Unlisted px biliary tract at BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
$15,692.77
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.
$26,154.62
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.
$865.56 with Baylor Scott & White Health Plan vs $7,311.94 with University of Mary Hardin-Baylor — 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $865.56 | ↓ -94% |
| CORVEL | Worker's Compensation | $883.79 | ↓ -94% |
| Humana | Medicare | $911.12 | ↓ -94% |
| Aetna | Medicare Advantage | $911.12 | ↓ -94% |
| TriWest | Community Care Network | $911.12 | ↓ -94% |
| WellPoint (fka Amerigroup) | Medicare | $938.45 | ↓ -94% |
| ProCare Advantage | Medicare Advantage | $956.68 | ↓ -94% |
| Blue Cross Blue Shield | Medicare Advantage | $956.68 | ↓ -94% |
| American Health Plan | Medicare Advantage | $956.68 | ↓ -94% |
| Superior Health Plan | Medicare | $956.68 | ↓ -94% |
| HealthSpring | Medicare Advantage | $956.68 | ↓ -94% |
| Molina | Medicare Advantage | $956.68 | ↓ -94% |
| United Healthcare | Medicaid/CHIP | $1,016.99 | ↓ -94% |
| United Healthcare | Medicare Advantage | $1,020.45 | ↓ -93% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,093.34 | ↓ -93% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,143.46 | ↓ -93% |
| Prime Health Services | Worker's Compensation | $1,148.92 | ↓ -93% |
| Blue Cross Blue Shield | Blue Advantage | $1,328.20 | ↓ -92% |
| Sedgwick | Preferred Network | $1,362.12 | ↓ -91% |
| Texas Workforce Commission | Workers Compensation | $1,464.47 | ↓ -91% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,503.35 | ↓ -90% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,878.35 | ↓ -88% |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,911.95 | ↓ -88% |
| Superior Ambetter | Ambetter Exchange | $1,958.91 | ↓ -88% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,074.66 | ↓ -87% |
| QuikTrip | Employee Benefit Plan | $2,237.38 | ↓ -86% |
| Aetna | Commercial | $2,237.38 | ↓ -86% |
| Employers Health Network | EHN Network | $2,237.38 | ↓ -86% |
| Mark Cuban | Commercial | $2,245.59 | ↓ -86% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $2,440.78 | ↓ -84% |
| Blue Cross Blue Shield | City of Dallas | $2,522.80 | ↓ -84% |
| Curative | Commercial | $2,644.18 | ↓ -83% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,664.27 | ↓ -83% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,805.73 | ↓ -82% |
| First Health | PPO | $2,847.58 | ↓ -82% |
| HealthSmart | Accel Network | $2,847.58 | ↓ -82% |
| Optum | Commercial | $2,847.58 | ↓ -82% |
| Humana | Commercial PPO | $2,847.58 | ↓ -82% |
| United Healthcare | Nexus | $2,850.00 | ↓ -82% |
| United Healthcare | Charter | $2,850.00 | ↓ -82% |
| HealthSmart | Preferred Network | $3,050.98 | ↓ -81% |
| Private Health Care System | PHCS Network | $3,050.98 | ↓ -81% |
| United Healthcare | Commercial Broad | $3,167.00 | ↓ -80% |
| Cigna | Local Plus | $6,215.15 | ↓ -60% |
| Imagine Health | Commercial | $6,933.73 | ↓ -56% |
| Cigna | HMO/PPO | $7,311.94 | ↓ -53% |
| University of Mary Hardin-Baylor | Commercial | $7,311.94 | ↓ -53% |
Visitor-reported prices
Comments
Unlisted px biliary tract at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $539.10 | not published |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $915.67 – $1,021.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,476.87 | $620.88 – $6,457.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,636.44 | $865.56 – $6,287.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $15,692.77 | $865.56 – $7,311.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $15,476.87 | $865.56 – $6,457.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $15,476.87 | $2,245.59 – $4,524.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,636.44 | $865.56 – $6,287.02 |