Pt evaluation high complexity patient/family at BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
305 Mallard Lane, Taylor, TX · Baylor Scott & White Health · · NPI 1962497800
$395.51
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.
$659.18
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.
$108.00 with Aetna vs $527.34 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 |
|---|---|---|---|
| Aetna | Commercial | $108.00 | ↓ -73% |
| United Healthcare | Commercial | $112.00 | ↓ -72% |
| Baylor Scott & White Health Plan | Medicare Advantage | $125.24 | ↓ -68% |
| American Health Plan | Medicare Advantage | $131.84 | ↓ -67% |
| TriWest | Community Care Network | $131.84 | ↓ -67% |
| CORVEL | Worker's Compensation | $138.10 | ↓ -65% |
| Prime Health Services | Worker's Compensation | $138.10 | ↓ -65% |
| Blue Cross Blue Shield | Medicare Advantage | $138.43 | ↓ -65% |
| HealthSpring | Medicare Advantage | $138.43 | ↓ -65% |
| ProCare Advantage | Medicare Advantage | $138.43 | ↓ -65% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $145.35 | ↓ -63% |
| Cigna | Local Plus | $149.00 | ↓ -62% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $158.20 | ↓ -60% |
| United Healthcare | Medicaid/CHIP | $159.39 | ↓ -60% |
| CareWorks fka Rockport | Worker's Compensation | $163.74 | ↓ -59% |
| Injury Management Organization | Med Select Network | $163.74 | ↓ -59% |
| Sedgwick | Preferred Network | $163.74 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $165.45 | ↓ -58% |
| Cigna | HMO/PPO | $175.00 | ↓ -56% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $237.30 | ↓ -40% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $239.81 | ↓ -39% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $261.20 | ↓ -34% |
| Blue Cross Blue Shield | Blue Advantage | $264.66 | ↓ -33% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $282.13 | ↓ -29% |
| Mark Cuban | Commercial | $296.19 | ↓ -25% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $302.71 | ↓ -23% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $319.15 | ↓ -19% |
| QuikTrip | Employee Benefit Plan | $362.55 | ↓ -8% |
| MidCoast | Commercial | $362.55 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $382.32 | ↓ -3% |
| Independent Medical System | Commercial PPO | $395.51 | ↑ +0% |
| Curative | Commercial | $428.47 | ↑ +8% |
| Humana | Commercial HMO | $428.47 | ↑ +8% |
| Humana | Commercial PPO | $461.43 | ↑ +17% |
| First Health | PPO | $461.43 | ↑ +17% |
| HealthSmart | Accel Network | $461.43 | ↑ +17% |
| HealthSmart | Preferred Network | $494.38 | ↑ +25% |
| Private Health Care System | PHCS Network | $494.38 | ↑ +25% |
| BlueBell Creameries | Self Insured | $527.34 | ↑ +33% |
| Three Rivers | Three Rivers Provider Network | $527.34 | ↑ +33% |
Visitor-reported prices
Comments
Pt evaluation high complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $554.20 | $332.99 – $332.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $305.27 | $86.49 – $432.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $374.69 | $77.12 – $562.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $395.51 | $79.10 – $494.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $305.27 | $81.41 – $432.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $374.69 | $108.00 – $562.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $374.69 | $155.00 – $562.03 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $395.51 | $108.00 – $593.26 |