#flow interp 9 - 15 markers at BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
305 Mallard Lane, Taylor, TX · Baylor Scott & White Health · · NPI 1962497800
$564.24
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.
$940.40
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.
$17.06 with Baylor Scott & White Health Plan vs $416.14 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $17.06 | ↓ -97% |
| American Health Plan | Medicare Advantage | $17.96 | ↓ -97% |
| TriWest | Community Care Network | $17.96 | ↓ -97% |
| Prime Health Services | Worker's Compensation | $18.81 | ↓ -97% |
| CORVEL | Worker's Compensation | $18.81 | ↓ -97% |
| HealthSpring | Medicare Advantage | $18.85 | ↓ -97% |
| Blue Cross Blue Shield | Medicare Advantage | $18.85 | ↓ -97% |
| ProCare Advantage | Medicare Advantage | $18.85 | ↓ -97% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $19.80 | ↓ -96% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $21.55 | ↓ -96% |
| United Healthcare | Medicaid/CHIP | $21.71 | ↓ -96% |
| Sedgwick | Preferred Network | $22.30 | ↓ -96% |
| Injury Management Organization | Med Select Network | $22.30 | ↓ -96% |
| CareWorks fka Rockport | Worker's Compensation | $22.30 | ↓ -96% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $22.53 | ↓ -96% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $32.32 | ↓ -94% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $32.66 | ↓ -94% |
| United Healthcare | Commercial | $36.00 | ↓ -94% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $38.43 | ↓ -93% |
| Cigna | Local Plus | $45.07 | ↓ -92% |
| QuikTrip | Employee Benefit Plan | $49.38 | ↓ -91% |
| MidCoast | Commercial | $49.38 | ↓ -91% |
| Aetna | Commercial | $49.38 | ↓ -91% |
| University of Mary Hardin-Baylor | Commercial | $52.07 | ↓ -91% |
| Cigna | HMO/PPO | $52.97 | ↓ -91% |
| Independent Medical System | Commercial PPO | $53.87 | ↓ -90% |
| Curative | Commercial | $58.36 | ↓ -90% |
| Humana | Commercial HMO | $58.36 | ↓ -90% |
| Humana | Commercial PPO | $62.85 | ↓ -89% |
| HealthSmart | Accel Network | $62.85 | ↓ -89% |
| First Health | PPO | $62.85 | ↓ -89% |
| Private Health Care System | PHCS Network | $67.33 | ↓ -88% |
| HealthSmart | Preferred Network | $67.33 | ↓ -88% |
| BlueBell Creameries | Self Insured | $71.82 | ↓ -87% |
| Three Rivers | Three Rivers Provider Network | $71.82 | ↓ -87% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $340.96 | ↓ -40% |
| Blue Cross Blue Shield | Blue Advantage | $345.58 | ↓ -39% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $395.04 | ↓ -30% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $416.14 | ↓ -26% |
Visitor-reported prices
Comments
#flow interp 9 - 15 markers at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $564.24 | $15.26 – $160.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $564.24 | $11.09 – $80.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $564.24 | $10.77 – $340.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $564.24 | $14.36 – $240.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $564.24 | $17.29 – $416.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $564.24 | $26.00 – $80.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $564.24 | $17.96 – $340.96 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $564.24 | $14.36 – $160.92 |