Injection for spleen x-ray at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$982.72
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.
$1,637.87
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.
$278.44 with Superior Health Plan vs $2,107.00 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $278.44 | ↓ -72% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $278.44 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $297.93 | ↓ -70% |
| Texas Workforce Commission | Workers Compensation | $589.63 | ↓ -40% |
| Employers Health Network | BSWQA Direct/EHN Rental | $769.80 | ↓ -22% |
| Cigna | Local Plus | $807.47 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $835.31 | ↓ -15% |
| Aetna | Commercial | $900.83 | ↓ -8% |
| Employers Health Network | EHN Network | $900.83 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $900.83 | ↓ -8% |
| Cigna | HMO/PPO | $949.96 | ↓ -3% |
| Aetna | Medicare Advantage | $982.72 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $982.72 | ↑ +0% |
| Superior Ambetter | Ambetter Exchange | $1,064.62 | ↑ +8% |
| Curative | Commercial | $1,064.62 | ↑ +8% |
| First Health | PPO | $1,146.51 | ↑ +17% |
| Optum | Commercial | $1,146.51 | ↑ +17% |
| Humana | Commercial PPO | $1,146.51 | ↑ +17% |
| HealthSmart | Accel Network | $1,146.51 | ↑ +17% |
| Private Health Care System | PHCS Network | $1,228.40 | ↑ +25% |
| HealthSmart | Preferred Network | $1,228.40 | ↑ +25% |
| TriWest | Community Care Network | $1,228.40 | ↑ +25% |
| CORVEL | Worker's Compensation | $1,392.19 | ↑ +42% |
| United Healthcare | Charter | $1,896.00 | ↑ +93% |
| United Healthcare | Nexus | $1,896.00 | ↑ +93% |
| United Healthcare | Commercial Broad | $2,107.00 | ↑ +114% |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Injection for spleen x-ray at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $982.72 | $262.06 – $1,392.19 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $982.72 | $262.06 – $1,392.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $982.72 | $245.68 – $1,392.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $982.72 | $180.17 – $1,392.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $982.72 | $180.17 – $1,392.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $982.72 | $278.44 – $1,392.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $982.72 | $458.60 – $1,896.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $982.72 | $180.17 – $1,392.19 |