Lumbar diskogram s&i at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$5,350.69
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.
?
What you pay up front if you don't use insurance.
$8,917.82
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.
?
The hospital's undiscounted list price — almost no one pays this.
$111.60 with Superior Health Plan vs $7,032.14 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $111.60 | ↓ -98% |
| United Healthcare | Medicaid/CHIP | $119.41 | ↓ -98% |
| United Healthcare | Nexus | $409.00 | ↓ -92% |
| United Healthcare | Charter | $409.00 | ↓ -92% |
| United Healthcare | Commercial Broad | $454.00 | ↓ -92% |
| Baylor Scott & White Health Plan | Medicare Advantage | $1,863.54 | ↓ -65% |
| CORVEL | Worker's Compensation | $1,902.77 | ↓ -64% |
| Humana | Medicare | $1,961.62 | ↓ -63% |
| TriWest | Community Care Network | $1,961.62 | ↓ -63% |
| American Health Plan | Medicare Advantage | $2,059.70 | ↓ -62% |
| Blue Cross Blue Shield | Medicare Advantage | $2,059.70 | ↓ -62% |
| ProCare Advantage | Medicare Advantage | $2,059.70 | ↓ -62% |
| United Healthcare | Medicare Advantage | $2,197.01 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $2,353.94 | ↓ -56% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $2,461.83 | ↓ -54% |
| Prime Health Services | Worker's Compensation | $2,473.60 | ↓ -54% |
| Injury Management Organization | Med Select Network | $2,932.62 | ↓ -45% |
| Sedgwick | Preferred Network | $2,932.62 | ↓ -45% |
| Texas Workforce Commission | Workers Compensation | $2,942.88 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $3,236.67 | ↓ -40% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $3,244.30 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $3,816.83 | ↓ -29% |
| High Plains Health Plans | Commercial | $4,368.84 | ↓ -18% |
| Cigna | Local Plus | $4,476.75 | ↓ -16% |
| Mark Cuban | Commercial | $4,783.04 | ↓ -11% |
| Aetna | Commercial | $4,904.80 | ↓ -8% |
| Imagine Health | Commercial | $4,904.80 | ↓ -8% |
| MidCoast | Commercial | $4,904.80 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $4,904.80 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $5,172.34 | ↓ -3% |
| Cigna | HMO/PPO | $5,261.51 | ↓ -2% |
| Independent Medical System | Commercial PPO | $5,350.69 | ↑ +0% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $5,777.02 | ↑ +8% |
| Humana | Commercial HMO | $5,796.58 | ↑ +8% |
| Curative | Commercial | $5,796.58 | ↑ +8% |
| Blue Cross Blue Shield | Blue Advantage | $5,845.79 | ↑ +9% |
| First Health | PPO | $6,242.47 | ↑ +17% |
| Humana | Commercial PPO | $6,242.47 | ↑ +17% |
| HealthSmart | Accel Network | $6,242.47 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $6,688.27 | ↑ +25% |
| HealthSmart | Preferred Network | $6,688.36 | ↑ +25% |
| Private Health Care System | PHCS Network | $6,688.36 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $7,032.14 | ↑ +31% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Lumbar diskogram s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | $1,714.50 | $91.89 – $4,212.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,358.23 | $111.60 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,350.69 | $1,101.35 – $8,026.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,618.23 | $111.60 – $7,022.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,358.23 | $111.60 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,350.69 | $119.41 – $8,026.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,350.69 | $111.60 – $8,026.04 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,618.23 | $111.60 – $8,427.34 |