Nsl/sins ndsc surg frnt&sphn 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.
$1,630.12 with Superior Health Plan vs $16,955.09 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 | $1,630.12 | — |
| United Healthcare | Medicaid/CHIP | $1,744.23 | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,976.55 | — |
| Blue Cross Blue Shield | Blue Advantage | $3,014.47 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,450.52 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,640.11 | — |
| United Healthcare | Nexus | $5,504.00 | — |
| United Healthcare | Charter | $5,504.00 | — |
| United Healthcare | Commercial Broad | $6,115.00 | — |
| Baylor Scott & White Health Plan | Medicare Advantage | $6,735.14 | — |
| CORVEL | Worker's Compensation | $6,876.93 | — |
| Humana | Medicare | $7,089.62 | — |
| TriWest | Community Care Network | $7,089.62 | — |
| Blue Cross Blue Shield | Medicare Advantage | $7,444.10 | — |
| ProCare Advantage | Medicare Advantage | $7,444.10 | — |
| American Health Plan | Medicare Advantage | $7,444.10 | — |
| United Healthcare | Medicare Advantage | $7,940.37 | — |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $8,507.54 | — |
| Cigna | Local Plus | $8,649.00 | — |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $8,897.47 | — |
| Prime Health Services | Worker's Compensation | $8,940.01 | — |
| Cigna | HMO/PPO | $10,175.00 | — |
| Sedgwick | Preferred Network | $10,598.98 | — |
| Injury Management Organization | Med Select Network | $10,598.98 | — |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $11,697.87 | — |
| Humana | Commercial HMO | $15,811.00 | — |
| Mark Cuban | Commercial | $16,955.09 | — |
| 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
Nsl/sins ndsc surg frnt&sphn at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $1,516.77 – $3,583.23 |
| Adventhealth Rollins Brook | Lampasas | not published | $2,369.86 – $8,715.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $1,630.12 – $16,955.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | not published | $1,630.12 – $16,955.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $1,744.23 – $16,955.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | not published | $1,630.12 – $16,955.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | not published | $1,630.12 – $16,955.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | not published | $1,630.12 – $16,955.09 |