What do I need to obtain an estimate for services?

To obtain an estimate, you need to provide: the facility where you plan to have services; the type of service or procedure (CPT or CPT description); and your insurance carrier and member ID.

What is included in my estimate?

For NTX locations, the estimate only includes the facility fee. For CTX locations, the estimate includes both the facility fee and the Baylor Scott & White physician fee. Most estimates do not include ancillary physician fees, such as an anesthesiologist or radiologist.

What is a facility fee?

A facility fee covers the hospital costs for providing care. For example: technical equipment for virtual visits and clinical and support staff, such as nurses and medical assistants. If you receive care at a hospital outpatient department or provider-based clinic, you will see separate fees for the facility and the physician.

Is my insurance in network?

To receive full or maximum insurance benefits, some insurance providers require patients to receive services with in-network or participating provider hospitals and physicians. Insurance carrier network status can vary by location and specialty. Review our in-network list (https://www.bswhealth.com/patient-tools/registration-and-billing/insurance-plans-accepted) or contact your carrier if you have any questions.

I have insurance. How much will I pay out of pocket for insurance?

Your out-of-pocket cost for a service depends on: the specifics of your insurance plan coverage, including your deductible, copay, and coinsurance; whether you choose an in-network provider; and provider pricing plus the contracted rates negotiated between the insurance carrier and the provider. Contact your insurance carrier for more information.

How do I know if a procedure is covered by insurance?

Insurance carriers have rules for what is a covered service. You may have to meet certain requirements for the plan to cover treatment. Some plans require a referral from a primary care physician to a specialist, and most plans require prior authorization for certain services. Please contact your insurance carrier for more information.

What is expected in terms of payment?

We accept the following payment options: check, credit cards, and debit cards. Interest-free payment plans are available (https://www.bswhealth.com/patient-tools/registration-and-billing/financial-assistance). If you are unable to pay, we offer financial assistance (https://www.bswhealth.com/patient-tools/registration-and-billing/financial-assistance).

Do you have a financial assistance policy?

Yes, Baylor Scott & White Health has a financial assistance program. You will need to submit a confidential application on your household finances, with supporting documentation, to determine eligibility. Interest-free payment plans and uninsured patient discounts are also available.

Estimate Your Cost of Care

Our cost estimate tool helps you generate accurate out-of-pocket estimates for hospital expenses.

What's included in your estimate?

Included

Hospital room
Hospital equipment use
Hospital supplies
Hospital staff services

May be included*

Physician fees
Anesthesiology
Pathology
Radiology

Not included

Medication

*Some Central Texas locations include provider fees in the estimate. Contact your facility for additional details.

Understand your estimate

Your estimate considers the treatment information you and your provider share, including anticipated services, insurance coverage, copayments, deductibles and coinsurance. However, your final bill may be different from your estimate. There are many factors that influence the actual amount you will be billed, including changes to the services performed and updates in your coverage that were not reflected at the time the estimates were provided.

In the North Texas (Dallas-Fort Worth Metroplex) region, your estimate reflects only hospital charges, such as charges for room, equipment use, supplies and services provided by the hospital's staff. The estimate does not include charges for your physician or any other physician fees, such as emergency room physician, radiologist, anesthesiologist, pathologist or other consulting physicians. These physician charges will be billed separately and are your separate responsibility.

What you need

In order for us to provide you with the most accurate estimate possible, we need specific information about your insurance and care you'll be receiving. Please have the information requested here available during your estimation.

Current procedural terminology code (CPT)

Many surgery and procedure names sound similar, so please provide the CPT code if possible. You can find this on the order from your doctor.

If you cannot provide the CPT code, please contact your physician's office for the CPT or a detailed description of services.

Insurance information

The amount of your final bill that is covered by insurance varies depending on your insurance provider and your specific policy. You will need the following information:

Member ID number
Group number
Policyholder's name
Insurance company phone number
Type of plan (HMO, POS, PPO, Indemnity)

If you are uninsured, we offer a discount on medically necessary services. Please speak to a financial counselor and review our financial assistance policy.

Policyholder's personal information

During the price estimating process, we will need to verify your specific insurance benefits to provide the most accurate representation of your estimated financial obligation, based on your specific coverage.

Estimate resources

Uninsured? Learn about your right to receive a Good Faith Estimate
Need help understanding medical costs? Check out the Consumer Guide to Healthcare Prices
Curious about out-of-network emergency services? Read all about Surprise Billing Protection

Facility rates

Baylor Scott & White Health is an advocate for greater healthcare pricing transparency. Therefore, we’ve provided a list of prices for each hospital service across our system in the machine-readable files below.

It is important to note that the out-of-pocket costs to a patient will likely differ significantly from the prices in these lists for the following reasons:

You may receive a bundle of services during your visit (e.g., procedures, lab tests, drugs or supplies). Without knowing what your physician has ordered for your visit, it may be difficult to combine the services in the following tabs to reflect what is performed during your visit with us.
Your insurance provider negotiates rates with our health system. Your particular plan design and where you are during the year regarding your benefits can largely affect what you will be expected to pay out-of-pocket for your visit.
If you do not have insurance, you will likely be eligible for our uninsured discount policy or other financial assistance, which may greatly reduce the out-of-pocket costs for your visit. Because there are so many different variables that can affect your out-of-pocket expenses, we encourage you to contact us to get an estimate for your costs.

Cost of services in Central Texas

Cost of services in North Texas

Note: The cost of service files are very large and may require additional time to download completely.

Frequently asked questions

Contact us

Chat with an Adviser

Estimate Your Cost of Care

What's included in your estimate?

Understand your estimate

What you need