Fundus photography with i&r 92250 at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$275.91
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.
$459.85
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.
$55.18 with Superior Health Plan vs $465.00 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 | $55.18 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $59.04 | ↓ -79% |
| Baylor Scott & White Health Plan | Medicare Advantage | $126.97 | ↓ -54% |
| CORVEL | Worker's Compensation | $129.64 | ↓ -53% |
| Humana | Medicare | $133.65 | ↓ -52% |
| TriWest | Community Care Network | $133.65 | ↓ -52% |
| Blue Cross Blue Shield | Medicare Advantage | $140.33 | ↓ -49% |
| American Health Plan | Medicare Advantage | $140.33 | ↓ -49% |
| ProCare Advantage | Medicare Advantage | $140.33 | ↓ -49% |
| United Healthcare | Medicare Advantage | $149.69 | ↓ -46% |
| Texas Workforce Commission | Workers Compensation | $151.75 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $160.38 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $167.29 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $167.73 | ↓ -39% |
| Prime Health Services | Worker's Compensation | $168.53 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $196.82 | ↓ -29% |
| Injury Management Organization | Med Select Network | $199.81 | ↓ -28% |
| Sedgwick | Preferred Network | $199.81 | ↓ -28% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $220.52 | ↓ -20% |
| High Plains Health Plans | Commercial | $225.28 | ↓ -18% |
| Cigna | Local Plus | $230.84 | ↓ -16% |
| QuikTrip | Employee Benefit Plan | $252.92 | ↓ -8% |
| MidCoast | Commercial | $252.92 | ↓ -8% |
| Aetna | Commercial | $252.92 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $266.71 | ↓ -3% |
| Imagine Health | Commercial | $266.71 | ↓ -3% |
| Cigna | HMO/PPO | $271.31 | ↓ -2% |
| Independent Medical System | Commercial PPO | $275.91 | ↑ +0% |
| Curative | Commercial | $298.90 | ↑ +8% |
| Humana | Commercial HMO | $298.90 | ↑ +8% |
| Mark Cuban | Commercial | $316.45 | ↑ +15% |
| First Health | PPO | $321.89 | ↑ +17% |
| Humana | Commercial PPO | $321.89 | ↑ +17% |
| HealthSmart | Accel Network | $321.89 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $329.27 | ↑ +19% |
| Blue Cross Blue Shield | Blue Advantage | $333.63 | ↑ +21% |
| HealthSmart | Preferred Network | $344.89 | ↑ +25% |
| Private Health Care System | PHCS Network | $344.89 | ↑ +25% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $381.61 | ↑ +38% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $402.32 | ↑ +46% |
| United Healthcare | Charter | $419.00 | ↑ +52% |
| United Healthcare | Nexus | $419.00 | ↑ +52% |
| United Healthcare | Commercial Broad | $465.00 | ↑ +69% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Fundus photography with i&r 92250 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $126.33 – $269.30 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $209.46 | $59.35 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $275.91 | $56.79 – $413.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $255.85 | $51.17 – $319.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $209.46 | $55.86 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $275.91 | $88.57 – $413.87 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $275.91 | $142.55 – $413.87 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $255.85 | $85.28 – $383.77 |