Lead capillary at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$79.36
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.
$132.27
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.
$10.16 with Texas Workforce Commission vs $76.41 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Texas Workforce Commission | Workers Compensation | $10.16 | ↓ -87% |
| Superior Health Plan | Medicaid | $10.17 | ↓ -87% |
| United Healthcare | Medicaid/CHIP | $10.88 | ↓ -86% |
| Baylor Scott & White Health Plan | Medicare Advantage | $11.50 | ↓ -86% |
| CORVEL | Worker's Compensation | $11.75 | ↓ -85% |
| Humana | Medicare | $12.11 | ↓ -85% |
| TriWest | Community Care Network | $12.11 | ↓ -85% |
| American Health Plan | Medicare Advantage | $12.72 | ↓ -84% |
| ProCare Advantage | Medicare Advantage | $12.72 | ↓ -84% |
| Blue Cross Blue Shield | Medicare Advantage | $12.72 | ↓ -84% |
| United Healthcare | Medicare Advantage | $13.56 | ↓ -83% |
| United Healthcare | Charter | $13.67 | ↓ -83% |
| United Healthcare | Nexus | $13.67 | ↓ -83% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $14.53 | ↓ -82% |
| High Plains Health Plans | Commercial | $15.09 | ↓ -81% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $15.20 | ↓ -81% |
| Prime Health Services | Worker's Compensation | $15.27 | ↓ -81% |
| Cigna | Local Plus | $15.46 | ↓ -81% |
| QuikTrip | Employee Benefit Plan | $16.94 | ↓ -79% |
| Aetna | Commercial | $16.94 | ↓ -79% |
| MidCoast | Commercial | $16.94 | ↓ -79% |
| United Healthcare | Commercial Broad | $17.44 | ↓ -78% |
| University of Mary Hardin-Baylor | Commercial | $17.86 | ↓ -77% |
| Imagine Health | Commercial | $17.86 | ↓ -77% |
| Injury Management Organization | Med Select Network | $18.10 | ↓ -77% |
| Sedgwick | Preferred Network | $18.10 | ↓ -77% |
| Cigna | HMO/PPO | $18.17 | ↓ -77% |
| Independent Medical System | Commercial PPO | $18.48 | ↓ -77% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $19.98 | ↓ -75% |
| Humana | Commercial HMO | $20.02 | ↓ -75% |
| Curative | Commercial | $20.02 | ↓ -75% |
| HealthSmart | Accel Network | $21.56 | ↓ -73% |
| First Health | PPO | $21.56 | ↓ -73% |
| Humana | Commercial PPO | $21.56 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $21.83 | ↓ -72% |
| Private Health Care System | PHCS Network | $23.10 | ↓ -71% |
| HealthSmart | Preferred Network | $23.10 | ↓ -71% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $25.68 | ↓ -68% |
| Mark Cuban | Commercial | $29.06 | ↓ -63% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $62.61 | ↓ -21% |
| Blue Cross Blue Shield | Blue Advantage | $63.46 | ↓ -20% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $72.54 | ↓ -9% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $76.41 | ↓ -4% |
Visitor-reported prices
Comments
Lead capillary at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | $59.13 | $10.17 – $53.41 |
| Adventhealth Rollins Brook | Lampasas | $181.39 | $10.90 – $46.62 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $81.29 | $10.00 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $79.36 | $3.80 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $75.11 | $10.17 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $81.29 | $10.00 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $79.36 | $10.88 – $29.06 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $79.36 | $8.00 – $29.06 |