Mapping functional cort/subcort ea add'l hr at BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
305 Mallard Lane, Taylor, TX · Baylor Scott & White Health · · NPI 1962497800
$741.11
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.
$1,235.18
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.
$234.68 with Baylor Scott & White Health Plan vs $988.14 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 | $234.68 | ↓ -68% |
| TriWest | Community Care Network | $247.04 | ↓ -67% |
| American Health Plan | Medicare Advantage | $247.04 | ↓ -67% |
| Prime Health Services | Worker's Compensation | $258.77 | ↓ -65% |
| CORVEL | Worker's Compensation | $258.77 | ↓ -65% |
| Blue Cross Blue Shield | Medicare Advantage | $259.39 | ↓ -65% |
| HealthSpring | Medicare Advantage | $259.39 | ↓ -65% |
| ProCare Advantage | Medicare Advantage | $259.39 | ↓ -65% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $272.36 | ↓ -63% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $273.19 | ↓ -63% |
| Blue Cross Blue Shield | Blue Advantage | $276.81 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $296.44 | ↓ -60% |
| United Healthcare | Medicaid/CHIP | $298.67 | ↓ -60% |
| Sedgwick | Preferred Network | $306.82 | ↓ -59% |
| Injury Management Organization | Med Select Network | $306.82 | ↓ -59% |
| CareWorks fka Rockport | Worker's Compensation | $306.82 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $310.03 | ↓ -58% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $316.61 | ↓ -57% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $333.80 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $444.66 | ↓ -40% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $449.36 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $528.66 | ↓ -29% |
| Cigna | Local Plus | $620.06 | ↓ -16% |
| Aetna | Commercial | $679.35 | ↓ -8% |
| MidCoast | Commercial | $679.35 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $679.35 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $716.40 | ↓ -3% |
| Cigna | HMO/PPO | $728.76 | ↓ -2% |
| Independent Medical System | Commercial PPO | $741.11 | ↑ +0% |
| Curative | Commercial | $802.87 | ↑ +8% |
| Humana | Commercial HMO | $802.87 | ↑ +8% |
| United Healthcare | Commercial | $853.51 | ↑ +15% |
| Humana | Commercial PPO | $864.63 | ↑ +17% |
| First Health | PPO | $864.63 | ↑ +17% |
| HealthSmart | Accel Network | $864.63 | ↑ +17% |
| HealthSmart | Preferred Network | $926.38 | ↑ +25% |
| Private Health Care System | PHCS Network | $926.38 | ↑ +25% |
| BlueBell Creameries | Self Insured | $988.14 | ↑ +33% |
| Three Rivers | Three Rivers Provider Network | $988.14 | ↑ +33% |
Visitor-reported prices
Comments
Mapping functional cort/subcort ea add'l hr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $705.82 | $145.28 – $1,058.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $741.11 | $148.22 – $926.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $705.82 | $226.57 – $1,058.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $705.82 | $364.67 – $1,058.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $741.11 | $247.04 – $1,111.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $705.82 | $141.16 – $999.91 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $705.82 | $176.46 – $1,058.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $741.11 | $135.87 – $1,111.66 |