Susceptibility enzyme detection per enzyme at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$88.04
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.
$146.73
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.
$3.99 with Superior Health Plan vs $29.97 with Blue Cross Blue Shield — 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 | $3.99 | ↓ -95% |
| United Healthcare | Medicaid/CHIP | $4.27 | ↓ -95% |
| Baylor Scott & White Health Plan | Medicare Advantage | $4.51 | ↓ -95% |
| CORVEL | Worker's Compensation | $4.61 | ↓ -95% |
| TriWest | Community Care Network | $4.75 | ↓ -95% |
| Humana | Medicare | $4.75 | ↓ -95% |
| Blue Cross Blue Shield | Medicare Advantage | $4.99 | ↓ -94% |
| American Health Plan | Medicare Advantage | $4.99 | ↓ -94% |
| ProCare Advantage | Medicare Advantage | $4.99 | ↓ -94% |
| United Healthcare | Medicare Advantage | $5.32 | ↓ -94% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $5.70 | ↓ -94% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $5.96 | ↓ -93% |
| Prime Health Services | Worker's Compensation | $5.99 | ↓ -93% |
| United Healthcare | Commercial Broad | $6.84 | ↓ -92% |
| Sedgwick | Preferred Network | $7.10 | ↓ -92% |
| Injury Management Organization | Med Select Network | $7.10 | ↓ -92% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $7.84 | ↓ -91% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $9.10 | ↓ -90% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $10.70 | ↓ -88% |
| Mark Cuban | Commercial | $11.40 | ↓ -87% |
| Texas Workforce Commission | Workers Compensation | $12.87 | ↓ -85% |
| United Healthcare | Charter | $17.31 | ↓ -80% |
| United Healthcare | Nexus | $17.31 | ↓ -80% |
| High Plains Health Plans | Commercial | $19.11 | ↓ -78% |
| Cigna | Local Plus | $19.58 | ↓ -78% |
| MidCoast | Commercial | $21.46 | ↓ -76% |
| QuikTrip | Employee Benefit Plan | $21.46 | ↓ -76% |
| Aetna | Commercial | $21.46 | ↓ -76% |
| Imagine Health | Commercial | $22.63 | ↓ -74% |
| University of Mary Hardin-Baylor | Commercial | $22.63 | ↓ -74% |
| Cigna | HMO/PPO | $23.02 | ↓ -74% |
| Independent Medical System | Commercial PPO | $23.41 | ↓ -73% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $24.56 | ↓ -72% |
| Blue Cross Blue Shield | Blue Advantage | $24.89 | ↓ -72% |
| Curative | Commercial | $25.36 | ↓ -71% |
| Humana | Commercial HMO | $25.36 | ↓ -71% |
| HealthSmart | Accel Network | $27.31 | ↓ -69% |
| First Health | PPO | $27.31 | ↓ -69% |
| Humana | Commercial PPO | $27.31 | ↓ -69% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $28.45 | ↓ -68% |
| HealthSmart | Preferred Network | $29.26 | ↓ -67% |
| Private Health Care System | PHCS Network | $29.26 | ↓ -67% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $29.97 | ↓ -66% |
Visitor-reported prices
Comments
Susceptibility enzyme detection per enzyme at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $3.99 – $20.95 |
| Adventhealth Rollins Brook | Lampasas | $51.72 | $4.28 – $18.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $88.04 | $3.99 – $58.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $88.04 | $4.82 – $35.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $88.04 | $3.99 – $21.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $88.04 | $3.99 – $58.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $88.04 | $4.27 – $35.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $88.04 | $3.99 – $35.11 |