Ins pm gen exist dual lead at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$28,383.36
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.
$47,305.60
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.
$6,299.00 with Cigna vs $58,392.49 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 | $6,299.00 | ↓ -78% |
| Cigna | HMO/PPO | $7,411.00 | ↓ -74% |
| Blue Cross Blue Shield | Blue Advantage | $16,556.96 | ↓ -42% |
| Superior Health Plan | Medicaid | $16,993.10 | ↓ -40% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $16,993.10 | ↓ -40% |
| Texas Workforce Commission | Workers Compensation | $17,030.02 | ↓ -40% |
| United Healthcare | Medicaid/CHIP | $18,182.62 | ↓ -36% |
| United Healthcare | Nexus | $19,034.00 | ↓ -33% |
| United Healthcare | Charter | $19,034.00 | ↓ -33% |
| United Healthcare | Commercial Broad | $21,149.00 | ↓ -25% |
| Baylor Scott & White Health Plan | Medicare Advantage | $21,227.69 | ↓ -25% |
| CORVEL | Worker's Compensation | $21,674.59 | ↓ -24% |
| Employers Health Network | BSWQA Direct/EHN Rental | $22,233.63 | ↓ -22% |
| TriWest | Community Care Network | $22,344.94 | ↓ -21% |
| Humana | Medicare | $22,344.94 | ↓ -21% |
| Aetna | Medicare Advantage | $22,344.94 | ↓ -21% |
| WellPoint (fka Amerigroup) | Medicare | $23,015.29 | ↓ -19% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $23,321.66 | ↓ -18% |
| HealthSpring | Medicare Advantage | $23,462.19 | ↓ -17% |
| American Health Plan | Medicare Advantage | $23,462.19 | ↓ -17% |
| Blue Cross Blue Shield | Medicare Advantage | $23,462.19 | ↓ -17% |
| Superior Health Plan | Medicare | $23,462.19 | ↓ -17% |
| Molina | Medicare Advantage | $23,462.19 | ↓ -17% |
| ProCare Advantage | Medicare Advantage | $23,462.19 | ↓ -17% |
| United Healthcare | Medicare Advantage | $25,026.33 | ↓ -12% |
| Aetna | Commercial | $26,018.08 | ↓ -8% |
| Employers Health Network | EHN Network | $26,018.08 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $26,018.08 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $26,813.93 | ↓ -6% |
| University of Mary Hardin-Baylor | Commercial | $27,437.25 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $27,437.25 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $28,042.90 | ↓ -1% |
| Prime Health Services | Worker's Compensation | $28,176.97 | ↓ -1% |
| Curative | Commercial | $30,748.64 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $31,694.75 | ↑ +12% |
| HealthSmart | Accel Network | $33,113.92 | ↑ +17% |
| Humana | Commercial PPO | $33,113.92 | ↑ +17% |
| Optum | Commercial | $33,113.92 | ↑ +17% |
| First Health | PPO | $33,113.92 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $33,113.92 | ↑ +17% |
| Sedgwick | Preferred Network | $33,405.69 | ↑ +18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $35,006.14 | ↑ +23% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $35,006.14 | ↑ +23% |
| Private Health Care System | PHCS Network | $35,479.20 | ↑ +25% |
| HealthSmart | Preferred Network | $35,479.20 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $36,869.15 | ↑ +30% |
| Superior Ambetter | Ambetter Exchange | $48,041.62 | ↑ +69% |
| Mark Cuban | Commercial | $58,392.49 | ↑ +106% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $32,721.79 | $6,735.24 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $29,876.42 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $28,383.36 | $16,556.96 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $32,721.79 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $32,721.79 | $13,462.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $29,876.42 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $28,383.36 | $16,556.96 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $28,383.36 | $16,556.96 – $58,392.49 |