Revision tips at BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE
2400 North I-35 E, Waxahachie, TX · Baylor Scott & White Health · · NPI 1265430177
$11,218.30
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.
$18,697.16
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.
$2,804.57 with Superior Health Plan vs $14,583.78 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 | $2,804.57 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $3,000.89 | ↓ -73% |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,431.62 | ↓ -52% |
| CORVEL | Worker's Compensation | $5,545.98 | ↓ -51% |
| Humana | Medicare | $5,717.50 | ↓ -49% |
| TriWest | Community Care Network | $5,717.50 | ↓ -49% |
| Aetna | Medicare Advantage | $5,717.50 | ↓ -49% |
| American Health Plan | Medicare Advantage | $6,003.38 | ↓ -46% |
| Blue Cross Blue Shield | Medicare Advantage | $6,003.38 | ↓ -46% |
| ProCare Advantage | Medicare Advantage | $6,003.38 | ↓ -46% |
| Superior Health Plan | Medicare | $6,003.38 | ↓ -46% |
| HealthSpring | Medicare Advantage | $6,003.38 | ↓ -46% |
| United Healthcare | Medicare Advantage | $6,403.60 | ↓ -43% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $6,861.00 | ↓ -39% |
| Blue Cross Blue Shield | Blue Advantage | $6,917.95 | ↓ -38% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $7,175.46 | ↓ -36% |
| Prime Health Services | Worker's Compensation | $7,209.77 | ↓ -36% |
| Sedgwick | Preferred Network | $8,547.66 | ↓ -24% |
| Employers Health Network | BSWQA Direct/EHN Rental | $8,787.67 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $9,217.70 | ↓ -18% |
| Cigna | Local Plus | $9,217.70 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $9,433.88 | ↓ -16% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $9,722.52 | ↓ -13% |
| QuikTrip | Employee Benefit Plan | $10,283.44 | ↓ -8% |
| Employers Health Network | EHN Network | $10,283.44 | ↓ -8% |
| Aetna | Commercial | $10,283.44 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $10,844.35 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $10,844.35 | ↓ -3% |
| Cigna | HMO/PPO | $10,844.35 | ↓ -3% |
| Imagine Health | Commercial | $10,844.35 | ↓ -3% |
| United Healthcare | Charter | $11,627.76 | ↑ +4% |
| United Healthcare | Nexus | $11,627.76 | ↑ +4% |
| Curative | Commercial | $12,153.15 | ↑ +8% |
| Superior Ambetter | Ambetter Exchange | $12,292.62 | ↑ +10% |
| United Healthcare | Commercial Broad | $12,919.74 | ↑ +15% |
| HealthSmart | Accel Network | $13,088.01 | ↑ +17% |
| Humana | Commercial PPO | $13,088.01 | ↑ +17% |
| First Health | PPO | $13,088.01 | ↑ +17% |
| Blue Cross Blue Shield | City of Dallas | $13,088.01 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $13,835.90 | ↑ +23% |
| HealthSmart | Preferred Network | $14,022.87 | ↑ +25% |
| Private Health Care System | PHCS Network | $14,022.87 | ↑ +25% |
| Mark Cuban | Commercial | $14,159.18 | ↑ +26% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $14,583.78 | ↑ +30% |
Visitor-reported prices
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Revision tips at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $11,218.30 | $1,495.77 – $14,159.18 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,218.30 | $3,178.52 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,711.04 | $71.00 – $22,066.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,111.45 | $71.00 – $16,389.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,218.30 | $2,991.55 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,711.04 | $85.00 – $22,066.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,711.04 | $7,600.70 – $22,066.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,111.45 | $71.00 – $19,667.17 |