Perq transcath septal reduxn at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$1,369.23
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.
$2,282.05
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.
$273.85 with Superior Health Plan vs $7,441.00 with Humana — 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 | $273.85 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $293.02 | ↓ -79% |
| Texas Workforce Commission | Workers Compensation | $753.08 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $830.21 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $976.72 | ↓ -29% |
| High Plains Health Plans | Commercial | $1,117.98 | ↓ -18% |
| Cigna | Local Plus | $1,145.59 | ↓ -16% |
| Aetna | Commercial | $1,255.13 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $1,255.13 | ↓ -8% |
| MidCoast | Commercial | $1,255.13 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $1,323.59 | ↓ -3% |
| Cigna | HMO/PPO | $1,346.41 | ↓ -2% |
| Independent Medical System | Commercial PPO | $1,369.23 | ↑ +0% |
| Curative | Commercial | $1,483.33 | ↑ +8% |
| Humana | Commercial PPO | $1,597.43 | ↑ +17% |
| First Health | PPO | $1,597.43 | ↑ +17% |
| HealthSmart | Accel Network | $1,597.43 | ↑ +17% |
| TriWest | Community Care Network | $1,711.54 | ↑ +25% |
| HealthSmart | Preferred Network | $1,711.54 | ↑ +25% |
| Private Health Care System | PHCS Network | $1,711.54 | ↑ +25% |
| CORVEL | Worker's Compensation | $1,939.74 | ↑ +42% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,144.70 | ↑ +57% |
| Blue Cross Blue Shield | Blue Advantage | $2,175.89 | ↑ +59% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,487.85 | ↑ +82% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,620.43 | ↑ +91% |
| United Healthcare | Nexus | $3,082.00 | ↑ +125% |
| United Healthcare | Charter | $3,082.00 | ↑ +125% |
| United Healthcare | Commercial Broad | $3,424.00 | ↑ +150% |
| Humana | Commercial HMO | $7,441.00 | ↑ +443% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Perq transcath septal reduxn at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $1,130.88 – $15,690.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22,203.10 | $1,926.33 – $31,454.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,369.23 | $281.83 – $2,053.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,369.23 | $273.85 – $2,144.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22,203.10 | $1,684.56 – $31,454.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,369.23 | $439.52 – $2,620.43 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,369.23 | $707.44 – $2,234.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,369.23 | $456.41 – $2,144.70 |