commercial | $554.97 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $554.97 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $585.24 | ↓ -3% |
| Humana | Commercial HMO | $655.87 | ↑ +8% |
| Curative | Commercial | $655.87 | ↑ +8% |
| United Healthcare | Commercial | $697.24 | ↑ +15% |
| First Health | PPO | $706.32 | ↑ +17% |
| Humana | Commercial PPO | $706.32 | ↑ +17% |
| Private Health Care System | PHCS Network | $756.77 | ↑ +25% |
| Aetna | Commercial | $1,117.00 | ↑ +85% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Penile vascular study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,385.44 | $212.29 – $212.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $605.42 | $70.50 – $756.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $647.15 | $133.21 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $605.42 | $70.50 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $647.15 | $75.44 – $1,117.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $647.15 | $70.50 – $970.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $605.42 | $70.50 – $908.13 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $605.42 | $70.50 – $756.77 |