Treatment inhalation pressurized/nonpressurized acute airway obstruction at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$242.77
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.
$404.62
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.
$48.55 with Superior Health Plan vs $678.81 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 | $48.55 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $51.95 | ↓ -79% |
| Texas Workforce Commission | Workers Compensation | $133.52 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $147.20 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $173.18 | ↓ -29% |
| United Healthcare | Charter | $178.00 | ↓ -27% |
| United Healthcare | Nexus | $178.00 | ↓ -27% |
| United Healthcare | Commercial Broad | $198.00 | ↓ -18% |
| High Plains Health Plans | Commercial | $198.22 | ↓ -18% |
| Cigna | Local Plus | $203.12 | ↓ -16% |
| Baylor Scott & White Health Plan | Medicare Advantage | $208.97 | ↓ -14% |
| CORVEL | Worker's Compensation | $213.37 | ↓ -12% |
| TriWest | Community Care Network | $219.97 | ↓ -9% |
| Humana | Medicare | $219.97 | ↓ -9% |
| MidCoast | Commercial | $222.54 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $222.54 | ↓ -8% |
| Aetna | Commercial | $222.54 | ↓ -8% |
| Blue Cross Blue Shield | Medicare Advantage | $230.97 | ↓ -5% |
| American Health Plan | Medicare Advantage | $230.97 | ↓ -5% |
| ProCare Advantage | Medicare Advantage | $230.97 | ↓ -5% |
| University of Mary Hardin-Baylor | Commercial | $234.68 | ↓ -3% |
| Imagine Health | Commercial | $234.68 | ↓ -3% |
| Cigna | HMO/PPO | $238.73 | ↓ -2% |
| Independent Medical System | Commercial PPO | $242.77 | ↑ +0% |
| United Healthcare | Medicare Advantage | $246.37 | ↑ +1% |
| Curative | Commercial | $263.00 | ↑ +8% |
| Humana | Commercial HMO | $263.00 | ↑ +8% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $263.96 | ↑ +9% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $276.06 | ↑ +14% |
| Prime Health Services | Worker's Compensation | $277.38 | ↑ +14% |
| HealthSmart | Accel Network | $283.23 | ↑ +17% |
| First Health | PPO | $283.23 | ↑ +17% |
| Humana | Commercial PPO | $283.23 | ↑ +17% |
| HealthSmart | Preferred Network | $303.46 | ↑ +25% |
| Private Health Care System | PHCS Network | $303.46 | ↑ +25% |
| Injury Management Organization | Med Select Network | $328.86 | ↑ +35% |
| Sedgwick | Preferred Network | $328.86 | ↑ +35% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $362.95 | ↑ +50% |
| Mark Cuban | Commercial | $528.37 | ↑ +118% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $555.56 | ↑ +129% |
| Blue Cross Blue Shield | Blue Advantage | $562.92 | ↑ +132% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $643.86 | ↑ +165% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $678.81 | ↑ +180% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Treatment inhalation pressurized/nonpressurized acute airway obstruction at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $199.34 – $454.38 |
| Adventhealth Rollins Brook | Lampasas | $957.84 | $708.25 – $708.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $203.49 | $57.66 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $242.77 | $49.97 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $325.31 | $65.06 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $203.49 | $54.26 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $242.77 | $77.93 – $528.37 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $242.77 | $125.43 – $3,235.82 |