Rev/rplct hpglsl nstm ary pg at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$13,780.06
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.
$22,966.76
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.
$6,299.00 with Cigna vs $40,995.67 with Blue Cross Blue Shield — 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 | ↓ -54% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $6,472.62 | ↓ -53% |
| Superior Health Plan | Medicaid | $6,472.62 | ↓ -53% |
| United Healthcare | Medicaid/CHIP | $6,925.70 | ↓ -50% |
| Cigna | HMO/PPO | $7,411.00 | ↓ -46% |
| Texas Workforce Commission | Workers Compensation | $8,268.03 | ↓ -40% |
| Baylor Scott & White Health Plan | Medicare Advantage | $10,633.80 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $10,794.38 | ↓ -22% |
| CORVEL | Worker's Compensation | $10,857.67 | ↓ -21% |
| Aetna | Medicare Advantage | $11,193.47 | ↓ -19% |
| TriWest | Community Care Network | $11,193.47 | ↓ -19% |
| Humana | Medicare | $11,193.47 | ↓ -19% |
| WellPoint (fka Amerigroup) | Medicare | $11,529.27 | ↓ -16% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $11,713.05 | ↓ -15% |
| Superior Health Plan | Medicare | $11,753.14 | ↓ -15% |
| American Health Plan | Medicare Advantage | $11,753.14 | ↓ -15% |
| HealthSpring | Medicare Advantage | $11,753.14 | ↓ -15% |
| ProCare Advantage | Medicare Advantage | $11,753.14 | ↓ -15% |
| Molina | Medicare Advantage | $11,753.14 | ↓ -15% |
| Blue Cross Blue Shield | Medicare Advantage | $11,753.14 | ↓ -15% |
| United Healthcare | Medicare Advantage | $12,536.69 | ↓ -9% |
| Aetna | Commercial | $12,631.72 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $12,631.72 | ↓ -8% |
| Employers Health Network | EHN Network | $12,631.72 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $13,432.16 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $13,780.06 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $14,047.80 | ↑ +2% |
| Prime Health Services | Worker's Compensation | $14,114.97 | ↑ +2% |
| Curative | Commercial | $14,928.39 | ↑ +8% |
| United Healthcare | Nexus | $16,062.00 | ↑ +17% |
| United Healthcare | Charter | $16,062.00 | ↑ +17% |
| First Health | PPO | $16,076.73 | ↑ +17% |
| HealthSmart | Accel Network | $16,076.73 | ↑ +17% |
| Optum | Commercial | $16,076.73 | ↑ +17% |
| Humana | Commercial PPO | $16,076.73 | ↑ +17% |
| Sedgwick | Preferred Network | $16,734.24 | ↑ +21% |
| HealthSmart | Preferred Network | $17,225.07 | ↑ +25% |
| Private Health Care System | PHCS Network | $17,225.07 | ↑ +25% |
| United Healthcare | Commercial Broad | $17,847.00 | ↑ +30% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $18,469.23 | ↑ +34% |
| Blue Cross Blue Shield | Blue Advantage | $19,406.91 | ↑ +41% |
| Superior Ambetter | Ambetter Exchange | $24,065.96 | ↑ +75% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $27,445.28 | ↑ +99% |
| Mark Cuban | Commercial | $33,745.27 | ↑ +145% |
| Blue Cross Blue Shield | City of Dallas | $36,861.65 | ↑ +167% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $38,928.66 | ↑ +182% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $40,995.67 | ↑ +197% |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
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Rev/rplct hpglsl nstm ary pg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $13,780.06 | $2,836.39 – $33,745.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,780.06 | $5,388.00 – $33,745.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,780.06 | $6,472.62 – $33,745.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $13,780.06 | $5,388.00 – $33,745.27 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $13,780.06 | $6,472.62 – $33,745.27 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,780.06 | $5,388.00 – $33,745.27 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $13,780.06 | $6,472.62 – $33,745.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $13,780.06 | $6,472.62 – $33,745.27 |