Ghs layer closure 2.5 cm or less - 12041 at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$641.66
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.
$1,069.44
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.
$111.00 with Cigna vs $987.79 with Mark Cuban — 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 |
|---|---|---|---|
| Cigna | Local Plus | $111.00 | ↓ -83% |
| Cigna | HMO/PPO | $130.00 | ↓ -80% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $143.08 | ↓ -78% |
| Superior Health Plan | Medicaid | $143.08 | ↓ -78% |
| United Healthcare | Medicaid/CHIP | $153.10 | ↓ -76% |
| Blue Cross Blue Shield | Blue Advantage | $272.85 | ↓ -57% |
| Texas Workforce Commission | Workers Compensation | $385.00 | ↓ -40% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $385.87 | ↓ -40% |
| Baylor Scott & White Health Plan | Medicare Advantage | $387.95 | ↓ -40% |
| CORVEL | Worker's Compensation | $396.12 | ↓ -38% |
| Humana | Medicare | $408.37 | ↓ -36% |
| Aetna | Medicare Advantage | $408.37 | ↓ -36% |
| TriWest | Community Care Network | $408.37 | ↓ -36% |
| WellPoint (fka Amerigroup) | Medicare | $420.62 | ↓ -34% |
| Molina | Medicare Advantage | $428.79 | ↓ -33% |
| Blue Cross Blue Shield | Medicare Advantage | $428.79 | ↓ -33% |
| HealthSpring | Medicare Advantage | $428.79 | ↓ -33% |
| Superior Health Plan | Medicare | $428.79 | ↓ -33% |
| American Health Plan | Medicare Advantage | $428.79 | ↓ -33% |
| ProCare Advantage | Medicare Advantage | $428.79 | ↓ -33% |
| United Healthcare | Medicare Advantage | $457.37 | ↓ -29% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $490.04 | ↓ -24% |
| Employers Health Network | BSWQA Direct/EHN Rental | $502.64 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $512.50 | ↓ -20% |
| Prime Health Services | Worker's Compensation | $514.95 | ↓ -20% |
| Blue Cross Blue Shield | City of Dallas | $518.25 | ↓ -19% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $527.23 | ↓ -18% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $547.32 | ↓ -15% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $576.38 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $588.19 | ↓ -8% |
| Aetna | Commercial | $588.19 | ↓ -8% |
| Employers Health Network | EHN Network | $588.19 | ↓ -8% |
| Sedgwick | Preferred Network | $610.51 | ↓ -5% |
| Imagine Health | Commercial | $620.28 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $620.28 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $620.28 | ↓ -3% |
| United Healthcare | Charter | $665.08 | ↑ +4% |
| United Healthcare | Nexus | $665.08 | ↑ +4% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $673.81 | ↑ +5% |
| Curative | Commercial | $695.14 | ↑ +8% |
| United Healthcare | Commercial Broad | $738.98 | ↑ +15% |
| Optum | Commercial | $748.61 | ↑ +17% |
| First Health | PPO | $748.61 | ↑ +17% |
| Humana | Commercial PPO | $748.61 | ↑ +17% |
| Private Health Care System | PHCS Network | $802.08 | ↑ +25% |
| HealthSmart | Accel Network | $802.08 | ↑ +25% |
| HealthSmart | Preferred Network | $802.08 | ↑ +25% |
| Superior Ambetter | Ambetter Exchange | $878.00 | ↑ +37% |
| Mark Cuban | Commercial | $987.79 | ↑ +54% |
Visitor-reported prices
Comments
Ghs layer closure 2.5 cm or less - 12041 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,406.01 | $201.81 – $4,826.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $563.75 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $624.34 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $641.66 | $111.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $563.75 | $85.00 – $987.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $563.75 | $143.08 – $987.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $624.34 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $641.66 | $111.00 – $987.79 |