Extnd color vision xm 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

$105.04

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.

$175.07

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.

$29.76 with Superior Health Plan vs $356.46 with Blue Cross Blue Shield — 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 $29.76 ↓ -72%
WellPoint (fka Amerigroup) CHIP/Medicaid $29.76 ↓ -72%
United Healthcare Medicaid/CHIP $31.85 ↓ -70%
Baylor Scott & White Health Plan Medicare Advantage $56.30 ↓ -46%
CORVEL Worker's Compensation $57.48 ↓ -45%
Aetna Medicare Advantage $59.26 ↓ -44%
Humana Medicare $59.26 ↓ -44%
TriWest Community Care Network $59.26 ↓ -44%
WellPoint (fka Amerigroup) Medicare $61.04 ↓ -42%
ProCare Advantage Medicare Advantage $62.22 ↓ -41%
Superior Health Plan Medicare $62.22 ↓ -41%
Blue Cross Blue Shield Medicare Advantage $62.22 ↓ -41%
HealthSpring Medicare Advantage $62.22 ↓ -41%
Molina Medicare Advantage $62.22 ↓ -41%
American Health Plan Medicare Advantage $62.22 ↓ -41%
Texas Workforce Commission Workers Compensation $63.03 ↓ -40%
United Healthcare Medicare Advantage $66.37 ↓ -37%
Baylor Scott & White Health Plan BSW Premier - Small Group $71.11 ↓ -32%
Baylor Scott & White Health Plan BSW Premier - Individual $74.37 ↓ -29%
Prime Health Services Worker's Compensation $74.73 ↓ -29%
Employers Health Network BSWQA Direct/EHN Rental $82.28 ↓ -22%
Cigna Local Plus $86.31 ↓ -18%
Baylor Scott & White Health Plan BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee $86.31 ↓ -18%
Sedgwick Preferred Network $88.59 ↓ -16%
Aetna Commercial $96.29 ↓ -8%
Employers Health Network EHN Network $96.29 ↓ -8%
QuikTrip Employee Benefit Plan $96.29 ↓ -8%
Baylor Scott & White Health Plan BSW Plus - Small Group $97.78 ↓ -7%
Imagine Health Commercial $101.54 ↓ -3%
Cigna HMO/PPO $101.54 ↓ -3%
University of Mary Hardin-Baylor Commercial $101.54 ↓ -3%
Baylor Scott & White Health Plan BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) $101.54 ↓ -3%
United Healthcare Charter $108.88 ↑ +4%
United Healthcare Nexus $108.88 ↑ +4%
Curative Commercial $113.80 ↑ +8%
United Healthcare Commercial Broad $120.97 ↑ +15%
Optum Commercial $122.55 ↑ +17%
HealthSmart Accel Network $122.55 ↑ +17%
Humana Commercial PPO $122.55 ↑ +17%
First Health PPO $122.55 ↑ +17%
Superior Ambetter Ambetter Exchange $127.41 ↑ +21%
Private Health Care System PHCS Network $131.30 ↑ +25%
HealthSmart Preferred Network $131.30 ↑ +25%
Mark Cuban Commercial $151.53 ↑ +44%
Blue Cross Blue Shield Blue Advantage $168.88 ↑ +61%
Blue Cross Blue Shield City of Dallas $320.71 ↑ +205%
Blue Cross Blue Shield Blue Premier/High Performance Network/My BlueHealth $337.76 ↑ +222%
Blue Cross Blue Shield Blue Essentials (HMO) $338.86 ↑ +223%
Blue Cross Blue Shield BlueChoice (PPO) $356.46 ↑ +239%

Visitor-reported prices

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Extnd color vision xm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $215.51 $44.36 – $323.27
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $192.08 $38.42 – $240.10
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $105.04 $28.01 – $151.53
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $215.51 $56.30 – $323.27
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $215.51 $111.35 – $323.27
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $192.08 $56.30 – $288.12
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $105.04 $28.01 – $151.53
BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE Grapevine $105.04 $26.26 – $151.53

All Texas hospitals for this procedure →