Fundus photography with i&r 92250 at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$209.46
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.
?
What you pay up front if you don't use insurance.
$349.10
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.
?
The hospital's undiscounted list price — almost no one pays this.
$59.35 with Superior Health Plan vs $706.51 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $59.35 | ↓ -72% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $59.35 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $63.50 | ↓ -70% |
| Texas Workforce Commission | Workers Compensation | $125.68 | ↓ -40% |
| Baylor Scott & White Health Plan | Medicare Advantage | $126.97 | ↓ -39% |
| CORVEL | Worker's Compensation | $129.64 | ↓ -38% |
| Humana | Medicare | $133.65 | ↓ -36% |
| Aetna | Medicare Advantage | $133.65 | ↓ -36% |
| TriWest | Community Care Network | $133.65 | ↓ -36% |
| WellPoint (fka Amerigroup) | Medicare | $137.66 | ↓ -34% |
| ProCare Advantage | Medicare Advantage | $140.33 | ↓ -33% |
| American Health Plan | Medicare Advantage | $140.33 | ↓ -33% |
| Blue Cross Blue Shield | Medicare Advantage | $140.33 | ↓ -33% |
| HealthSpring | Medicare Advantage | $140.33 | ↓ -33% |
| Superior Health Plan | Medicare | $140.33 | ↓ -33% |
| Molina | Medicare Advantage | $140.33 | ↓ -33% |
| United Healthcare | Medicare Advantage | $149.69 | ↓ -29% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $160.38 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $164.08 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $167.73 | ↓ -20% |
| Prime Health Services | Worker's Compensation | $168.53 | ↓ -20% |
| Cigna | Local Plus | $172.11 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $172.11 | ↓ -18% |
| Employers Health Network | EHN Network | $192.00 | ↓ -8% |
| Aetna | Commercial | $192.00 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $192.00 | ↓ -8% |
| Sedgwick | Preferred Network | $199.81 | ↓ -5% |
| Cigna | HMO/PPO | $202.48 | ↓ -3% |
| Imagine Health | Commercial | $202.48 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $202.48 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $202.48 | ↓ -3% |
| United Healthcare | Charter | $217.11 | ↑ +4% |
| United Healthcare | Nexus | $217.11 | ↑ +4% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $220.52 | ↑ +5% |
| Curative | Commercial | $226.91 | ↑ +8% |
| United Healthcare | Commercial Broad | $241.23 | ↑ +15% |
| First Health | PPO | $244.37 | ↑ +17% |
| HealthSmart | Accel Network | $244.37 | ↑ +17% |
| Optum | Commercial | $244.37 | ↑ +17% |
| Humana | Commercial PPO | $244.37 | ↑ +17% |
| Private Health Care System | PHCS Network | $261.82 | ↑ +25% |
| HealthSmart | Preferred Network | $261.82 | ↑ +25% |
| Superior Ambetter | Ambetter Exchange | $287.35 | ↑ +37% |
| Mark Cuban | Commercial | $316.45 | ↑ +51% |
| Blue Cross Blue Shield | Blue Advantage | $334.72 | ↑ +60% |
| Blue Cross Blue Shield | City of Dallas | $635.64 | ↑ +203% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $669.44 | ↑ +220% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $671.62 | ↑ +221% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $706.51 | ↑ +237% |
Visitor-reported prices
Comments
Fundus photography with i&r 92250 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $275.91 | $56.79 – $413.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $255.85 | $51.17 – $319.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $209.46 | $55.86 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $275.91 | $88.57 – $413.87 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $275.91 | $142.55 – $413.87 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $255.85 | $85.28 – $383.77 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $209.46 | $55.86 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $209.46 | $52.37 – $316.45 |