Administration vaccine pneumococcal at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$42.50
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.
$70.83
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.
$12.04 with WellPoint (fka Amerigroup) vs $310.59 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 |
|---|---|---|---|
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $12.04 | ↓ -72% |
| Superior Health Plan | Medicaid | $12.04 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $12.88 | ↓ -70% |
| Texas Workforce Commission | Workers Compensation | $25.50 | ↓ -40% |
| Employers Health Network | BSWQA Direct/EHN Rental | $33.29 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $34.92 | ↓ -18% |
| Cigna | Local Plus | $34.92 | ↓ -18% |
| Employers Health Network | EHN Network | $38.96 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $38.96 | ↓ -8% |
| Aetna | Commercial | $38.96 | ↓ -8% |
| Cigna | HMO/PPO | $41.08 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $41.08 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $41.08 | ↓ -3% |
| Imagine Health | Commercial | $41.08 | ↓ -3% |
| United Healthcare | Nexus | $44.05 | ↑ +4% |
| United Healthcare | Charter | $44.05 | ↑ +4% |
| Baylor Scott & White Health Plan | Medicare Advantage | $44.69 | ↑ +5% |
| CORVEL | Worker's Compensation | $45.63 | ↑ +7% |
| Curative | Commercial | $46.04 | ↑ +8% |
| TriWest | Community Care Network | $47.04 | ↑ +11% |
| Humana | Medicare | $47.04 | ↑ +11% |
| Aetna | Medicare Advantage | $47.04 | ↑ +11% |
| WellPoint (fka Amerigroup) | Medicare | $48.45 | ↑ +14% |
| United Healthcare | Commercial Broad | $48.94 | ↑ +15% |
| American Health Plan | Medicare Advantage | $49.39 | ↑ +16% |
| HealthSpring | Medicare Advantage | $49.39 | ↑ +16% |
| Blue Cross Blue Shield | Medicare Advantage | $49.39 | ↑ +16% |
| Superior Health Plan | Medicare | $49.39 | ↑ +16% |
| ProCare Advantage | Medicare Advantage | $49.39 | ↑ +16% |
| Molina | Medicare Advantage | $49.39 | ↑ +16% |
| First Health | PPO | $49.58 | ↑ +17% |
| Optum | Commercial | $49.58 | ↑ +17% |
| HealthSmart | Accel Network | $49.58 | ↑ +17% |
| Humana | Commercial PPO | $49.58 | ↑ +17% |
| United Healthcare | Medicare Advantage | $52.68 | ↑ +24% |
| Private Health Care System | PHCS Network | $53.12 | ↑ +25% |
| HealthSmart | Preferred Network | $53.12 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $56.45 | ↑ +33% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $59.04 | ↑ +39% |
| Prime Health Services | Worker's Compensation | $59.32 | ↑ +40% |
| Sedgwick | Preferred Network | $70.32 | ↑ +65% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $77.62 | ↑ +83% |
| Superior Ambetter | Ambetter Exchange | $101.14 | ↑ +138% |
| Mark Cuban | Commercial | $117.68 | ↑ +177% |
| Blue Cross Blue Shield | Blue Advantage | $147.15 | ↑ +246% |
| Blue Cross Blue Shield | City of Dallas | $279.43 | ↑ +557% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $294.29 | ↑ +592% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $295.25 | ↑ +595% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $310.59 | ↑ +631% |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $113.70 | $65.09 – $65.09 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $313.06 | $113.11 – $142.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $45.91 | $9.45 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $45.91 | $9.18 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.50 | $11.33 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $45.91 | $14.74 – $117.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $45.91 | $23.72 – $117.68 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $45.91 | $15.30 – $117.68 |