Compatibility test each unit immediate spin technique at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$158.27
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.
$263.79
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.
$31.65 with Superior Health Plan vs $905.49 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $31.65 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $33.87 | ↓ -79% |
| Texas Workforce Commission | Workers Compensation | $87.05 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $95.97 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $112.90 | ↓ -29% |
| United Healthcare | Nexus | $117.04 | ↓ -26% |
| United Healthcare | Charter | $117.04 | ↓ -26% |
| High Plains Health Plans | Commercial | $129.23 | ↓ -18% |
| Cigna | Local Plus | $132.42 | ↓ -16% |
| Aetna | Commercial | $145.08 | ↓ -8% |
| MidCoast | Commercial | $145.08 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $145.08 | ↓ -8% |
| Imagine Health | Commercial | $153.00 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $153.00 | ↓ -3% |
| Cigna | HMO/PPO | $155.64 | ↓ -2% |
| Independent Medical System | Commercial PPO | $158.27 | ↑ +0% |
| Baylor Scott & White Health Plan | Medicare Advantage | $162.59 | ↑ +3% |
| CORVEL | Worker's Compensation | $166.02 | ↑ +5% |
| TriWest | Community Care Network | $171.15 | ↑ +8% |
| Humana | Medicare | $171.15 | ↑ +8% |
| Curative | Commercial | $171.46 | ↑ +8% |
| Humana | Commercial HMO | $171.46 | ↑ +8% |
| Blue Cross Blue Shield | Medicare Advantage | $179.71 | ↑ +14% |
| ProCare Advantage | Medicare Advantage | $179.71 | ↑ +14% |
| American Health Plan | Medicare Advantage | $179.71 | ↑ +14% |
| HealthSmart | Accel Network | $184.65 | ↑ +17% |
| First Health | PPO | $184.65 | ↑ +17% |
| Humana | Commercial PPO | $184.65 | ↑ +17% |
| United Healthcare | Medicare Advantage | $191.69 | ↑ +21% |
| HealthSmart | Preferred Network | $197.84 | ↑ +25% |
| Private Health Care System | PHCS Network | $197.84 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $205.38 | ↑ +30% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $214.79 | ↑ +36% |
| Prime Health Services | Worker's Compensation | $215.82 | ↑ +36% |
| United Healthcare | Commercial Broad | $226.44 | ↑ +43% |
| Sedgwick | Preferred Network | $255.87 | ↑ +62% |
| Injury Management Organization | Med Select Network | $255.87 | ↑ +62% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $282.40 | ↑ +78% |
| Mark Cuban | Commercial | $423.12 | ↑ +167% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $741.89 | ↑ +369% |
| Blue Cross Blue Shield | Blue Advantage | $751.94 | ↑ +375% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $859.57 | ↑ +443% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $905.49 | ↑ +472% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Compatibility test each unit immediate spin technique at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $167.95 – $632.84 |
| Adventhealth Rollins Brook | Lampasas | $128.09 | $552.48 – $552.48 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $169.52 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $158.27 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $149.06 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $169.52 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $158.27 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $158.27 | $8.00 – $423.12 |