Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$5,147.27
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.
$8,578.79
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.
$3.60 with Baylor Scott & White Health Plan vs $6,434.09 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $3.60 | ↓ -100% |
| CORVEL | Worker's Compensation | $3.68 | ↓ -100% |
| Humana | Medicare | $3.79 | ↓ -100% |
| Aetna | Medicare Advantage | $3.79 | ↓ -100% |
| TriWest | Community Care Network | $3.79 | ↓ -100% |
| WellPoint (fka Amerigroup) | Medicare | $3.90 | ↓ -100% |
| HealthSpring | Medicare Advantage | $3.98 | ↓ -100% |
| American Health Plan | Medicare Advantage | $3.98 | ↓ -100% |
| ProCare Advantage | Medicare Advantage | $3.98 | ↓ -100% |
| Molina | Medicare Advantage | $3.98 | ↓ -100% |
| Superior Health Plan | Medicare | $3.98 | ↓ -100% |
| Blue Cross Blue Shield | Medicare Advantage | $3.98 | ↓ -100% |
| Mark Cuban | Commercial | $4.17 | ↓ -100% |
| United Healthcare | Medicare Advantage | $4.24 | ↓ -100% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $4.55 | ↓ -100% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $4.76 | ↓ -100% |
| Prime Health Services | Worker's Compensation | $4.78 | ↓ -100% |
| Sedgwick | Preferred Network | $5.67 | ↓ -100% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $6.25 | ↓ -100% |
| Superior Ambetter | Ambetter Exchange | $8.15 | ↓ -100% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $14.55 | ↓ -100% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $15.12 | ↓ -100% |
| Superior Health Plan | Medicaid | $1,458.39 | ↓ -72% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $1,458.39 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $1,560.48 | ↓ -70% |
| Blue Cross Blue Shield | Blue Advantage | $3,002.58 | ↓ -42% |
| Texas Workforce Commission | Workers Compensation | $3,088.36 | ↓ -40% |
| Employers Health Network | BSWQA Direct/EHN Rental | $4,032.03 | ↓ -22% |
| Cigna | Local Plus | $4,229.34 | ↓ -18% |
| Aetna | Commercial | $4,718.33 | ↓ -8% |
| Employers Health Network | EHN Network | $4,718.33 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $4,718.33 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $4,975.70 | ↓ -3% |
| Cigna | HMO/PPO | $4,975.70 | ↓ -3% |
| Imagine Health | Commercial | $4,975.70 | ↓ -3% |
| United Healthcare | Nexus | $5,335.15 | ↑ +4% |
| United Healthcare | Charter | $5,335.15 | ↑ +4% |
| Curative | Commercial | $5,576.21 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $5,747.79 | ↑ +12% |
| United Healthcare | Commercial Broad | $5,927.94 | ↑ +15% |
| Optum | Commercial | $6,005.15 | ↑ +17% |
| HealthSmart | Accel Network | $6,005.15 | ↑ +17% |
| Humana | Commercial PPO | $6,005.15 | ↑ +17% |
| First Health | PPO | $6,005.15 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $6,005.15 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $6,348.30 | ↑ +23% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $6,348.30 | ↑ +23% |
| HealthSmart | Preferred Network | $6,434.09 | ↑ +25% |
| Private Health Care System | PHCS Network | $6,434.09 | ↑ +25% |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $5,662.01 | $12.37 – $19.60 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $3.86 – $27.17 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $3.98 – $58.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,147.27 | $4.17 – $7,720.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,147.27 | $3.60 – $6,434.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,147.27 | $3.60 – $6,434.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,147.27 | $3.60 – $7,720.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,147.27 | $4.17 – $7,720.91 |