Bundled special stain group 1 microorganisms at BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE
2360 N Interstate Highway 35 E, Waxahachie, TX · Baylor Scott & White Health · · NPI 1609855139
$166.15
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.
$276.92
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.
$22.15 with Superior Health Plan vs $255.27 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 | $22.15 | ↓ -87% |
| United Healthcare | Medicaid/CHIP | $23.70 | ↓ -86% |
| United Healthcare | Nexus | $35.00 | ↓ -79% |
| United Healthcare | Charter | $35.00 | ↓ -79% |
| United Healthcare | Commercial Broad | $39.00 | ↓ -77% |
| Baylor Scott & White Health Plan | Medicare Advantage | $49.73 | ↓ -70% |
| CORVEL | Worker's Compensation | $50.78 | ↓ -69% |
| Humana | Medicare | $52.35 | ↓ -68% |
| TriWest | Community Care Network | $52.35 | ↓ -68% |
| Aetna | Medicare Advantage | $52.35 | ↓ -68% |
| ProCare Advantage | Medicare Advantage | $54.97 | ↓ -67% |
| HealthSpring | Medicare Advantage | $54.97 | ↓ -67% |
| Superior Health Plan | Medicare | $54.97 | ↓ -67% |
| American Health Plan | Medicare Advantage | $54.97 | ↓ -67% |
| Blue Cross Blue Shield | Medicare Advantage | $54.97 | ↓ -67% |
| United Healthcare | Medicare Advantage | $58.63 | ↓ -65% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $62.82 | ↓ -62% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $65.70 | ↓ -60% |
| Prime Health Services | Worker's Compensation | $66.01 | ↓ -60% |
| Sedgwick | Preferred Network | $78.26 | ↓ -53% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $86.38 | ↓ -48% |
| Superior Ambetter | Ambetter Exchange | $112.55 | ↓ -32% |
| Blue Cross Blue Shield | Blue Advantage | $120.71 | ↓ -27% |
| Employers Health Network | BSWQA Direct/EHN Rental | $130.15 | ↓ -22% |
| Mark Cuban | Commercial | $134.24 | ↓ -19% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $136.52 | ↓ -18% |
| Cigna | Local Plus | $136.52 | ↓ -18% |
| Aetna | Commercial | $152.31 | ↓ -8% |
| Employers Health Network | EHN Network | $152.31 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $152.31 | ↓ -8% |
| Imagine Health | Commercial | $160.61 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $160.61 | ↓ -3% |
| Cigna | HMO/PPO | $160.61 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $160.61 | ↓ -3% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $171.17 | ↑ +3% |
| Curative | Commercial | $180.00 | ↑ +8% |
| HealthSmart | Accel Network | $193.84 | ↑ +17% |
| First Health | PPO | $193.84 | ↑ +17% |
| Humana | Commercial PPO | $193.84 | ↑ +17% |
| Private Health Care System | PHCS Network | $207.69 | ↑ +25% |
| HealthSmart | Preferred Network | $207.69 | ↑ +25% |
| Blue Cross Blue Shield | City of Dallas | $229.54 | ↑ +38% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $242.40 | ↑ +46% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $255.27 | ↑ +54% |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $166.15 | $35.00 – $207.69 |
| Adventhealth Rollins Brook | Lampasas | $211.52 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $166.15 | $35.00 – $207.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $176.36 | $36.00 – $264.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $171.22 | $34.24 – $214.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $166.15 | $35.00 – $207.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $176.36 | $36.00 – $264.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $176.36 | $26.00 – $264.55 |