Cyclosporine modified 25 mg capsule at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$5.34
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.
$8.90
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.
$0.26 with WellPoint (fka Amerigroup) vs $1.31 with CORVEL — 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 | $0.26 | ↓ -95% |
| Superior Health Plan | Medicaid | $0.26 | ↓ -95% |
| United Healthcare | Medicaid/CHIP | $0.28 | ↓ -95% |
| Aetna | Commercial | $0.52 | ↓ -90% |
| Blue Cross Blue Shield | Blue Advantage | $0.54 | ↓ -90% |
| Texas Workforce Commission | Workers Compensation | $0.55 | ↓ -90% |
| Mark Cuban | Commercial | $0.69 | ↓ -87% |
| Employers Health Network | BSWQA Direct/EHN Rental | $0.72 | ↓ -87% |
| Cigna | Local Plus | $0.76 | ↓ -86% |
| Employers Health Network | EHN Network | $0.85 | ↓ -84% |
| QuikTrip | Employee Benefit Plan | $0.85 | ↓ -84% |
| Cigna | HMO/PPO | $0.89 | ↓ -83% |
| University of Mary Hardin-Baylor | Commercial | $0.89 | ↓ -83% |
| Imagine Health | Commercial | $0.89 | ↓ -83% |
| Aetna | Medicare Advantage | $0.92 | ↓ -83% |
| United Healthcare | Charter | $0.96 | ↓ -82% |
| United Healthcare | Nexus | $0.96 | ↓ -82% |
| Superior Ambetter | Ambetter Exchange | $1.00 | ↓ -81% |
| Curative | Commercial | $1.00 | ↓ -81% |
| Blue Cross Blue Shield | City of Dallas | $1.03 | ↓ -81% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1.06 | ↓ -80% |
| United Healthcare | Commercial Broad | $1.06 | ↓ -80% |
| First Health | PPO | $1.08 | ↓ -80% |
| Humana | Commercial PPO | $1.08 | ↓ -80% |
| Optum | Commercial | $1.08 | ↓ -80% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1.08 | ↓ -80% |
| HealthSmart | Accel Network | $1.08 | ↓ -80% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1.10 | ↓ -79% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1.14 | ↓ -79% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1.14 | ↓ -79% |
| HealthSmart | Preferred Network | $1.16 | ↓ -78% |
| TriWest | Community Care Network | $1.16 | ↓ -78% |
| Private Health Care System | PHCS Network | $1.16 | ↓ -78% |
| CORVEL | Worker's Compensation | $1.31 | ↓ -75% |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $5.44 | $1.03 – $1.03 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $6.54 | $0.72 – $4.66 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $0.74 – $5.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5.34 | $0.19 – $1.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5.34 | $0.18 – $1.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5.34 | $0.25 – $1.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5.34 | $0.30 – $1.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5.34 | $0.48 – $1.39 |