Lap paraesophag hern repair at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$8,681.04
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.
$14,468.40
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.
$1,736.21 with Superior Health Plan vs $25,500.18 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 | $1,736.21 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $1,857.74 | ↓ -79% |
| Texas Workforce Commission | Workers Compensation | $4,774.57 | ↓ -45% |
| Cigna | Local Plus | $5,388.00 | ↓ -38% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $5,706.34 | ↓ -34% |
| Cigna | HMO/PPO | $6,339.00 | ↓ -27% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $6,713.34 | ↓ -23% |
| High Plains Health Plans | Commercial | $7,088.07 | ↓ -18% |
| Aetna | Commercial | $7,957.62 | ↓ -8% |
| MidCoast | Commercial | $7,957.62 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $7,957.62 | ↓ -8% |
| Independent Medical System | Commercial PPO | $8,681.04 | ↑ +0% |
| United Healthcare | Nexus | $9,316.00 | ↑ +7% |
| United Healthcare | Charter | $9,316.00 | ↑ +7% |
| Curative | Commercial | $9,404.46 | ↑ +8% |
| HealthSmart | Accel Network | $10,127.88 | ↑ +17% |
| Humana | Commercial PPO | $10,127.88 | ↑ +17% |
| First Health | PPO | $10,127.88 | ↑ +17% |
| Baylor Scott & White Health Plan | Medicare Advantage | $10,144.36 | ↑ +17% |
| United Healthcare | Commercial Broad | $10,351.00 | ↑ +19% |
| CORVEL | Worker's Compensation | $10,357.92 | ↑ +19% |
| TriWest | Community Care Network | $10,678.27 | ↑ +23% |
| Humana | Medicare | $10,678.27 | ↑ +23% |
| HealthSmart | Preferred Network | $10,851.30 | ↑ +25% |
| Private Health Care System | PHCS Network | $10,851.30 | ↑ +25% |
| ProCare Advantage | Medicare Advantage | $11,212.18 | ↑ +29% |
| American Health Plan | Medicare Advantage | $11,212.18 | ↑ +29% |
| Blue Cross Blue Shield | Medicare Advantage | $11,212.18 | ↑ +29% |
| United Healthcare | Medicare Advantage | $11,959.66 | ↑ +38% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $12,813.92 | ↑ +48% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $13,208.58 | ↑ +52% |
| Blue Cross Blue Shield | Blue Advantage | $13,376.84 | ↑ +54% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $13,401.23 | ↑ +54% |
| Prime Health Services | Worker's Compensation | $13,465.30 | ↑ +55% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $15,311.86 | ↑ +76% |
| Humana | Commercial HMO | $15,811.00 | ↑ +82% |
| Injury Management Organization | Med Select Network | $15,964.01 | ↑ +84% |
| Sedgwick | Preferred Network | $15,964.01 | ↑ +84% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $16,153.17 | ↑ +86% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $17,619.15 | ↑ +103% |
| Mark Cuban | Commercial | $25,500.18 | ↑ +194% |
| Humana Military | TRICARE | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Lap paraesophag hern repair at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $6,730.74 – $15,900.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,681.04 | $1,786.85 – $25,500.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,854.66 | $1,770.93 – $25,500.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,681.04 | $2,786.61 – $25,500.18 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,681.04 | $4,485.20 – $25,500.18 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,854.66 | $2,951.55 – $25,500.18 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $8,681.04 | $2,170.26 – $25,500.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $8,854.66 | $1,623.35 – $25,500.18 |