Reduction of procidentia 45900 at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$1,155.24
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.
$1,925.40
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.
$328.50 with Superior Health Plan vs $3,683.00 with Humana — 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 | $328.50 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $351.50 | ↓ -70% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $700.46 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $824.07 | ↓ -29% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $885.68 | ↓ -23% |
| Blue Cross Blue Shield | Blue Advantage | $885.68 | ↓ -23% |
| Baylor Scott & White Health Plan | Medicare Advantage | $887.49 | ↓ -23% |
| Cigna | Local Plus | $893.39 | ↓ -23% |
| TriWest | Community Care Network | $934.20 | ↓ -19% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $934.20 | ↓ -19% |
| Humana | Medicare | $934.20 | ↓ -19% |
| United Healthcare | Commercial | $949.22 | ↓ -18% |
| American Health Plan | Medicare Advantage | $980.91 | ↓ -15% |
| HealthSpring | Medicare Advantage | $980.91 | ↓ -15% |
| Blue Cross Blue Shield | Medicare Advantage | $980.91 | ↓ -15% |
| ProCare Advantage | Medicare Advantage | $980.91 | ↓ -15% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,020.46 | ↓ -12% |
| Cigna | HMO/PPO | $1,043.57 | ↓ -10% |
| United Healthcare | Medicare Advantage | $1,046.30 | ↓ -9% |
| QuikTrip | Employee Benefit Plan | $1,058.97 | ↓ -8% |
| Aetna | Commercial | $1,058.97 | ↓ -8% |
| MidCoast | Commercial | $1,058.97 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,078.22 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $1,116.73 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,121.04 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,172.42 | ↑ +1% |
| Curative | Commercial | $1,251.51 | ↑ +8% |
| Humana | Commercial PPO | $1,347.78 | ↑ +17% |
| First Health | PPO | $1,347.78 | ↑ +17% |
| Private Health Care System | PHCS Network | $1,444.05 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,541.43 | ↑ +33% |
| Mark Cuban | Commercial | $2,264.11 | ↑ +96% |
| Humana | Commercial HMO | $3,683.00 | ↑ +219% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Reduction of procidentia 45900 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,406.62 | $328.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $980.53 | $201.82 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,406.62 | $328.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $980.53 | $351.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $980.53 | $328.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,155.24 | $328.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,406.62 | $328.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,406.62 | $328.50 – $2,264.11 |