Prq revasc byp graft addl at BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE
2360 N Interstate Highway 35 E, Waxahachie, TX · Baylor Scott & White Health · · NPI 1609855139
$15,079.29
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.
$25,132.15
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.
$2,010.57 with Superior Health Plan vs $25,200.00 with Cigna — 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 | $2,010.57 | ↓ -87% |
| United Healthcare | Medicaid/CHIP | $2,151.31 | ↓ -86% |
| Employers Health Network | BSWQA Direct/EHN Rental | $11,812.11 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $12,390.15 | ↓ -18% |
| Employers Health Network | EHN Network | $13,822.68 | ↓ -8% |
| Aetna | Commercial | $13,822.68 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $13,822.68 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $14,576.65 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $14,576.65 | ↓ -3% |
| Aetna | Medicare Advantage | $15,079.29 | ↑ +0% |
| Superior Ambetter | Ambetter Exchange | $16,335.90 | ↑ +8% |
| Curative | Commercial | $16,335.90 | ↑ +8% |
| Humana | Commercial PPO | $17,592.51 | ↑ +17% |
| First Health | PPO | $17,592.51 | ↑ +17% |
| HealthSmart | Accel Network | $17,592.51 | ↑ +17% |
| HealthSmart | Preferred Network | $18,849.11 | ↑ +25% |
| Private Health Care System | PHCS Network | $18,849.11 | ↑ +25% |
| TriWest | Community Care Network | $18,849.11 | ↑ +25% |
| United Healthcare | Charter | $19,034.00 | ↑ +26% |
| United Healthcare | Nexus | $19,034.00 | ↑ +26% |
| United Healthcare | Commercial Broad | $21,149.00 | ↑ +40% |
| CORVEL | Worker's Compensation | $21,362.33 | ↑ +42% |
| Cigna | Local Plus | $21,420.00 | ↑ +42% |
| Cigna | HMO/PPO | $25,200.00 | ↑ +67% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Prq revasc byp graft addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $15,079.29 | $3,769.82 – $21,362.33 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $15,079.29 | $4,272.47 – $21,362.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,079.29 | $3,103.82 – $22,618.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,660.42 | $2,932.08 – $18,325.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $15,079.29 | $4,021.14 – $21,362.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $15,079.29 | $4,840.45 – $22,618.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $15,079.29 | $7,790.97 – $22,618.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $14,660.42 | $4,886.81 – $21,990.63 |