Rev/rplcmt sk-mnt crnl nstm at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
not published by hospital
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.
not published by hospital
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.
$16,062.00 with United Healthcare vs $66,646.37 with Superior Ambetter — 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 |
|---|---|---|---|
| United Healthcare | Nexus | $16,062.00 | — |
| United Healthcare | Charter | $16,062.00 | — |
| United Healthcare | Commercial Broad | $17,847.00 | — |
| Baylor Scott & White Health Plan | Medicare Advantage | $29,448.39 | — |
| CORVEL | Worker's Compensation | $30,068.36 | — |
| Aetna | Medicare Advantage | $30,998.31 | — |
| TriWest | Community Care Network | $30,998.31 | — |
| Humana | Medicare | $30,998.31 | — |
| WellPoint (fka Amerigroup) | Medicare | $31,928.26 | — |
| ProCare Advantage | Medicare Advantage | $32,548.23 | — |
| HealthSpring | Medicare Advantage | $32,548.23 | — |
| Blue Cross Blue Shield | Medicare Advantage | $32,548.23 | — |
| Superior Health Plan | Medicare | $32,548.23 | — |
| American Health Plan | Medicare Advantage | $32,548.23 | — |
| Molina | Medicare Advantage | $32,548.23 | — |
| United Healthcare | Medicare Advantage | $34,718.11 | — |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $37,197.97 | — |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $38,902.88 | — |
| Prime Health Services | Worker's Compensation | $39,088.87 | — |
| Sedgwick | Preferred Network | $46,342.47 | — |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $51,147.21 | — |
| Mark Cuban | Commercial | $54,191.38 | — |
| Superior Ambetter | Ambetter Exchange | $66,646.37 | — |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Rev/rplcmt sk-mnt crnl nstm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $4,826.69 – $26,053.55 |
| CHRISTUS Children's Hospital | San Antonio | not published | $3,381.00 – $3,381.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $33,348.54 – $33,348.54 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $42,727.82 – $42,727.82 |
| Covenant Children's Hospital | Lubbock | not published | $5,260.00 – $44,395.25 |
| HCA HOUSTON CONROE | CONROE | not published | $19,585.96 – $36,266.54 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $19,585.96 – $37,100.26 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $37,100.26 – $37,100.26 |