Diabetes training group per 30 min g0109 at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$32.81
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.
$54.68
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.
$9.30 with Superior Health Plan vs $7,411.00 with Cigna — 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $9.30 | ↓ -72% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $9.30 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $9.95 | ↓ -70% |
| Texas Workforce Commission | Workers Compensation | $19.68 | ↓ -40% |
| Employers Health Network | BSWQA Direct/EHN Rental | $25.70 | ↓ -22% |
| Aetna | Commercial | $30.07 | ↓ -8% |
| Employers Health Network | EHN Network | $30.07 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $30.07 | ↓ -8% |
| Imagine Health | Commercial | $31.71 | ↓ -3% |
| United Healthcare | Charter | $34.01 | ↑ +4% |
| United Healthcare | Nexus | $34.01 | ↑ +4% |
| Curative | Commercial | $35.54 | ↑ +8% |
| CORVEL | Worker's Compensation | $36.51 | ↑ +11% |
| TriWest | Community Care Network | $37.64 | ↑ +15% |
| Humana | Medicare | $37.64 | ↑ +15% |
| Aetna | Medicare Advantage | $37.64 | ↑ +15% |
| United Healthcare | Commercial Broad | $37.78 | ↑ +15% |
| Optum | Commercial | $38.28 | ↑ +17% |
| First Health | PPO | $38.28 | ↑ +17% |
| HealthSmart | Accel Network | $38.28 | ↑ +17% |
| Humana | Commercial PPO | $38.28 | ↑ +17% |
| WellPoint (fka Amerigroup) | Medicare | $38.77 | ↑ +18% |
| Blue Cross Blue Shield | Medicare Advantage | $39.52 | ↑ +20% |
| Superior Health Plan | Medicare | $39.52 | ↑ +20% |
| HealthSpring | Medicare Advantage | $39.52 | ↑ +20% |
| Molina | Medicare Advantage | $39.52 | ↑ +20% |
| American Health Plan | Medicare Advantage | $39.52 | ↑ +20% |
| ProCare Advantage | Medicare Advantage | $39.52 | ↑ +20% |
| HealthSmart | Preferred Network | $41.01 | ↑ +25% |
| Private Health Care System | PHCS Network | $41.01 | ↑ +25% |
| United Healthcare | Medicare Advantage | $42.16 | ↑ +28% |
| Prime Health Services | Worker's Compensation | $47.46 | ↑ +45% |
| Sedgwick | Preferred Network | $56.27 | ↑ +72% |
| Mark Cuban | Commercial | $71.08 | ↑ +117% |
| Superior Ambetter | Ambetter Exchange | $80.93 | ↑ +147% |
| Cigna | Local Plus | $6,299.00 | ↑ +19098% |
| Cigna | HMO/PPO | $7,411.00 | ↑ +22488% |
Visitor-reported prices
Comments
Diabetes training group per 30 min g0109 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $64.52 – $64.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $35.43 | $7.29 – $71.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $35.43 | $7.09 – $71.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $32.81 | $8.75 – $80.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $35.43 | $11.37 – $71.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $35.43 | $18.31 – $71.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $35.43 | $11.81 – $71.08 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $32.81 | $8.75 – $80.93 |