Ventilator each subsequent day at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$1,732.73
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.
$2,887.89
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.
$346.55 with Superior Health Plan vs $2,165.92 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 | $346.55 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $370.81 | ↓ -79% |
| Baylor Scott & White Health Plan | Medicare Advantage | $589.57 | ↓ -66% |
| Humana | Medicare | $620.60 | ↓ -64% |
| TriWest | Community Care Network | $620.60 | ↓ -64% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $620.60 | ↓ -64% |
| American Health Plan | Medicare Advantage | $651.63 | ↓ -62% |
| Blue Cross Blue Shield | Medicare Advantage | $651.63 | ↓ -62% |
| ProCare Advantage | Medicare Advantage | $651.63 | ↓ -62% |
| HealthSpring | Medicare Advantage | $651.63 | ↓ -62% |
| United Healthcare | Medicare Advantage | $695.07 | ↓ -60% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $744.72 | ↓ -57% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $778.85 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,023.99 | ↓ -41% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,050.61 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,236.02 | ↓ -29% |
| Cigna | Local Plus | $1,339.98 | ↓ -23% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,402.88 | ↓ -19% |
| Blue Cross Blue Shield | Blue Advantage | $1,421.46 | ↓ -18% |
| Mark Cuban | Commercial | $1,552.41 | ↓ -10% |
| Cigna | HMO/PPO | $1,565.24 | ↓ -10% |
| Aetna | Commercial | $1,588.34 | ↓ -8% |
| MidCoast | Commercial | $1,588.34 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $1,588.34 | ↓ -8% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,625.86 | ↓ -6% |
| University of Mary Hardin-Baylor | Commercial | $1,674.98 | ↓ -3% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,714.12 | ↓ -1% |
| Humana | Commercial HMO | $1,877.13 | ↑ +8% |
| Curative | Commercial | $1,877.13 | ↑ +8% |
| United Healthcare | Commercial | $1,995.53 | ↑ +15% |
| First Health | PPO | $2,021.52 | ↑ +17% |
| Humana | Commercial PPO | $2,021.52 | ↑ +17% |
| Private Health Care System | PHCS Network | $2,165.92 | ↑ +25% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Ventilator each subsequent day at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,891.14 | $1,788.44 – $1,788.44 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,572.08 | $445.42 – $1,965.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,492.75 | $307.26 – $2,239.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,572.08 | $419.22 – $1,965.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,492.75 | $479.17 – $2,239.13 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,492.75 | $771.26 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,732.73 | $577.58 – $2,599.10 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,572.08 | $419.22 – $1,965.11 |