R&l hrt cath chd abnl nt cnj at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$10,102.36
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.
$16,837.27
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.
$2,020.47 with Superior Health Plan vs $17,181.00 with Aetna — 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 | $2,020.47 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $2,161.91 | ↓ -79% |
| Baylor Scott & White Health Plan | Medicare Advantage | $3,093.86 | ↓ -69% |
| CORVEL | Worker's Compensation | $3,159.00 | ↓ -69% |
| TriWest | Community Care Network | $3,256.70 | ↓ -68% |
| Humana | Medicare | $3,256.70 | ↓ -68% |
| Blue Cross Blue Shield | Medicare Advantage | $3,419.53 | ↓ -66% |
| American Health Plan | Medicare Advantage | $3,419.53 | ↓ -66% |
| ProCare Advantage | Medicare Advantage | $3,419.53 | ↓ -66% |
| United Healthcare | Medicare Advantage | $3,647.50 | ↓ -64% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,908.04 | ↓ -61% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $4,087.16 | ↓ -60% |
| Prime Health Services | Worker's Compensation | $4,106.70 | ↓ -59% |
| Sedgwick | Preferred Network | $4,868.77 | ↓ -52% |
| Injury Management Organization | Med Select Network | $4,868.77 | ↓ -52% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $5,373.56 | ↓ -47% |
| Texas Workforce Commission | Workers Compensation | $5,556.30 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $6,125.40 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $7,206.35 | ↓ -29% |
| United Healthcare | Nexus | $7,540.00 | ↓ -25% |
| United Healthcare | Charter | $7,540.00 | ↓ -25% |
| Mark Cuban | Commercial | $8,072.30 | ↓ -20% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $8,144.18 | ↓ -19% |
| High Plains Health Plans | Commercial | $8,248.58 | ↓ -18% |
| Blue Cross Blue Shield | Blue Advantage | $8,262.64 | ↓ -18% |
| United Healthcare | Commercial Broad | $8,378.00 | ↓ -17% |
| Cigna | Local Plus | $8,452.31 | ↓ -16% |
| QuikTrip | Employee Benefit Plan | $9,260.50 | ↓ -8% |
| MidCoast | Commercial | $9,260.50 | ↓ -8% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $9,447.25 | ↓ -6% |
| University of Mary Hardin-Baylor | Commercial | $9,765.62 | ↓ -3% |
| Cigna | HMO/PPO | $9,933.99 | ↓ -2% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $9,950.71 | ↓ -2% |
| Independent Medical System | Commercial PPO | $10,102.36 | ↑ +0% |
| Curative | Commercial | $10,944.23 | ↑ +8% |
| Humana | Commercial HMO | $10,944.23 | ↑ +8% |
| Humana | Commercial PPO | $11,786.09 | ↑ +17% |
| HealthSmart | Accel Network | $11,786.09 | ↑ +17% |
| First Health | PPO | $11,786.09 | ↑ +17% |
| Private Health Care System | PHCS Network | $12,627.95 | ↑ +25% |
| HealthSmart | Preferred Network | $12,627.95 | ↑ +25% |
| Aetna | Commercial | $17,181.00 | ↑ +70% |
| Humana Military | TRICARE | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
R&l hrt cath chd abnl nt cnj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $4,294.35 – $5,656.50 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,169.46 | $2,314.68 – $10,211.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,102.36 | $2,079.40 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,607.48 | $2,121.50 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,169.46 | $2,178.52 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,102.36 | $3,093.86 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,102.36 | $5,219.55 – $15,153.54 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,607.48 | $3,093.86 – $15,911.22 |