Ghs simple repair 7.6 - 12.5 cm - 12004 at BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
305 Mallard Lane, Taylor, TX · Baylor Scott & White Health · · NPI 1962497800
$545.35
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.
?
What you pay up front if you don't use insurance.
$908.91
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.
?
The hospital's undiscounted list price — almost no one pays this.
$71.00 with Blue Cross Blue Shield vs $727.13 with BlueBell Creameries — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -87% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | ↓ -86% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | ↓ -85% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | ↓ -84% |
| Cigna | Local Plus | $85.00 | ↓ -84% |
| Cigna | HMO/PPO | $100.00 | ↓ -82% |
| Baylor Scott & White Health Plan | Medicare Advantage | $172.69 | ↓ -68% |
| TriWest | Community Care Network | $181.78 | ↓ -67% |
| American Health Plan | Medicare Advantage | $181.78 | ↓ -67% |
| CORVEL | Worker's Compensation | $190.42 | ↓ -65% |
| Prime Health Services | Worker's Compensation | $190.42 | ↓ -65% |
| HealthSpring | Medicare Advantage | $190.87 | ↓ -65% |
| Blue Cross Blue Shield | Medicare Advantage | $190.87 | ↓ -65% |
| ProCare Advantage | Medicare Advantage | $190.87 | ↓ -65% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $200.41 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $218.14 | ↓ -60% |
| United Healthcare | Medicaid/CHIP | $219.77 | ↓ -60% |
| Sedgwick | Preferred Network | $225.77 | ↓ -59% |
| CareWorks fka Rockport | Worker's Compensation | $225.77 | ↓ -59% |
| Injury Management Organization | Med Select Network | $225.77 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $228.14 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $327.21 | ↓ -40% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $330.66 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $389.01 | ↓ -29% |
| United Healthcare | Commercial | $448.09 | ↓ -18% |
| Mark Cuban | Commercial | $495.95 | ↓ -9% |
| Aetna | Commercial | $499.90 | ↓ -8% |
| MidCoast | Commercial | $499.90 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $499.90 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $527.17 | ↓ -3% |
| Independent Medical System | Commercial PPO | $545.35 | ↑ +0% |
| Humana | Commercial HMO | $561.00 | ↑ +3% |
| Curative | Commercial | $590.79 | ↑ +8% |
| First Health | PPO | $636.24 | ↑ +17% |
| HealthSmart | Accel Network | $636.24 | ↑ +17% |
| Humana | Commercial PPO | $636.24 | ↑ +17% |
| HealthSmart | Preferred Network | $681.68 | ↑ +25% |
| Private Health Care System | PHCS Network | $681.68 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $727.13 | ↑ +33% |
| BlueBell Creameries | Self Insured | $727.13 | ↑ +33% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,142.40 | $218.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $569.06 | $111.00 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $470.47 | $71.00 – $705.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $545.35 | $71.00 – $681.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $569.06 | $151.75 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $470.47 | $85.00 – $705.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $470.47 | $243.08 – $705.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $545.35 | $71.00 – $818.02 |