Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$188.86
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.
$314.76
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.
$37.77 with Superior Health Plan vs $327.47 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 | $37.77 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $40.42 | ↓ -79% |
| Texas Workforce Commission | Workers Compensation | $103.87 | ↓ -45% |
| Humana | Commercial HMO | $113.00 | ↓ -40% |
| CORVEL | Worker's Compensation | $129.73 | ↓ -31% |
| Humana | Medicare | $133.74 | ↓ -29% |
| TriWest | Community Care Network | $133.74 | ↓ -29% |
| United Healthcare | Nexus | $139.66 | ↓ -26% |
| United Healthcare | Charter | $139.66 | ↓ -26% |
| Blue Cross Blue Shield | Medicare Advantage | $140.43 | ↓ -26% |
| American Health Plan | Medicare Advantage | $140.43 | ↓ -26% |
| ProCare Advantage | Medicare Advantage | $140.43 | ↓ -26% |
| United Healthcare | Medicare Advantage | $149.79 | ↓ -21% |
| High Plains Health Plans | Commercial | $154.20 | ↓ -18% |
| United Healthcare | Commercial Broad | $155.18 | ↓ -18% |
| Prime Health Services | Worker's Compensation | $168.65 | ↓ -11% |
| MidCoast | Commercial | $173.12 | ↓ -8% |
| Aetna | Commercial | $173.12 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $173.12 | ↓ -8% |
| Imagine Health | Commercial | $182.56 | ↓ -3% |
| Independent Medical System | Commercial PPO | $188.86 | ↑ +0% |
| Sedgwick | Preferred Network | $199.94 | ↑ +6% |
| Injury Management Organization | Med Select Network | $199.94 | ↑ +6% |
| Curative | Commercial | $204.59 | ↑ +8% |
| Humana | Commercial PPO | $220.33 | ↑ +17% |
| First Health | PPO | $220.33 | ↑ +17% |
| HealthSmart | Accel Network | $220.33 | ↑ +17% |
| HealthSmart | Preferred Network | $236.07 | ↑ +25% |
| Private Health Care System | PHCS Network | $236.07 | ↑ +25% |
| Mark Cuban | Commercial | $327.47 | ↑ +73% |
Visitor-reported prices
Comments
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $178.57 | $50.60 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $188.86 | $38.87 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $188.86 | $37.77 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $178.57 | $47.62 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $188.86 | $60.62 – $327.47 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $188.86 | $97.58 – $327.47 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $188.86 | $62.95 – $327.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $178.57 | $47.62 – $327.47 |