Rmvl icd gen w/rplc icd gen dual lead sys at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$53,511.93
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.
?
What you pay up front if you don't use insurance.
$89,186.55
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,636.00 with United Healthcare vs $66,889.91 with Private Health Care System — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare | Charter | $1,636.00 | ↓ -97% |
| United Healthcare | Nexus | $1,636.00 | ↓ -97% |
| United Healthcare | Commercial Broad | $1,818.00 | ↓ -97% |
| Humana | Commercial HMO | $15,811.00 | ↓ -70% |
| Superior Health Plan | Medicaid | $16,336.46 | ↓ -69% |
| United Healthcare | Medicaid/CHIP | $17,480.01 | ↓ -67% |
| Baylor Scott & White Health Plan | Medicare Advantage | $21,227.69 | ↓ -60% |
| CORVEL | Worker's Compensation | $21,674.59 | ↓ -59% |
| TriWest | Community Care Network | $22,344.94 | ↓ -58% |
| Humana | Medicare | $22,344.94 | ↓ -58% |
| American Health Plan | Medicare Advantage | $23,462.19 | ↓ -56% |
| Blue Cross Blue Shield | Medicare Advantage | $23,462.19 | ↓ -56% |
| ProCare Advantage | Medicare Advantage | $23,462.19 | ↓ -56% |
| United Healthcare | Medicare Advantage | $25,026.33 | ↓ -53% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $26,813.93 | ↓ -50% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $28,042.90 | ↓ -48% |
| Prime Health Services | Worker's Compensation | $28,176.97 | ↓ -47% |
| Texas Workforce Commission | Workers Compensation | $29,431.56 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $32,446.07 | ↓ -39% |
| Sedgwick | Preferred Network | $33,405.69 | ↓ -38% |
| Injury Management Organization | Med Select Network | $33,405.69 | ↓ -38% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $36,869.15 | ↓ -31% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $38,171.84 | ↓ -29% |
| Blue Cross Blue Shield | Blue Advantage | $41,025.81 | ↓ -23% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $41,025.81 | ↓ -23% |
| High Plains Health Plans | Commercial | $43,692.49 | ↓ -18% |
| Cigna | Local Plus | $44,771.65 | ↓ -16% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $47,268.87 | ↓ -12% |
| QuikTrip | Employee Benefit Plan | $49,052.60 | ↓ -8% |
| Aetna | Commercial | $49,052.60 | ↓ -8% |
| MidCoast | Commercial | $49,052.60 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $49,944.47 | ↓ -7% |
| Imagine Health | Commercial | $51,728.20 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $51,728.20 | ↓ -3% |
| Cigna | HMO/PPO | $52,620.06 | ↓ -2% |
| Independent Medical System | Commercial PPO | $53,511.93 | ↑ +0% |
| Curative | Commercial | $57,971.26 | ↑ +8% |
| Mark Cuban | Commercial | $58,392.49 | ↑ +9% |
| HealthSmart | Accel Network | $62,430.58 | ↑ +17% |
| First Health | PPO | $62,430.58 | ↑ +17% |
| Humana | Commercial PPO | $62,430.58 | ↑ +17% |
| HealthSmart | Preferred Network | $66,889.91 | ↑ +25% |
| Private Health Care System | PHCS Network | $66,889.91 | ↑ +25% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen dual lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $16,336.46 – $42,927.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $43,926.37 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $53,511.93 | $11,014.54 – $80,267.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $31,991.42 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $43,926.37 | $16,336.46 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $53,511.93 | $15,811.00 – $80,267.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $53,511.93 | $13,462.00 – $80,267.90 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $31,991.42 | $15,811.00 – $58,392.49 |