Pet image w/ct lmtd at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$4,484.45
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.
$7,474.09
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.
$1,364.64 with Baylor Scott & White Health Plan vs $7,015.61 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $1,364.64 | ↓ -70% |
| TriWest | Community Care Network | $1,436.46 | ↓ -68% |
| Humana | Medicare | $1,436.46 | ↓ -68% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $1,436.46 | ↓ -68% |
| Superior Health Plan | Medicaid | $1,458.59 | ↓ -67% |
| HealthSpring | Medicare Advantage | $1,508.28 | ↓ -66% |
| American Health Plan | Medicare Advantage | $1,508.28 | ↓ -66% |
| Blue Cross Blue Shield | Medicare Advantage | $1,508.28 | ↓ -66% |
| ProCare Advantage | Medicare Advantage | $1,508.28 | ↓ -66% |
| United Healthcare | Medicaid/CHIP | $1,560.69 | ↓ -65% |
| United Healthcare | Medicare Advantage | $1,608.84 | ↓ -64% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,723.75 | ↓ -62% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,802.76 | ↓ -60% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $2,370.16 | ↓ -47% |
| Mark Cuban | Commercial | $3,875.56 | ↓ -14% |
| United Healthcare | Commercial | $3,982.00 | ↓ -11% |
| Aetna | Commercial | $4,110.75 | ↓ -8% |
| MidCoast | Commercial | $4,110.75 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $4,110.75 | ↓ -8% |
| Cigna | Local Plus | $4,271.00 | ↓ -5% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $4,321.75 | ↓ -4% |
| Curative | Commercial | $4,858.16 | ↑ +8% |
| Humana | Commercial HMO | $4,858.16 | ↑ +8% |
| Cigna | HMO/PPO | $5,025.00 | ↑ +12% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $5,084.41 | ↑ +13% |
| Humana | Commercial PPO | $5,231.86 | ↑ +17% |
| First Health | PPO | $5,231.86 | ↑ +17% |
| University of Mary Hardin-Baylor | Commercial | $5,371.00 | ↑ +20% |
| Private Health Care System | PHCS Network | $5,605.57 | ↑ +25% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $5,750.05 | ↑ +28% |
| Blue Cross Blue Shield | Blue Advantage | $5,818.83 | ↑ +30% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $6,657.95 | ↑ +48% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $7,015.61 | ↑ +56% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Pet image w/ct lmtd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,422.60 | $1,364.64 – $5,528.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,912.88 | $1,011.24 – $7,369.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,422.60 | $1,364.64 – $5,528.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,912.88 | $1,364.64 – $7,369.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,912.88 | $1,458.59 – $7,369.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,484.45 | $1,364.64 – $6,726.68 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,422.60 | $1,364.64 – $5,528.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $4,422.60 | $1,366.89 – $5,528.25 |