Transorl lwr esophgl myotomy at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$3,661.93
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.
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What you pay up front if you don't use insurance.
$6,103.22
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.
$732.39 with Superior Health Plan vs $14,118.49 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 | $732.39 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $783.65 | ↓ -79% |
| Texas Workforce Commission | Workers Compensation | $2,014.06 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,407.11 | ↓ -34% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $2,831.89 | ↓ -23% |
| High Plains Health Plans | Commercial | $2,989.97 | ↓ -18% |
| Aetna | Commercial | $3,356.77 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $3,356.77 | ↓ -8% |
| MidCoast | Commercial | $3,356.77 | ↓ -8% |
| Independent Medical System | Commercial PPO | $3,661.93 | ↑ +0% |
| Curative | Commercial | $3,967.09 | ↑ +8% |
| HealthSmart | Accel Network | $4,272.25 | ↑ +17% |
| First Health | PPO | $4,272.25 | ↑ +17% |
| Humana | Commercial PPO | $4,272.25 | ↑ +17% |
| HealthSmart | Preferred Network | $4,577.41 | ↑ +25% |
| Private Health Care System | PHCS Network | $4,577.41 | ↑ +25% |
| United Healthcare | Nexus | $4,667.00 | ↑ +27% |
| United Healthcare | Charter | $4,667.00 | ↑ +27% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $4,923.36 | ↑ +34% |
| Blue Cross Blue Shield | Blue Advantage | $4,986.08 | ↑ +36% |
| United Healthcare | Commercial Broad | $5,186.00 | ↑ +42% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $5,707.34 | ↑ +56% |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,793.63 | ↑ +58% |
| CORVEL | Worker's Compensation | $5,915.60 | ↑ +62% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $6,020.93 | ↑ +64% |
| Humana | Medicare | $6,098.56 | ↑ +67% |
| TriWest | Community Care Network | $6,098.56 | ↑ +67% |
| Blue Cross Blue Shield | Medicare Advantage | $6,403.49 | ↑ +75% |
| ProCare Advantage | Medicare Advantage | $6,403.49 | ↑ +75% |
| American Health Plan | Medicare Advantage | $6,403.49 | ↑ +75% |
| United Healthcare | Medicare Advantage | $6,830.39 | ↑ +87% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $7,318.27 | ↑ +100% |
| Humana | Commercial HMO | $7,441.00 | ↑ +103% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $7,653.69 | ↑ +109% |
| Prime Health Services | Worker's Compensation | $7,690.28 | ↑ +110% |
| Cigna | Local Plus | $8,649.00 | ↑ +136% |
| Injury Management Organization | Med Select Network | $9,117.35 | ↑ +149% |
| Sedgwick | Preferred Network | $9,117.35 | ↑ +149% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $10,062.62 | ↑ +175% |
| Cigna | HMO/PPO | $10,175.00 | ↑ +178% |
| Mark Cuban | Commercial | $14,118.49 | ↑ +286% |
| Imagine Health | Commercial | not published by hospital | — |
| Humana Military | TRICARE | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Transorl lwr esophgl myotomy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $2,508.81 – $5,926.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,229.53 | $1,198.37 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,661.93 | $753.75 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,229.53 | $1,127.88 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,661.93 | $1,175.48 – $14,118.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,661.93 | $1,892.00 – $14,118.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,229.53 | $1,127.88 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $4,229.53 | $1,057.38 – $14,118.49 |