healthcosts.net
Established Patient Office Visit (level 1) at BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
305 Mallard Lane, Taylor, TX · Baylor Scott & White Health · · NPI 1962497800
$96.94
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.
$161.56
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.
$23.75 with Baylor Scott & White Health Plan vs $100.00 with Three Rivers — 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 | Medicare Advantage | $23.75 | ↓ -76% |
| TriWest | Community Care Network | $25.00 | ↓ -74% |
| American Health Plan | Medicare Advantage | $25.00 | ↓ -74% |
| CORVEL | Worker's Compensation | $26.19 | ↓ -73% |
| Prime Health Services | Worker's Compensation | $26.19 | ↓ -73% |
| Blue Cross Blue Shield | Medicare Advantage | $26.25 | ↓ -73% |
| ProCare Advantage | Medicare Advantage | $26.25 | ↓ -73% |
| HealthSpring | Medicare Advantage | $26.25 | ↓ -73% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $27.56 | ↓ -72% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $30.00 | ↓ -69% |
| United Healthcare | Medicaid/CHIP | $30.23 | ↓ -69% |
| Sedgwick | Preferred Network | $31.05 | ↓ -68% |
| CareWorks fka Rockport | Worker's Compensation | $31.05 | ↓ -68% |
| Injury Management Organization | Med Select Network | $31.05 | ↓ -68% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $31.38 | ↓ -68% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $45.00 | ↓ -54% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $45.48 | ↓ -53% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $53.50 | ↓ -45% |
| United Healthcare | Commercial | $61.62 | ↓ -36% |
| Cigna | Local Plus | $62.75 | ↓ -35% |
| QuikTrip | Employee Benefit Plan | $68.75 | ↓ -29% |
| Aetna | Commercial | $68.75 | ↓ -29% |
| MidCoast | Commercial | $68.75 | ↓ -29% |
| University of Mary Hardin-Baylor | Commercial | $72.50 | ↓ -25% |
| Cigna | HMO/PPO | $73.75 | ↓ -24% |
| Independent Medical System | Commercial PPO | $75.00 | ↓ -23% |
| Curative | Commercial | $81.25 | ↓ -16% |
| Humana | Commercial HMO | $81.25 | ↓ -16% |
| Humana | Commercial PPO | $87.50 | ↓ -10% |
| HealthSmart | Accel Network | $87.50 | ↓ -10% |
| First Health | PPO | $87.50 | ↓ -10% |
| HealthSmart | Preferred Network | $93.75 | ↓ -3% |
| Private Health Care System | PHCS Network | $93.75 | ↓ -3% |
| BlueBell Creameries | Self Insured | $100.00 | ↑ +3% |
| Three Rivers | Three Rivers Provider Network | $100.00 | ↑ +3% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.02 | $15.44 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $96.94 | $15.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.02 | $24.07 – $112.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.02 | $38.75 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.02 | $15.00 – $106.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $96.94 | $13.75 – $112.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $96.94 | $25.00 – $112.50 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $134.02 | $8.82 – $112.50 |