MRI w/cont, breast, uni at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$2,039.11
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.
$3,398.51
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.
$167.39 with Baylor Scott & White Health Plan vs $2,699.00 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $167.39 | ↓ -92% |
| CORVEL | Worker's Compensation | $170.91 | ↓ -92% |
| Aetna | Medicare Advantage | $176.20 | ↓ -91% |
| Humana | Medicare | $176.20 | ↓ -91% |
| TriWest | Community Care Network | $176.20 | ↓ -91% |
| WellPoint (fka Amerigroup) | Medicare | $181.49 | ↓ -91% |
| American Health Plan | Medicare Advantage | $185.01 | ↓ -91% |
| ProCare Advantage | Medicare Advantage | $185.01 | ↓ -91% |
| Molina | Medicare Advantage | $185.01 | ↓ -91% |
| Superior Health Plan | Medicare | $185.01 | ↓ -91% |
| Blue Cross Blue Shield | Medicare Advantage | $185.01 | ↓ -91% |
| HealthSpring | Medicare Advantage | $185.01 | ↓ -91% |
| United Healthcare | Medicare Advantage | $197.34 | ↓ -90% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $211.44 | ↓ -90% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $221.13 | ↓ -89% |
| Prime Health Services | Worker's Compensation | $222.19 | ↓ -89% |
| Sedgwick | Preferred Network | $263.42 | ↓ -87% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $290.73 | ↓ -86% |
| Blue Cross Blue Shield | Blue Advantage | $364.44 | ↓ -82% |
| Superior Ambetter | Ambetter Exchange | $378.83 | ↓ -81% |
| Mark Cuban | Commercial | $455.16 | ↓ -78% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $515.68 | ↓ -75% |
| Superior Health Plan | Medicaid | $577.75 | ↓ -72% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $577.75 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $618.19 | ↓ -70% |
| Blue Cross Blue Shield | City of Dallas | $692.44 | ↓ -66% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $730.70 | ↓ -64% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $768.97 | ↓ -62% |
| Texas Workforce Commission | Workers Compensation | $1,223.46 | ↓ -40% |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,597.30 | ↓ -22% |
| Imagine Health | Commercial | $1,718.00 | ↓ -16% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,818.14 | ↓ -11% |
| Employers Health Network | EHN Network | $1,869.18 | ↓ -8% |
| Aetna | Commercial | $1,869.18 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $1,869.18 | ↓ -8% |
| Cigna | Local Plus | $1,952.00 | ↓ -4% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $2,138.99 | ↑ +5% |
| University of Mary Hardin-Baylor | Commercial | $2,149.00 | ↑ +5% |
| Curative | Commercial | $2,209.03 | ↑ +8% |
| Cigna | HMO/PPO | $2,297.00 | ↑ +13% |
| HealthSmart | Accel Network | $2,378.96 | ↑ +17% |
| Optum | Commercial | $2,378.96 | ↑ +17% |
| First Health | PPO | $2,378.96 | ↑ +17% |
| Humana | Commercial PPO | $2,378.96 | ↑ +17% |
| United Healthcare | Charter | $2,429.00 | ↑ +19% |
| United Healthcare | Nexus | $2,429.00 | ↑ +19% |
| HealthSmart | Preferred Network | $2,548.88 | ↑ +25% |
| Private Health Care System | PHCS Network | $2,548.88 | ↑ +25% |
| United Healthcare | Commercial Broad | $2,699.00 | ↑ +32% |
Visitor-reported prices
Comments
MRI w/cont, breast, uni at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,567.09 | $322.56 – $2,350.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,567.09 | $167.39 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,039.11 | $167.39 – $2,548.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,567.09 | $167.39 – $2,350.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,567.09 | $455.16 – $2,700.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,567.09 | $167.39 – $2,350.64 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,039.11 | $167.39 – $2,548.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $2,039.11 | $167.67 – $2,548.88 |