_afb org id by sequencing rflx ast-sendout at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$473.33
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.
$788.88
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.
$96.90 with Superior Health Plan vs $727.92 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $96.90 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $103.68 | ↓ -78% |
| Baylor Scott & White Health Plan | Medicare Advantage | $109.59 | ↓ -77% |
| CORVEL | Worker's Compensation | $111.90 | ↓ -76% |
| TriWest | Community Care Network | $115.36 | ↓ -76% |
| Humana | Medicare | $115.36 | ↓ -76% |
| American Health Plan | Medicare Advantage | $121.13 | ↓ -74% |
| ProCare Advantage | Medicare Advantage | $121.13 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $121.13 | ↓ -74% |
| United Healthcare | Medicare Advantage | $129.20 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $138.43 | ↓ -71% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $144.78 | ↓ -69% |
| Prime Health Services | Worker's Compensation | $145.47 | ↓ -69% |
| United Healthcare | Commercial Broad | $166.12 | ↓ -65% |
| Injury Management Organization | Med Select Network | $172.46 | ↓ -64% |
| Sedgwick | Preferred Network | $172.46 | ↓ -64% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $190.34 | ↓ -60% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $209.19 | ↓ -56% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $246.10 | ↓ -48% |
| Texas Workforce Commission | Workers Compensation | $260.33 | ↓ -45% |
| Mark Cuban | Commercial | $276.86 | ↓ -42% |
| United Healthcare | Charter | $350.03 | ↓ -26% |
| United Healthcare | Nexus | $350.03 | ↓ -26% |
| High Plains Health Plans | Commercial | $386.47 | ↓ -18% |
| Cigna | Local Plus | $396.02 | ↓ -16% |
| Aetna | Commercial | $433.88 | ↓ -8% |
| MidCoast | Commercial | $433.88 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $433.88 | ↓ -8% |
| Imagine Health | Commercial | $457.55 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $457.55 | ↓ -3% |
| Cigna | HMO/PPO | $465.44 | ↓ -2% |
| Independent Medical System | Commercial PPO | $473.33 | ↑ +0% |
| Curative | Commercial | $512.77 | ↑ +8% |
| Humana | Commercial HMO | $512.77 | ↑ +8% |
| First Health | PPO | $552.22 | ↑ +17% |
| Humana | Commercial PPO | $552.22 | ↑ +17% |
| HealthSmart | Accel Network | $552.22 | ↑ +17% |
| HealthSmart | Preferred Network | $591.66 | ↑ +25% |
| Private Health Care System | PHCS Network | $591.66 | ↑ +25% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $596.41 | ↑ +26% |
| Blue Cross Blue Shield | Blue Advantage | $604.49 | ↑ +28% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $691.01 | ↑ +46% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $727.92 | ↑ +54% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $4.35 – $508.74 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $473.33 | $10.00 – $591.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $473.33 | $12.00 – $709.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $459.54 | $12.00 – $574.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $473.33 | $10.00 – $591.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $473.33 | $12.00 – $709.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $473.33 | $8.00 – $709.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $459.54 | $12.00 – $689.31 |