Exc abd tum over 10 cm 49205 at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
not published by hospital
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.
not published by hospital
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.
$3,109.26 with Blue Cross Blue Shield vs $10,140.00 with United Healthcare — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Blue Advantage | $3,109.26 | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $4,397.12 | — |
| Blue Cross Blue Shield | City of Dallas | $5,905.76 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $6,236.92 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $6,568.09 | — |
| Cigna | Local Plus | $7,038.00 | — |
| Cigna | HMO/PPO | $8,280.00 | — |
| United Healthcare | Charter | $9,126.00 | — |
| United Healthcare | Nexus | $9,126.00 | — |
| United Healthcare | Commercial Broad | $10,140.00 | — |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc abd tum over 10 cm 49205 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $2,299.75 – $4,826.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $3,532.42 – $9,751.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | not published | $2,888.49 – $9,751.00 |
| Covenant Children's Hospital | Lubbock | not published | $2,148.35 – $3,918.77 |
| Covenant Medical Center | Lubbock | not published | $2,184.62 – $10,113.63 |
| Ascension Providence | Waco | not published | $1,471.90 – $3,477.22 |
| Covenant Hospital Plainview | Plainview | not published | $3,698.00 – $4,775.77 |
| Texas Health Hospital Mansfield | Mansfield | not published | $1,942.83 – $16,164.00 |