X-ray sternum > 2 views at BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
$264.39
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.
$440.65
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.
$33.75 with Superior Health Plan vs $454.00 with United Healthcare — 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $33.75 | ↓ -87% |
| United Healthcare | Medicaid/CHIP | $36.11 | ↓ -86% |
| Baylor Scott & White Health Plan | Medicare Advantage | $83.05 | ↓ -69% |
| CORVEL | Worker's Compensation | $84.80 | ↓ -68% |
| TriWest | Community Care Network | $87.42 | ↓ -67% |
| Humana | Medicare | $87.42 | ↓ -67% |
| ProCare Advantage | Medicare Advantage | $91.79 | ↓ -65% |
| American Health Plan | Medicare Advantage | $91.79 | ↓ -65% |
| Blue Cross Blue Shield | Medicare Advantage | $91.79 | ↓ -65% |
| United Healthcare | Medicare Advantage | $97.91 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $104.90 | ↓ -60% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $109.71 | ↓ -59% |
| Prime Health Services | Worker's Compensation | $110.24 | ↓ -58% |
| Injury Management Organization | Med Select Network | $130.69 | ↓ -51% |
| Sedgwick | Preferred Network | $130.69 | ↓ -51% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $144.24 | ↓ -45% |
| Texas Workforce Commission | Workers Compensation | $145.41 | ↓ -45% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $160.31 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $188.60 | ↓ -29% |
| High Plains Health Plans | Commercial | $215.87 | ↓ -18% |
| Cigna | Local Plus | $221.21 | ↓ -16% |
| Mark Cuban | Commercial | $225.11 | ↓ -15% |
| QuikTrip | Employee Benefit Plan | $242.36 | ↓ -8% |
| Aetna | Commercial | $242.36 | ↓ -8% |
| MidCoast | Commercial | $242.36 | ↓ -8% |
| Imagine Health | Commercial | $242.36 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $255.58 | ↓ -3% |
| Cigna | HMO/PPO | $259.98 | ↓ -2% |
| Independent Medical System | Commercial PPO | $264.39 | ↑ +0% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $268.16 | ↑ +1% |
| Blue Cross Blue Shield | Blue Advantage | $271.35 | ↑ +3% |
| Humana | Commercial HMO | $286.42 | ↑ +8% |
| Curative | Commercial | $286.42 | ↑ +8% |
| First Health | PPO | $308.45 | ↑ +17% |
| Humana | Commercial PPO | $308.45 | ↑ +17% |
| HealthSmart | Accel Network | $308.45 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $310.46 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $326.42 | ↑ +23% |
| HealthSmart | Preferred Network | $330.49 | ↑ +25% |
| Private Health Care System | PHCS Network | $330.49 | ↑ +25% |
| United Healthcare | Charter | $409.00 | ↑ +55% |
| United Healthcare | Nexus | $409.00 | ↑ +55% |
| United Healthcare | Commercial Broad | $454.00 | ↑ +72% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sternum > 2 views at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Providence | Waco | $103.59 | $28.06 – $195.53 |
| Adventhealth Rollins Brook | Lampasas | $513.31 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $218.24 | $33.75 – $272.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $264.39 | $54.42 – $396.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $331.66 | $33.75 – $414.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $218.24 | $33.75 – $272.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $264.39 | $36.11 – $396.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $264.39 | $33.75 – $396.58 |