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Drainage of kidney lesion at BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
305 Mallard Lane, Taylor, TX · Baylor Scott & White Health · · NPI 1962497800
$1,783.27
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.
$2,972.11
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.
$71.00 with Blue Cross Blue Shield vs $3,934.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Blue Advantage | $71.00 | ↓ -96% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | ↓ -96% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | ↓ -95% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | ↓ -95% |
| United Healthcare | Medicaid/CHIP | $275.63 | ↓ -85% |
| Baylor Scott & White Health Plan | Medicare Advantage | $564.70 | ↓ -68% |
| TriWest | Community Care Network | $594.42 | ↓ -67% |
| American Health Plan | Medicare Advantage | $594.42 | ↓ -67% |
| CORVEL | Worker's Compensation | $622.66 | ↓ -65% |
| Prime Health Services | Worker's Compensation | $622.66 | ↓ -65% |
| HealthSpring | Medicare Advantage | $624.14 | ↓ -65% |
| Blue Cross Blue Shield | Medicare Advantage | $624.14 | ↓ -65% |
| ProCare Advantage | Medicare Advantage | $624.14 | ↓ -65% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $655.35 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $713.31 | ↓ -60% |
| Sedgwick | Preferred Network | $738.27 | ↓ -59% |
| Injury Management Organization | Med Select Network | $738.27 | ↓ -59% |
| CareWorks fka Rockport | Worker's Compensation | $738.27 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $746.00 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,069.96 | ↓ -40% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,081.25 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,272.06 | ↓ -29% |
| United Healthcare | Commercial | $1,465.25 | ↓ -18% |
| QuikTrip | Employee Benefit Plan | $1,634.66 | ↓ -8% |
| Aetna | Commercial | $1,634.66 | ↓ -8% |
| MidCoast | Commercial | $1,634.66 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $1,723.82 | ↓ -3% |
| Mark Cuban | Commercial | $1,742.94 | ↓ -2% |
| Independent Medical System | Commercial PPO | $1,783.27 | ↑ +0% |
| HealthSmart | Accel Network | $1,804.00 | ↑ +1% |
| Curative | Commercial | $1,931.87 | ↑ +8% |
| First Health | PPO | $2,080.48 | ↑ +17% |
| Humana | Commercial PPO | $2,080.48 | ↑ +17% |
| Private Health Care System | PHCS Network | $2,229.08 | ↑ +25% |
| HealthSmart | Preferred Network | $2,229.08 | ↑ +25% |
| BlueBell Creameries | Self Insured | $2,377.69 | ↑ +33% |
| Three Rivers | Three Rivers Provider Network | $2,377.69 | ↑ +33% |
| Cigna | Local Plus | $2,975.00 | ↑ +67% |
| Cigna | HMO/PPO | $3,500.00 | ↑ +96% |
| Humana | Commercial HMO | $3,934.00 | ↑ +121% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
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Drainage of kidney lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,719.93 | $257.60 – $2,149.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,841.58 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,783.27 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,719.93 | $257.60 – $2,149.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,841.58 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,841.58 | $257.60 – $2,762.37 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,783.27 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,719.93 | $257.60 – $2,149.91 |