Aco ccm; at least 20 min 99490aco at BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE
2360 N Interstate Highway 35 E, Waxahachie, TX · Baylor Scott & White Health · · NPI 1609855139
$71.94
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.
$119.90
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.
$9.59 with Superior Health Plan vs $220.82 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 | $9.59 | ↓ -87% |
| United Healthcare | Medicaid/CHIP | $10.26 | ↓ -86% |
| Employers Health Network | BSWQA Direct/EHN Rental | $56.35 | ↓ -22% |
| Cigna | Local Plus | $59.11 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $59.11 | ↓ -18% |
| Aetna | Commercial | $65.94 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $65.94 | ↓ -8% |
| Employers Health Network | EHN Network | $65.94 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $69.54 | ↓ -3% |
| Cigna | HMO/PPO | $69.54 | ↓ -3% |
| Imagine Health | Commercial | $69.54 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $69.54 | ↓ -3% |
| United Healthcare | Charter | $74.57 | ↑ +4% |
| United Healthcare | Nexus | $74.57 | ↑ +4% |
| Curative | Commercial | $77.94 | ↑ +8% |
| United Healthcare | Commercial Broad | $82.85 | ↑ +15% |
| HealthSmart | Accel Network | $83.93 | ↑ +17% |
| First Health | PPO | $83.93 | ↑ +17% |
| Humana | Commercial PPO | $83.93 | ↑ +17% |
| Private Health Care System | PHCS Network | $89.92 | ↑ +25% |
| HealthSmart | Preferred Network | $89.92 | ↑ +25% |
| Baylor Scott & White Health Plan | Medicare Advantage | $96.95 | ↑ +35% |
| CORVEL | Worker's Compensation | $98.99 | ↑ +38% |
| Blue Cross Blue Shield | Blue Advantage | $99.59 | ↑ +38% |
| TriWest | Community Care Network | $102.05 | ↑ +42% |
| Aetna | Medicare Advantage | $102.05 | ↑ +42% |
| Humana | Medicare | $102.05 | ↑ +42% |
| Blue Cross Blue Shield | Medicare Advantage | $107.15 | ↑ +49% |
| American Health Plan | Medicare Advantage | $107.15 | ↑ +49% |
| HealthSpring | Medicare Advantage | $107.15 | ↑ +49% |
| ProCare Advantage | Medicare Advantage | $107.15 | ↑ +49% |
| Superior Health Plan | Medicare | $107.15 | ↑ +49% |
| United Healthcare | Medicare Advantage | $114.30 | ↑ +59% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $122.46 | ↑ +70% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $128.07 | ↑ +78% |
| Prime Health Services | Worker's Compensation | $128.69 | ↑ +79% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $140.79 | ↑ +96% |
| Sedgwick | Preferred Network | $152.56 | ↑ +112% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $168.38 | ↑ +134% |
| Blue Cross Blue Shield | City of Dallas | $189.13 | ↑ +163% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $199.83 | ↑ +178% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $210.21 | ↑ +192% |
| Superior Ambetter | Ambetter Exchange | $219.41 | ↑ +205% |
| Mark Cuban | Commercial | $220.82 | ↑ +207% |
Visitor-reported prices
Comments
Aco ccm; at least 20 min 99490aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $71.94 | $17.98 – $220.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $71.94 | $20.38 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $69.30 | $14.26 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $69.30 | $13.86 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $71.94 | $19.18 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $69.30 | $22.25 – $220.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $69.30 | $35.80 – $220.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $69.30 | $23.10 – $220.82 |