Biliary endoscopy thru skin at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$2,478.00
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.
$4,130.00
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.
$1,362.90 with Texas Workforce Commission vs $10,730.48 with Baylor Scott & White Health Plan — 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 |
|---|---|---|---|
| Texas Workforce Commission | Workers Compensation | $1,362.90 | ↓ -45% |
| Superior Health Plan | Medicaid | $1,559.13 | ↓ -37% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,628.87 | ↓ -34% |
| United Healthcare | Medicaid/CHIP | $1,668.27 | ↓ -33% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,916.32 | ↓ -23% |
| High Plains Health Plans | Commercial | $2,023.29 | ↓ -18% |
| Aetna | Commercial | $2,271.50 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $2,271.50 | ↓ -8% |
| MidCoast | Commercial | $2,271.50 | ↓ -8% |
| Independent Medical System | Commercial PPO | $2,478.00 | ↑ +0% |
| Curative | Commercial | $2,684.50 | ↑ +8% |
| HealthSmart | Accel Network | $2,763.00 | ↑ +12% |
| First Health | PPO | $2,891.00 | ↑ +17% |
| Humana | Commercial PPO | $2,891.00 | ↑ +17% |
| HealthSmart | Preferred Network | $3,097.50 | ↑ +25% |
| Private Health Care System | PHCS Network | $3,097.50 | ↑ +25% |
| Cigna | Local Plus | $4,463.00 | ↑ +80% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $4,881.66 | ↑ +97% |
| Blue Cross Blue Shield | Blue Advantage | $4,943.85 | ↑ +100% |
| Cigna | HMO/PPO | $5,250.00 | ↑ +112% |
| United Healthcare | Nexus | $5,504.00 | ↑ +122% |
| United Healthcare | Charter | $5,504.00 | ↑ +122% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $5,659.00 | ↑ +128% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $5,969.93 | ↑ +141% |
| Humana | Commercial HMO | $6,022.00 | ↑ +143% |
| United Healthcare | Commercial Broad | $6,115.00 | ↑ +147% |
| Baylor Scott & White Health Plan | Medicare Advantage | $6,178.15 | ↑ +149% |
| CORVEL | Worker's Compensation | $6,308.22 | ↑ +155% |
| TriWest | Community Care Network | $6,503.32 | ↑ +162% |
| Humana | Medicare | $6,503.32 | ↑ +162% |
| American Health Plan | Medicare Advantage | $6,828.49 | ↑ +176% |
| Blue Cross Blue Shield | Medicare Advantage | $6,828.49 | ↑ +176% |
| ProCare Advantage | Medicare Advantage | $6,828.49 | ↑ +176% |
| United Healthcare | Medicare Advantage | $7,283.72 | ↑ +194% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $7,803.98 | ↑ +215% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $8,161.67 | ↑ +229% |
| Prime Health Services | Worker's Compensation | $8,200.69 | ↑ +231% |
| Mark Cuban | Commercial | $8,570.48 | ↑ +246% |
| Sedgwick | Preferred Network | $9,722.46 | ↑ +292% |
| Injury Management Organization | Med Select Network | $9,722.46 | ↑ +292% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $10,730.48 | ↑ +333% |
| Humana Military | TRICARE | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $859.35 – $5,876.65 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,676.24 | $1,559.13 – $13,982.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,478.00 | $510.06 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,676.24 | $1,559.13 – $13,982.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,478.00 | $1,628.87 – $9,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,478.00 | $1,559.13 – $8,570.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,676.24 | $1,559.13 – $13,982.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $2,676.24 | $1,559.13 – $14,005.19 |