Apl(pml-rara) quant - sendout at BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
305 Mallard Lane, Taylor, TX · Baylor Scott & White Health · · NPI 1962497800
$567.00
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.
$945.00
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.
$12.00 with United Healthcare vs $1,308.13 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 |
|---|---|---|---|
| United Healthcare | Commercial | $12.00 | ↓ -98% |
| Baylor Scott & White Health Plan | Medicare Advantage | $155.32 | ↓ -73% |
| American Health Plan | Medicare Advantage | $163.50 | ↓ -71% |
| TriWest | Community Care Network | $163.50 | ↓ -71% |
| Prime Health Services | Worker's Compensation | $171.27 | ↓ -70% |
| CORVEL | Worker's Compensation | $171.27 | ↓ -70% |
| HealthSpring | Medicare Advantage | $171.68 | ↓ -70% |
| Blue Cross Blue Shield | Medicare Advantage | $171.68 | ↓ -70% |
| ProCare Advantage | Medicare Advantage | $171.68 | ↓ -70% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $180.26 | ↓ -68% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $196.20 | ↓ -65% |
| Injury Management Organization | Med Select Network | $203.07 | ↓ -64% |
| CareWorks fka Rockport | Worker's Compensation | $203.07 | ↓ -64% |
| Sedgwick | Preferred Network | $203.07 | ↓ -64% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $205.19 | ↓ -64% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $294.30 | ↓ -48% |
| United Healthcare | Medicaid/CHIP | $303.89 | ↓ -46% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $376.53 | ↓ -34% |
| Cigna | Local Plus | $410.38 | ↓ -28% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $442.98 | ↓ -22% |
| QuikTrip | Employee Benefit Plan | $449.62 | ↓ -21% |
| MidCoast | Commercial | $449.62 | ↓ -21% |
| Aetna | Commercial | $449.62 | ↓ -21% |
| University of Mary Hardin-Baylor | Commercial | $474.15 | ↓ -16% |
| Cigna | HMO/PPO | $482.32 | ↓ -15% |
| Independent Medical System | Commercial PPO | $490.50 | ↓ -13% |
| Mark Cuban | Commercial | $497.54 | ↓ -12% |
| Curative | Commercial | $531.38 | ↓ -6% |
| Humana | Commercial HMO | $531.38 | ↓ -6% |
| Humana | Commercial PPO | $572.25 | ↑ +1% |
| HealthSmart | Accel Network | $572.25 | ↑ +1% |
| First Health | PPO | $572.25 | ↑ +1% |
| Private Health Care System | PHCS Network | $613.12 | ↑ +8% |
| HealthSmart | Preferred Network | $613.12 | ↑ +8% |
| BlueBell Creameries | Self Insured | $654.00 | ↑ +15% |
| Three Rivers | Three Rivers Provider Network | $654.00 | ↑ +15% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,071.79 | ↑ +89% |
| Blue Cross Blue Shield | Blue Advantage | $1,086.30 | ↑ +92% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,241.79 | ↑ +119% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,308.13 | ↑ +131% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $650.81 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $567.00 | $12.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $650.81 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $650.81 | $8.00 – $735.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $567.00 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $673.04 | $10.00 – $613.12 |