X-ray exam of middle ear at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$322.45
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.
$537.42
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.
$62.15 with Superior Health Plan vs $1,969.66 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 | $62.15 | ↓ -81% |
| United Healthcare | Medicaid/CHIP | $66.50 | ↓ -79% |
| Texas Workforce Commission | Workers Compensation | $177.35 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $195.51 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $230.02 | ↓ -29% |
| High Plains Health Plans | Commercial | $263.28 | ↓ -18% |
| Cigna | Local Plus | $269.78 | ↓ -16% |
| Aetna | Commercial | $295.58 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $295.58 | ↓ -8% |
| Imagine Health | Commercial | $295.58 | ↓ -8% |
| MidCoast | Commercial | $295.58 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $311.70 | ↓ -3% |
| Cigna | HMO/PPO | $317.08 | ↓ -2% |
| Independent Medical System | Commercial PPO | $322.45 | ↑ +0% |
| Curative | Commercial | $349.32 | ↑ +8% |
| Humana | Commercial HMO | $349.32 | ↑ +8% |
| HealthSmart | Accel Network | $376.19 | ↑ +17% |
| Humana | Commercial PPO | $376.19 | ↑ +17% |
| First Health | PPO | $376.19 | ↑ +17% |
| Private Health Care System | PHCS Network | $403.06 | ↑ +25% |
| HealthSmart | Preferred Network | $403.06 | ↑ +25% |
| United Healthcare | Nexus | $409.00 | ↑ +27% |
| United Healthcare | Charter | $409.00 | ↑ +27% |
| United Healthcare | Commercial Broad | $454.00 | ↑ +41% |
| Baylor Scott & White Health Plan | Medicare Advantage | $521.46 | ↑ +62% |
| CORVEL | Worker's Compensation | $532.43 | ↑ +65% |
| TriWest | Community Care Network | $548.90 | ↑ +70% |
| Humana | Medicare | $548.90 | ↑ +70% |
| American Health Plan | Medicare Advantage | $576.35 | ↑ +79% |
| Blue Cross Blue Shield | Medicare Advantage | $576.35 | ↑ +79% |
| ProCare Advantage | Medicare Advantage | $576.35 | ↑ +79% |
| United Healthcare | Medicare Advantage | $614.77 | ↑ +91% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $658.68 | ↑ +104% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $688.87 | ↑ +114% |
| Prime Health Services | Worker's Compensation | $692.16 | ↑ +115% |
| Injury Management Organization | Med Select Network | $820.61 | ↑ +154% |
| Sedgwick | Preferred Network | $820.61 | ↑ +154% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $905.68 | ↑ +181% |
| Mark Cuban | Commercial | $1,366.64 | ↑ +324% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,618.11 | ↑ +402% |
| Blue Cross Blue Shield | Blue Advantage | $1,637.37 | ↑ +408% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,873.35 | ↑ +481% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,969.66 | ↑ +511% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | not published | $47.11 – $1,179.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $322.45 | $66.37 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $338.57 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $322.45 | $66.50 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $338.57 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $338.57 | $62.15 – $1,618.11 |