Ercp stent exchange w/dilate at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
not published by hospital
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.
not published by hospital
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.
$2,250.66 with Superior Health Plan vs $14,118.49 with Mark Cuban — 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 | $2,250.66 | — |
| United Healthcare | Medicaid/CHIP | $2,408.21 | — |
| United Healthcare | Charter | $4,667.00 | — |
| United Healthcare | Nexus | $4,667.00 | — |
| United Healthcare | Commercial Broad | $5,186.00 | — |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,793.63 | — |
| CORVEL | Worker's Compensation | $5,915.60 | — |
| TriWest | Community Care Network | $6,098.56 | — |
| Humana | Medicare | $6,098.56 | — |
| American Health Plan | Medicare Advantage | $6,403.49 | — |
| Blue Cross Blue Shield | Medicare Advantage | $6,403.49 | — |
| ProCare Advantage | Medicare Advantage | $6,403.49 | — |
| United Healthcare | Medicare Advantage | $6,830.39 | — |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $7,318.27 | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $7,505.90 | — |
| Blue Cross Blue Shield | Blue Advantage | $7,601.52 | — |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $7,653.69 | — |
| Prime Health Services | Worker's Compensation | $7,690.28 | — |
| Cigna | Local Plus | $8,649.00 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $8,701.11 | — |
| Injury Management Organization | Med Select Network | $9,117.35 | — |
| Sedgwick | Preferred Network | $9,117.35 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $9,179.19 | — |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $10,062.62 | — |
| Cigna | HMO/PPO | $10,175.00 | — |
| Humana | Commercial HMO | $11,746.00 | — |
| Mark Cuban | Commercial | $14,118.49 | — |
| 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
Ercp stent exchange w/dilate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $2,250.66 – $9,035.77 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,337.49 | $2,292.84 – $2,866.05 |
| Adventhealth Rollins Brook | Lampasas | not published | $5,976.04 – $8,715.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $2,250.66 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | not published | $2,250.66 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $2,408.21 – $14,118.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | not published | $2,250.66 – $14,118.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | not published | $2,250.66 – $14,118.49 |