Opn mpltj hpglsl nstm ary pg at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$36,076.18
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.
$60,126.96
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.
$5,388.00 with Cigna vs $76,924.35 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 |
|---|---|---|---|
| Cigna | Local Plus | $5,388.00 | ↓ -85% |
| Cigna | HMO/PPO | $6,339.00 | ↓ -82% |
| Humana | Commercial HMO | $15,811.00 | ↓ -56% |
| Texas Workforce Commission | Workers Compensation | $19,841.90 | ↓ -45% |
| Superior Health Plan | Medicaid | $19,861.72 | ↓ -45% |
| United Healthcare | Medicaid/CHIP | $21,252.04 | ↓ -41% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $23,714.07 | ↓ -34% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $27,898.91 | ↓ -23% |
| Baylor Scott & White Health Plan | Medicare Advantage | $29,448.39 | ↓ -18% |
| High Plains Health Plans | Commercial | $29,456.20 | ↓ -18% |
| United Healthcare | Nexus | $29,654.00 | ↓ -18% |
| United Healthcare | Charter | $29,654.00 | ↓ -18% |
| CORVEL | Worker's Compensation | $30,068.36 | ↓ -17% |
| TriWest | Community Care Network | $30,998.31 | ↓ -14% |
| Humana | Medicare | $30,998.31 | ↓ -14% |
| Blue Cross Blue Shield | Medicare Advantage | $32,548.23 | ↓ -10% |
| ProCare Advantage | Medicare Advantage | $32,548.23 | ↓ -10% |
| American Health Plan | Medicare Advantage | $32,548.23 | ↓ -10% |
| United Healthcare | Commercial Broad | $32,949.00 | ↓ -9% |
| Aetna | Commercial | $33,069.83 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $33,069.83 | ↓ -8% |
| MidCoast | Commercial | $33,069.83 | ↓ -8% |
| United Healthcare | Medicare Advantage | $34,718.11 | ↓ -4% |
| Independent Medical System | Commercial PPO | $36,076.18 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $37,197.97 | ↑ +3% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $38,902.88 | ↑ +8% |
| Curative | Commercial | $39,082.52 | ↑ +8% |
| Prime Health Services | Worker's Compensation | $39,088.87 | ↑ +8% |
| HealthSmart | Accel Network | $42,088.87 | ↑ +17% |
| First Health | PPO | $42,088.87 | ↑ +17% |
| Humana | Commercial PPO | $42,088.87 | ↑ +17% |
| HealthSmart | Preferred Network | $45,095.22 | ↑ +25% |
| Private Health Care System | PHCS Network | $45,095.22 | ↑ +25% |
| Injury Management Organization | Med Select Network | $46,342.47 | ↑ +28% |
| Sedgwick | Preferred Network | $46,342.47 | ↑ +28% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $47,199.66 | ↑ +31% |
| Blue Cross Blue Shield | Blue Advantage | $47,800.93 | ↑ +32% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $51,147.21 | ↑ +42% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $54,715.53 | ↑ +52% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $57,721.88 | ↑ +60% |
| Mark Cuban | Commercial | $76,924.35 | ↑ +113% |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Opn mpltj hpglsl nstm ary pg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $19,861.72 – $56,819.98 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $36,076.18 | $6,299.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $36,076.18 | $5,388.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $36,076.18 | $5,388.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $36,076.18 | $7,038.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $36,076.18 | $5,388.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $36,076.18 | $19,861.72 – $76,924.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $36,076.18 | $5,388.00 – $76,924.35 |