healthcosts.net
ER Visit (level 1, minor) at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$312.33
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.
$520.55
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.
$62.47 with Superior Health Plan vs $1,055.00 with United Healthcare — 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 | $62.47 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $66.84 | ↓ -79% |
| Baylor Scott & White Health Plan | Medicare Advantage | $80.47 | ↓ -74% |
| CORVEL | Worker's Compensation | $82.17 | ↓ -74% |
| Humana | Medicare | $84.71 | ↓ -73% |
| TriWest | Community Care Network | $84.71 | ↓ -73% |
| Blue Cross Blue Shield | Medicare Advantage | $88.95 | ↓ -72% |
| ProCare Advantage | Medicare Advantage | $88.95 | ↓ -72% |
| American Health Plan | Medicare Advantage | $88.95 | ↓ -72% |
| United Healthcare | Medicare Advantage | $94.88 | ↓ -70% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $101.65 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $106.31 | ↓ -66% |
| Prime Health Services | Worker's Compensation | $106.82 | ↓ -66% |
| Sedgwick | Preferred Network | $126.64 | ↓ -59% |
| Injury Management Organization | Med Select Network | $126.64 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $139.77 | ↓ -55% |
| Texas Workforce Commission | Workers Compensation | $171.78 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $232.29 | ↓ -26% |
| High Plains Health Plans | Commercial | $255.02 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $258.00 | ↓ -17% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $273.40 | ↓ -12% |
| University of Mary Hardin-Baylor | Commercial | $274.00 | ↓ -12% |
| QuikTrip | Employee Benefit Plan | $286.30 | ↓ -8% |
| MidCoast | Commercial | $286.30 | ↓ -8% |
| Independent Medical System | Commercial PPO | $312.33 | ↑ +0% |
| Blue Cross Blue Shield | Blue Advantage | $318.00 | ↑ +2% |
| Curative | Commercial | $338.36 | ↑ +8% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $364.00 | ↑ +17% |
| Humana | Commercial PPO | $364.38 | ↑ +17% |
| First Health | PPO | $364.38 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $384.00 | ↑ +23% |
| HealthSmart | Preferred Network | $390.41 | ↑ +25% |
| Private Health Care System | PHCS Network | $390.41 | ↑ +25% |
| HealthSmart | Accel Network | $390.41 | ↑ +25% |
| Mark Cuban | Commercial | $600.00 | ↑ +92% |
| Aetna | Commercial | $859.00 | ↑ +175% |
| United Healthcare | Charter | $950.00 | ↑ +204% |
| United Healthcare | Nexus | $950.00 | ↑ +204% |
| United Healthcare | Commercial Broad | $1,055.00 | ↑ +238% |
| Humana | Commercial HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Cigna | HMO/PPO | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $286.94 | $80.47 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $312.33 | $64.29 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $333.31 | $66.66 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $286.94 | $76.52 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $312.33 | $80.47 – $859.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $312.33 | $161.37 – $600.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $286.94 | $76.52 – $600.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $286.94 | $71.73 – $600.00 |