Whfo nontorsion joint prefab at BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
$193.67
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.
$322.79
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.
$16.35 with Superior Health Plan vs $109.01 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 | $16.35 | ↓ -92% |
| United Healthcare | Medicaid/CHIP | $17.50 | ↓ -91% |
| Blue Cross Blue Shield | Blue Advantage | $44.97 | ↓ -77% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $61.39 | ↓ -68% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $72.22 | ↓ -63% |
| Aetna | Commercial | $74.94 | ↓ -61% |
| MidCoast | Commercial | $74.94 | ↓ -61% |
| QuikTrip | Employee Benefit Plan | $74.94 | ↓ -61% |
| Cigna | Local Plus | $79.03 | ↓ -59% |
| Curative | Commercial | $88.57 | ↓ -54% |
| Humana | Commercial HMO | $88.57 | ↓ -54% |
| Cigna | HMO/PPO | $92.66 | ↓ -52% |
| United Healthcare | Commercial | $94.16 | ↓ -51% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $95.38 | ↓ -51% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $95.38 | ↓ -51% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $95.38 | ↓ -51% |
| First Health | PPO | $95.38 | ↓ -51% |
| University of Mary Hardin-Baylor | Commercial | $95.38 | ↓ -51% |
| Humana | Commercial PPO | $102.19 | ↓ -47% |
| TriWest | Community Care Network | $102.19 | ↓ -47% |
| Private Health Care System | PHCS Network | $109.01 | ↓ -44% |
Visitor-reported prices
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Whfo nontorsion joint prefab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $193.67 | $16.83 – $122.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $193.67 | $26.24 – $122.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $193.67 | $42.24 – $122.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $193.67 | $27.25 – $122.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $193.67 | $16.35 – $109.01 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $193.67 | $20.44 – $122.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $193.67 | $14.99 – $122.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $193.67 | $25.89 – $109.01 |