Surg dx exam anorectal at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$2,628.24
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.
$4,380.40
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.
$794.52 with Baylor Scott & White Health Plan vs $6,955.62 with Mark Cuban — 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 | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $794.52 | ↓ -70% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $934.73 | ↓ -64% |
| Superior Health Plan | Medicaid | $939.93 | ↓ -64% |
| United Healthcare | Medicaid/CHIP | $1,005.73 | ↓ -62% |
| MidCoast | Commercial | $1,107.97 | ↓ -58% |
| Aetna | Commercial | $1,107.97 | ↓ -58% |
| QuikTrip | Employee Benefit Plan | $1,107.97 | ↓ -58% |
| Curative | Commercial | $1,309.42 | ↓ -50% |
| First Health | PPO | $1,410.15 | ↓ -46% |
| Humana | Commercial PPO | $1,410.15 | ↓ -46% |
| Private Health Care System | PHCS Network | $1,510.88 | ↓ -43% |
| Blue Cross Blue Shield | Blue Advantage | $2,014.98 | ↓ -23% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,014.98 | ↓ -23% |
| Cigna | Local Plus | $2,032.51 | ↓ -23% |
| United Healthcare | Commercial | $2,159.54 | ↓ -18% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,321.61 | ↓ -12% |
| Cigna | HMO/PPO | $2,374.18 | ↓ -10% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,453.02 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $2,540.63 | ↓ -3% |
| Baylor Scott & White Health Plan | Medicare Advantage | $2,648.89 | ↑ +1% |
| TriWest | Community Care Network | $2,788.31 | ↑ +6% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $2,788.31 | ↑ +6% |
| Humana | Medicare | $2,788.31 | ↑ +6% |
| Blue Cross Blue Shield | Medicare Advantage | $2,927.73 | ↑ +11% |
| HealthSpring | Medicare Advantage | $2,927.73 | ↑ +11% |
| ProCare Advantage | Medicare Advantage | $2,927.73 | ↑ +11% |
| American Health Plan | Medicare Advantage | $2,927.73 | ↑ +11% |
| United Healthcare | Medicare Advantage | $3,122.91 | ↑ +19% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,345.97 | ↑ +27% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $3,499.33 | ↑ +33% |
| Humana | Commercial HMO | $3,683.00 | ↑ +40% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $4,600.71 | ↑ +75% |
| Mark Cuban | Commercial | $6,955.62 | ↑ +165% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Surg dx exam anorectal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,814.85 | $38.78 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,814.85 | $123.84 – $6,955.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,814.85 | $172.70 – $6,955.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,628.24 | $794.52 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $2,814.85 | $103.62 – $6,955.62 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $2,814.85 | $109.90 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $2,628.24 | $794.52 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $2,628.24 | $382.75 – $6,955.62 |