Core ndl bx lng/med perq at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$3,420.97
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.
$5,701.62
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.
$486.45 with Superior Health Plan vs $8,043.00 with Cigna — 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 | $486.45 | ↓ -86% |
| United Healthcare | Medicaid/CHIP | $520.50 | ↓ -85% |
| Baylor Scott & White Health Plan | Medicare Advantage | $1,576.16 | ↓ -54% |
| CORVEL | Worker's Compensation | $1,609.35 | ↓ -53% |
| TriWest | Community Care Network | $1,659.12 | ↓ -52% |
| Humana | Medicare | $1,659.12 | ↓ -52% |
| American Health Plan | Medicare Advantage | $1,742.08 | ↓ -49% |
| Blue Cross Blue Shield | Medicare Advantage | $1,742.08 | ↓ -49% |
| ProCare Advantage | Medicare Advantage | $1,742.08 | ↓ -49% |
| United Healthcare | Medicare Advantage | $1,858.21 | ↓ -46% |
| Texas Workforce Commission | Workers Compensation | $1,881.53 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,990.94 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $2,082.20 | ↓ -39% |
| Prime Health Services | Worker's Compensation | $2,092.15 | ↓ -39% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,208.99 | ↓ -35% |
| Blue Cross Blue Shield | Blue Advantage | $2,237.13 | ↓ -35% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,248.72 | ↓ -34% |
| Injury Management Organization | Med Select Network | $2,480.38 | ↓ -27% |
| Sedgwick | Preferred Network | $2,480.38 | ↓ -27% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,560.74 | ↓ -25% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $2,645.55 | ↓ -23% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,701.44 | ↓ -21% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $2,737.55 | ↓ -20% |
| High Plains Health Plans | Commercial | $2,793.22 | ↓ -18% |
| United Healthcare | Nexus | $3,082.00 | ↓ -10% |
| United Healthcare | Charter | $3,082.00 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $3,135.89 | ↓ -8% |
| MidCoast | Commercial | $3,135.89 | ↓ -8% |
| Aetna | Commercial | $3,135.89 | ↓ -8% |
| Independent Medical System | Commercial PPO | $3,420.97 | ↑ +0% |
| United Healthcare | Commercial Broad | $3,424.00 | ↑ +0% |
| Curative | Commercial | $3,706.05 | ↑ +8% |
| HealthSmart | Accel Network | $3,991.13 | ↑ +17% |
| First Health | PPO | $3,991.13 | ↑ +17% |
| Humana | Commercial PPO | $3,991.13 | ↑ +17% |
| Mark Cuban | Commercial | $4,016.35 | ↑ +17% |
| HealthSmart | Preferred Network | $4,276.22 | ↑ +25% |
| Private Health Care System | PHCS Network | $4,276.22 | ↑ +25% |
| Humana | Commercial HMO | $6,022.00 | ↑ +76% |
| Cigna | Local Plus | $6,837.00 | ↑ +100% |
| Cigna | HMO/PPO | $8,043.00 | ↑ +135% |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Humana Military | TRICARE | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Core ndl bx lng/med perq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | $447.75 | $486.45 – $2,659.23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,063.31 | $486.45 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,420.97 | $520.50 – $6,837.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,952.39 | $486.45 – $6,837.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,063.31 | $486.45 – $8,921.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,420.97 | $520.50 – $6,837.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,420.97 | $486.45 – $5,131.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,952.39 | $486.45 – $6,837.00 |