#resp virpnl dfa-adenovirus at BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE
2400 North I-35 E, Waxahachie, TX · Baylor Scott & White Health · · NPI 1265430177
$79.09
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.
$131.81
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.
$10.00 with United Healthcare vs $98.86 with Private Health Care System — 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 |
|---|---|---|---|
| United Healthcare | Nexus | $10.00 | ↓ -87% |
| United Healthcare | Charter | $10.00 | ↓ -87% |
| United Healthcare | Commercial Broad | $11.00 | ↓ -86% |
| Superior Health Plan | Medicaid | $12.12 | ↓ -85% |
| United Healthcare | Medicaid/CHIP | $12.97 | ↓ -84% |
| Baylor Scott & White Health Plan | Medicare Advantage | $13.71 | ↓ -83% |
| CORVEL | Worker's Compensation | $14.00 | ↓ -82% |
| Humana | Medicare | $14.43 | ↓ -82% |
| TriWest | Community Care Network | $14.43 | ↓ -82% |
| Aetna | Medicare Advantage | $14.43 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $15.15 | ↓ -81% |
| HealthSpring | Medicare Advantage | $15.15 | ↓ -81% |
| ProCare Advantage | Medicare Advantage | $15.15 | ↓ -81% |
| American Health Plan | Medicare Advantage | $15.15 | ↓ -81% |
| Superior Health Plan | Medicare | $15.15 | ↓ -81% |
| United Healthcare | Medicare Advantage | $16.16 | ↓ -80% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $17.32 | ↓ -78% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $18.11 | ↓ -77% |
| Prime Health Services | Worker's Compensation | $18.20 | ↓ -77% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $21.42 | ↓ -73% |
| Sedgwick | Preferred Network | $21.57 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $23.81 | ↓ -70% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $25.20 | ↓ -68% |
| Superior Ambetter | Ambetter Exchange | $31.02 | ↓ -61% |
| Mark Cuban | Commercial | $34.63 | ↓ -56% |
| Blue Cross Blue Shield | Blue Advantage | $35.21 | ↓ -55% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $49.93 | ↓ -37% |
| Employers Health Network | BSWQA Direct/EHN Rental | $61.95 | ↓ -22% |
| Cigna | Local Plus | $64.98 | ↓ -18% |
| Blue Cross Blue Shield | City of Dallas | $66.96 | ↓ -15% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $70.71 | ↓ -11% |
| Aetna | Commercial | $72.50 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $72.50 | ↓ -8% |
| Employers Health Network | EHN Network | $72.50 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $74.46 | ↓ -6% |
| University of Mary Hardin-Baylor | Commercial | $76.45 | ↓ -3% |
| Cigna | HMO/PPO | $76.45 | ↓ -3% |
| Imagine Health | Commercial | $76.45 | ↓ -3% |
| Curative | Commercial | $85.68 | ↑ +8% |
| HealthSmart | Accel Network | $92.27 | ↑ +17% |
| First Health | PPO | $92.27 | ↑ +17% |
| Humana | Commercial PPO | $92.27 | ↑ +17% |
| HealthSmart | Preferred Network | $98.86 | ↑ +25% |
| Private Health Care System | PHCS Network | $98.86 | ↑ +25% |
Visitor-reported prices
Comments
#resp virpnl dfa-adenovirus at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $79.09 | $10.00 – $98.86 |
| Adventhealth Rollins Brook | Lampasas | $43.29 | $12.99 – $55.56 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $79.09 | $10.00 – $98.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $79.09 | $12.00 – $118.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $79.09 | $12.00 – $98.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $79.09 | $10.00 – $98.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $79.09 | $12.00 – $118.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $79.09 | $8.00 – $118.63 |