Biliary endoscopy thru skin at BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE
2400 North I-35 E, Waxahachie, TX · Baylor Scott & White Health · · NPI 1265430177
$3,152.16
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.
$5,253.60
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.
$1,151.54 with Superior Health Plan vs $18,741.87 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 | $1,151.54 | ↓ -63% |
| United Healthcare | Medicaid/CHIP | $1,232.15 | ↓ -61% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,469.19 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,679.34 | ↓ -15% |
| HealthSmart | Accel Network | $2,763.00 | ↓ -12% |
| Employers Health Network | EHN Network | $2,889.48 | ↓ -8% |
| Aetna | Commercial | $2,889.48 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $2,889.48 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $3,152.16 | ↑ +0% |
| Curative | Commercial | $3,414.84 | ↑ +8% |
| First Health | PPO | $3,677.52 | ↑ +17% |
| Humana | Commercial PPO | $3,677.52 | ↑ +17% |
| Private Health Care System | PHCS Network | $3,940.20 | ↑ +25% |
| HealthSmart | Preferred Network | $3,940.20 | ↑ +25% |
| Blue Cross Blue Shield | Blue Advantage | $5,254.78 | ↑ +67% |
| Cigna | Local Plus | $6,093.00 | ↑ +93% |
| Baylor Scott & White Health Plan | Medicare Advantage | $6,178.15 | ↑ +96% |
| CORVEL | Worker's Compensation | $6,308.22 | ↑ +100% |
| Humana | Medicare | $6,503.32 | ↑ +106% |
| TriWest | Community Care Network | $6,503.32 | ↑ +106% |
| Aetna | Medicare Advantage | $6,503.32 | ↑ +106% |
| ProCare Advantage | Medicare Advantage | $6,828.49 | ↑ +117% |
| American Health Plan | Medicare Advantage | $6,828.49 | ↑ +117% |
| Superior Health Plan | Medicare | $6,828.49 | ↑ +117% |
| Blue Cross Blue Shield | Medicare Advantage | $6,828.49 | ↑ +117% |
| HealthSpring | Medicare Advantage | $6,828.49 | ↑ +117% |
| Cigna | HMO/PPO | $7,168.00 | ↑ +127% |
| United Healthcare | Medicare Advantage | $7,283.72 | ↑ +131% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $7,431.32 | ↑ +136% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $7,803.98 | ↑ +148% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $8,161.67 | ↑ +159% |
| Prime Health Services | Worker's Compensation | $8,200.69 | ↑ +160% |
| United Healthcare | Nexus | $9,126.00 | ↑ +190% |
| United Healthcare | Charter | $9,126.00 | ↑ +190% |
| Sedgwick | Preferred Network | $9,722.46 | ↑ +208% |
| Blue Cross Blue Shield | City of Dallas | $9,980.98 | ↑ +217% |
| United Healthcare | Commercial Broad | $10,140.00 | ↑ +222% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $10,540.66 | ↑ +234% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $10,730.48 | ↑ +240% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $11,100.34 | ↑ +252% |
| Superior Ambetter | Ambetter Exchange | $13,982.14 | ↑ +344% |
| Mark Cuban | Commercial | $18,741.87 | ↑ +495% |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $3,152.16 | $1,151.54 – $18,741.87 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,152.16 | $1,151.54 – $18,741.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,865.60 | $589.84 – $18,741.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,008.88 | $1,151.54 – $18,741.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,152.16 | $1,151.54 – $18,741.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,865.60 | $1,232.15 – $18,741.87 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,865.60 | $1,151.54 – $18,741.87 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,008.88 | $1,151.54 – $18,741.87 |