Revasc intra lithotrip-ather at BAYLOR UNIVERSITY MEDICAL CENTER

3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253

Source: hospital's published price file ↗ · Published Jun 29, 2026 · Ingested Aug 12, 2026

$28,802.66

Cash price

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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.

$48,004.44

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6,299.00 with Cigna vs $43,439.01 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 →

Payer
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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
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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 ↓ -78%
Cigna HMO/PPO $7,411.00 ↓ -74%
Superior Health Plan Medicaid $8,160.75 ↓ -72%
WellPoint (fka Amerigroup) CHIP/Medicaid $8,160.75 ↓ -72%
United Healthcare Medicaid/CHIP $8,732.01 ↓ -70%
United Healthcare Charter $16,062.00 ↓ -44%
United Healthcare Nexus $16,062.00 ↓ -44%
Blue Cross Blue Shield Blue Advantage $16,745.33 ↓ -42%
Texas Workforce Commission Workers Compensation $17,281.60 ↓ -40%
Baylor Scott & White Health Plan Medicare Advantage $17,494.41 ↓ -39%
United Healthcare Commercial Broad $17,847.00 ↓ -38%
CORVEL Worker's Compensation $17,862.71 ↓ -38%
TriWest Community Care Network $18,415.17 ↓ -36%
Humana Medicare $18,415.17 ↓ -36%
Aetna Medicare Advantage $18,415.17 ↓ -36%
WellPoint (fka Amerigroup) Medicare $18,967.63 ↓ -34%
Blue Cross Blue Shield Medicare Advantage $19,335.93 ↓ -33%
American Health Plan Medicare Advantage $19,335.93 ↓ -33%
HealthSpring Medicare Advantage $19,335.93 ↓ -33%
ProCare Advantage Medicare Advantage $19,335.93 ↓ -33%
Molina Medicare Advantage $19,335.93 ↓ -33%
Superior Health Plan Medicare $19,335.93 ↓ -33%
United Healthcare Medicare Advantage $20,624.99 ↓ -28%
Baylor Scott & White Health Plan BSW Premier - Small Group $22,098.20 ↓ -23%
Employers Health Network BSWQA Direct/EHN Rental $22,562.09 ↓ -22%
Baylor Scott & White Health Plan BSW Premier - Individual $23,111.04 ↓ -20%
Prime Health Services Worker's Compensation $23,221.53 ↓ -19%
Baylor Scott & White Health Plan BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee $23,666.19 ↓ -18%
Blue Cross Blue Shield Blue Premier/High Performance Network/My BlueHealth $23,681.27 ↓ -18%
Aetna Commercial $26,402.44 ↓ -8%
Employers Health Network EHN Network $26,402.44 ↓ -8%
QuikTrip Employee Benefit Plan $26,402.44 ↓ -8%
Sedgwick Preferred Network $27,530.68 ↓ -4%
Baylor Scott & White Health Plan BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) $27,842.58 ↓ -3%
Imagine Health Commercial $27,842.58 ↓ -3%
University of Mary Hardin-Baylor Commercial $27,842.58 ↓ -3%
Baylor Scott & White Health Plan BSW Plus - Small Group $30,385.03 ↑ +5%
Curative Commercial $31,202.89 ↑ +8%
Blue Cross Blue Shield City of Dallas $31,806.22 ↑ +10%
Blue Cross Blue Shield Blue Essentials (HMO) $33,589.75 ↑ +17%
Humana Commercial PPO $33,603.11 ↑ +17%
HealthSmart Accel Network $33,603.11 ↑ +17%
First Health PPO $33,603.11 ↑ +17%
Optum Commercial $33,603.11 ↑ +17%
Blue Cross Blue Shield BlueChoice (PPO) $35,373.27 ↑ +23%
Private Health Care System PHCS Network $36,003.33 ↑ +25%
HealthSmart Preferred Network $36,003.33 ↑ +25%
Superior Ambetter Ambetter Exchange $39,592.62 ↑ +37%
Mark Cuban Commercial $43,439.01 ↑ +51%

Visitor-reported prices

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Revasc intra lithotrip-ather at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $19,250.53 $3,850.11 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $28,802.66 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $27,304.92 $14,096.00 – $43,439.01
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $19,250.53 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $28,802.66 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE Grapevine $28,802.66 $7,038.00 – $43,439.01

All Texas hospitals for this procedure →