Biopsy of heart lining at BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE
2360 N Interstate Highway 35 E, Waxahachie, TX · Baylor Scott & White Health · · NPI 1609855139
$5,819.15
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.
$9,698.59
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.
$775.89 with Superior Health Plan vs $22,906.00 with Aetna — 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 | $775.89 | ↓ -87% |
| United Healthcare | Medicaid/CHIP | $830.20 | ↓ -86% |
| Baylor Scott & White Health Plan | Medicare Advantage | $3,013.28 | ↓ -48% |
| CORVEL | Worker's Compensation | $3,076.71 | ↓ -47% |
| TriWest | Community Care Network | $3,171.87 | ↓ -45% |
| Aetna | Medicare Advantage | $3,171.87 | ↓ -45% |
| Humana | Medicare | $3,171.87 | ↓ -45% |
| Blue Cross Blue Shield | Medicare Advantage | $3,330.46 | ↓ -43% |
| ProCare Advantage | Medicare Advantage | $3,330.46 | ↓ -43% |
| American Health Plan | Medicare Advantage | $3,330.46 | ↓ -43% |
| HealthSpring | Medicare Advantage | $3,330.46 | ↓ -43% |
| Superior Health Plan | Medicare | $3,330.46 | ↓ -43% |
| United Healthcare | Medicare Advantage | $3,552.49 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,806.24 | ↓ -35% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $3,980.70 | ↓ -32% |
| Prime Health Services | Worker's Compensation | $3,999.73 | ↓ -31% |
| Employers Health Network | BSWQA Direct/EHN Rental | $4,558.34 | ↓ -22% |
| Sedgwick | Preferred Network | $4,741.95 | ↓ -19% |
| Cigna | Local Plus | $4,781.40 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $4,781.40 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $5,233.59 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $5,334.22 | ↓ -8% |
| Employers Health Network | EHN Network | $5,334.22 | ↓ -8% |
| Cigna | HMO/PPO | $5,625.18 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $5,625.18 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $5,625.18 | ↓ -3% |
| Curative | Commercial | $6,304.08 | ↑ +8% |
| United Healthcare | Charter | $6,497.00 | ↑ +12% |
| United Healthcare | Nexus | $6,497.00 | ↑ +12% |
| HealthSmart | Accel Network | $6,789.01 | ↑ +17% |
| First Health | PPO | $6,789.01 | ↑ +17% |
| Humana | Commercial PPO | $6,789.01 | ↑ +17% |
| Superior Ambetter | Ambetter Exchange | $6,819.52 | ↑ +17% |
| United Healthcare | Commercial Broad | $7,219.00 | ↑ +24% |
| Private Health Care System | PHCS Network | $7,273.94 | ↑ +25% |
| HealthSmart | Preferred Network | $7,273.94 | ↑ +25% |
| Mark Cuban | Commercial | $7,896.23 | ↑ +36% |
| Blue Cross Blue Shield | Blue Advantage | $10,253.74 | ↑ +76% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $14,521.51 | ↑ +150% |
| Blue Cross Blue Shield | City of Dallas | $19,509.81 | ↑ +235% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $20,590.61 | ↑ +254% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $21,671.41 | ↑ +272% |
| Aetna | Commercial | $22,906.00 | ↑ +294% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
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Biopsy of heart lining at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $5,819.15 | $1,454.79 – $7,896.23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,819.15 | $1,648.76 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,306.49 | $1,298.09 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,099.77 | $1,019.95 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,819.15 | $1,551.77 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,306.49 | $2,024.38 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,306.49 | $3,258.35 – $9,459.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,099.77 | $1,699.92 – $7,896.23 |