Pt application of modality >=1 area ultrasound each 15 minutes at BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE
2360 N Interstate Highway 35 E, Waxahachie, TX · Baylor Scott & White Health · · NPI 1609855139
$85.93
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.
$143.21
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.
$11.46 with Superior Health Plan vs $158.00 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 | $11.46 | ↓ -87% |
| United Healthcare | Medicaid/CHIP | $12.26 | ↓ -86% |
| Mark Cuban | Commercial | $41.97 | ↓ -51% |
| Blue Cross Blue Shield | Blue Advantage | $43.16 | ↓ -50% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $61.02 | ↓ -29% |
| Employers Health Network | BSWQA Direct/EHN Rental | $67.31 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $70.60 | ↓ -18% |
| QuikTrip | Employee Benefit Plan | $78.77 | ↓ -8% |
| Employers Health Network | EHN Network | $78.77 | ↓ -8% |
| Blue Cross Blue Shield | City of Dallas | $81.97 | ↓ -5% |
| University of Mary Hardin-Baylor | Commercial | $83.06 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $83.06 | ↓ -3% |
| Imagine Health | Commercial | $83.06 | ↓ -3% |
| Aetna | Medicare Advantage | $85.93 | ↑ +0% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $86.61 | ↑ +1% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $91.11 | ↑ +6% |
| Curative | Commercial | $93.09 | ↑ +8% |
| Superior Ambetter | Ambetter Exchange | $93.09 | ↑ +8% |
| Humana | Commercial PPO | $100.25 | ↑ +17% |
| First Health | PPO | $100.25 | ↑ +17% |
| HealthSmart | Accel Network | $100.25 | ↑ +17% |
| TriWest | Community Care Network | $107.41 | ↑ +25% |
| HealthSmart | Preferred Network | $107.41 | ↑ +25% |
| Private Health Care System | PHCS Network | $107.41 | ↑ +25% |
| Aetna | Commercial | $108.00 | ↑ +26% |
| United Healthcare | Charter | $112.00 | ↑ +30% |
| United Healthcare | Nexus | $112.00 | ↑ +30% |
| CORVEL | Worker's Compensation | $121.73 | ↑ +42% |
| United Healthcare | Commercial Broad | $124.00 | ↑ +44% |
| Cigna | Local Plus | $134.00 | ↑ +56% |
| Cigna | HMO/PPO | $158.00 | ↑ +84% |
Visitor-reported prices
Comments
Pt application of modality >=1 area ultrasound each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $85.93 | $21.48 – $134.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $85.93 | $24.35 – $134.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $118.66 | $24.42 – $177.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $98.11 | $19.62 – $122.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $85.93 | $22.91 – $134.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $118.66 | $38.09 – $177.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $118.66 | $41.97 – $177.98 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $98.11 | $32.70 – $147.17 |