Nasal/sinus maxillary endoscopy dx 31233 at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$456.46
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.
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What you pay up front if you don't use insurance.
$760.76
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.
$155.59 with Superior Health Plan vs $1,011.53 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $155.59 | ↓ -66% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $155.59 | ↓ -66% |
| United Healthcare | Medicaid/CHIP | $166.48 | ↓ -64% |
| Blue Cross Blue Shield | Blue Advantage | $266.27 | ↓ -42% |
| Texas Workforce Commission | Workers Compensation | $273.87 | ↓ -40% |
| Employers Health Network | BSWQA Direct/EHN Rental | $357.56 | ↓ -22% |
| Baylor Scott & White Health Plan | Medicare Advantage | $373.25 | ↓ -18% |
| Cigna | Local Plus | $375.05 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $375.05 | ↓ -18% |
| CORVEL | Worker's Compensation | $381.11 | ↓ -17% |
| TriWest | Community Care Network | $392.90 | ↓ -14% |
| Aetna | Medicare Advantage | $392.90 | ↓ -14% |
| Humana | Medicare | $392.90 | ↓ -14% |
| WellPoint (fka Amerigroup) | Medicare | $404.69 | ↓ -11% |
| Superior Health Plan | Medicare | $412.55 | ↓ -10% |
| American Health Plan | Medicare Advantage | $412.55 | ↓ -10% |
| HealthSpring | Medicare Advantage | $412.55 | ↓ -10% |
| ProCare Advantage | Medicare Advantage | $412.55 | ↓ -10% |
| Blue Cross Blue Shield | Medicare Advantage | $412.55 | ↓ -10% |
| Molina | Medicare Advantage | $412.55 | ↓ -10% |
| Aetna | Commercial | $418.42 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $418.42 | ↓ -8% |
| Employers Health Network | EHN Network | $418.42 | ↓ -8% |
| United Healthcare | Medicare Advantage | $440.05 | ↓ -4% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $441.24 | ↓ -3% |
| Imagine Health | Commercial | $441.24 | ↓ -3% |
| Cigna | HMO/PPO | $441.24 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $441.24 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $471.48 | ↑ +3% |
| United Healthcare | Charter | $473.12 | ↑ +4% |
| United Healthcare | Nexus | $473.12 | ↑ +4% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $493.09 | ↑ +8% |
| Curative | Commercial | $494.49 | ↑ +8% |
| Prime Health Services | Worker's Compensation | $495.45 | ↑ +9% |
| Blue Cross Blue Shield | City of Dallas | $509.71 | ↑ +12% |
| United Healthcare | Commercial Broad | $525.69 | ↑ +15% |
| First Health | PPO | $532.53 | ↑ +17% |
| Optum | Commercial | $532.53 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $532.53 | ↑ +17% |
| Humana | Commercial PPO | $532.53 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $562.96 | ↑ +23% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $562.96 | ↑ +23% |
| Private Health Care System | PHCS Network | $570.57 | ↑ +25% |
| HealthSmart | Accel Network | $570.57 | ↑ +25% |
| HealthSmart | Preferred Network | $570.57 | ↑ +25% |
| Sedgwick | Preferred Network | $587.39 | ↑ +29% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $648.28 | ↑ +42% |
| Superior Ambetter | Ambetter Exchange | $844.74 | ↑ +85% |
| Mark Cuban | Commercial | $1,011.53 | ↑ +122% |
Visitor-reported prices
Comments
Nasal/sinus maxillary endoscopy dx 31233 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $973.39 | $71.00 – $1,460.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $901.29 | $71.00 – $1,126.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $456.46 | $155.59 – $1,011.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $973.39 | $85.00 – $1,460.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $973.39 | $155.59 – $1,460.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $901.29 | $71.00 – $1,351.93 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $456.46 | $155.59 – $1,011.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $456.46 | $155.59 – $1,011.53 |