Pr management transitional care high w/in 7 days of discharge at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$84.79
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.
$141.32
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.
$24.02 with Superior Health Plan vs $7,411.00 with Cigna — 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 | $24.02 | ↓ -72% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $24.02 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $25.71 | ↓ -70% |
| Texas Workforce Commission | Workers Compensation | $50.88 | ↓ -40% |
| Employers Health Network | BSWQA Direct/EHN Rental | $66.42 | ↓ -22% |
| QuikTrip | Employee Benefit Plan | $77.73 | ↓ -8% |
| Employers Health Network | EHN Network | $77.73 | ↓ -8% |
| Aetna | Commercial | $77.73 | ↓ -8% |
| Imagine Health | Commercial | $81.97 | ↓ -3% |
| United Healthcare | Charter | $87.89 | ↑ +4% |
| United Healthcare | Nexus | $87.89 | ↑ +4% |
| Curative | Commercial | $91.86 | ↑ +8% |
| United Healthcare | Commercial Broad | $97.65 | ↑ +15% |
| Optum | Commercial | $98.92 | ↑ +17% |
| Humana | Commercial PPO | $98.92 | ↑ +17% |
| First Health | PPO | $98.92 | ↑ +17% |
| HealthSmart | Accel Network | $98.92 | ↑ +17% |
| Private Health Care System | PHCS Network | $105.99 | ↑ +25% |
| HealthSmart | Preferred Network | $105.99 | ↑ +25% |
| CORVEL | Worker's Compensation | $129.73 | ↑ +53% |
| Aetna | Medicare Advantage | $133.74 | ↑ +58% |
| Humana | Medicare | $133.74 | ↑ +58% |
| TriWest | Community Care Network | $133.74 | ↑ +58% |
| WellPoint (fka Amerigroup) | Medicare | $137.75 | ↑ +62% |
| Superior Health Plan | Medicare | $140.43 | ↑ +66% |
| Molina | Medicare Advantage | $140.43 | ↑ +66% |
| HealthSpring | Medicare Advantage | $140.43 | ↑ +66% |
| ProCare Advantage | Medicare Advantage | $140.43 | ↑ +66% |
| American Health Plan | Medicare Advantage | $140.43 | ↑ +66% |
| Blue Cross Blue Shield | Medicare Advantage | $140.43 | ↑ +66% |
| United Healthcare | Medicare Advantage | $149.79 | ↑ +77% |
| Prime Health Services | Worker's Compensation | $168.65 | ↑ +99% |
| Sedgwick | Preferred Network | $199.94 | ↑ +136% |
| Superior Ambetter | Ambetter Exchange | $287.54 | ↑ +239% |
| Mark Cuban | Commercial | $327.47 | ↑ +286% |
| Cigna | Local Plus | $6,299.00 | ↑ +7329% |
| Cigna | HMO/PPO | $7,411.00 | ↑ +8640% |
Visitor-reported prices
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Pr management transitional care high w/in 7 days of discharge at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $255.50 | $52.59 – $383.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $251.56 | $50.31 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $84.79 | $22.61 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $255.50 | $82.02 – $383.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $255.50 | $132.01 – $383.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $251.56 | $83.85 – $377.33 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $84.79 | $22.61 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $84.79 | $21.20 – $327.47 |