Dextran 40 infusion at BAYLOR UNIVERSITY MEDICAL CENTER

3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253

Source: hospital's published price file ↗ · Published Jun 29, 2026 · Ingested Aug 12, 2026

$151.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$252.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$42.84 with Superior Health Plan vs $214.20 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 →

Payer
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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
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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 $42.84 ↓ -72%
WellPoint (fka Amerigroup) CHIP/Medicaid $42.84 ↓ -72%
United Healthcare Medicaid/CHIP $45.84 ↓ -70%
Blue Cross Blue Shield Blue Advantage $88.20 ↓ -42%
Texas Workforce Commission Workers Compensation $90.72 ↓ -40%
Employers Health Network BSWQA Direct/EHN Rental $118.44 ↓ -22%
Cigna Local Plus $124.24 ↓ -18%
Employers Health Network EHN Network $138.60 ↓ -8%
Aetna Commercial $138.60 ↓ -8%
QuikTrip Employee Benefit Plan $138.60 ↓ -8%
Imagine Health Commercial $146.16 ↓ -3%
University of Mary Hardin-Baylor Commercial $146.16 ↓ -3%
Cigna HMO/PPO $146.16 ↓ -3%
Baylor Scott & White Health Plan BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee $149.94 ↓ -1%
Aetna Medicare Advantage $151.20 ↑ +0%
United Healthcare Nexus $156.72 ↑ +4%
United Healthcare Charter $156.72 ↑ +4%
Curative Commercial $163.80 ↑ +8%
Superior Ambetter Ambetter Exchange $163.80 ↑ +8%
Blue Cross Blue Shield City of Dallas $168.84 ↑ +12%
United Healthcare Commercial Broad $174.13 ↑ +15%
First Health PPO $176.40 ↑ +17%
Humana Commercial PPO $176.40 ↑ +17%
Optum Commercial $176.40 ↑ +17%
Blue Cross Blue Shield Blue Essentials (HMO) $176.40 ↑ +17%
HealthSmart Accel Network $176.40 ↑ +17%
Baylor Scott & White Health Plan BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) $176.40 ↑ +17%
Blue Cross Blue Shield Blue Premier/High Performance Network/My BlueHealth $186.48 ↑ +23%
Blue Cross Blue Shield BlueChoice (PPO) $186.48 ↑ +23%
HealthSmart Preferred Network $189.00 ↑ +25%
TriWest Community Care Network $189.00 ↑ +25%
Private Health Care System PHCS Network $189.00 ↑ +25%
CORVEL Worker's Compensation $214.20 ↑ +42%

Visitor-reported prices

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Dextran 40 infusion at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $151.20 $31.12 – $226.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $151.20 $30.24 – $189.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $151.20 $40.32 – $214.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $151.20 $48.54 – $226.80
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $151.20 $78.12 – $226.80
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $151.20 $50.40 – $226.80
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $151.20 $40.32 – $214.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE Grapevine $151.20 $37.80 – $214.20

All Texas hospitals for this procedure →