healthcosts.net
Avul nail plate addl at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON
2801 S Mayhill Road, Denton, TX · Baylor Scott & White Health · · NPI 1194753590
$244.70
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.
?
What you pay up front if you don't use insurance.
$407.83
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.
?
The hospital's undiscounted list price — almost no one pays this.
$44.86 with Superior Health Plan vs $346.66 with CORVEL — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $44.86 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $48.00 | ↓ -80% |
| Blue Cross Blue Shield | Blue Advantage | $150.90 | ↓ -38% |
| Employers Health Network | BSWQA Direct/EHN Rental | $191.68 | ↓ -22% |
| Cigna | Local Plus | $201.06 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $201.06 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $212.07 | ↓ -13% |
| Employers Health Network | EHN Network | $224.31 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $224.31 | ↓ -8% |
| Aetna | Commercial | $224.31 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $236.54 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $236.54 | ↓ -3% |
| Cigna | HMO/PPO | $236.54 | ↓ -3% |
| Imagine Health | Commercial | $236.54 | ↓ -3% |
| United Healthcare | Charter | $253.63 | ↑ +4% |
| United Healthcare | Nexus | $253.63 | ↑ +4% |
| Curative | Commercial | $265.09 | ↑ +8% |
| Superior Ambetter | Ambetter Exchange | $265.09 | ↑ +8% |
| United Healthcare | Commercial Broad | $281.81 | ↑ +15% |
| Humana | Commercial PPO | $285.48 | ↑ +17% |
| First Health | PPO | $285.48 | ↑ +17% |
| Blue Cross Blue Shield | City of Dallas | $285.48 | ↑ +17% |
| HealthSmart | Accel Network | $285.48 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $301.79 | ↑ +23% |
| TriWest | Community Care Network | $305.87 | ↑ +25% |
| Private Health Care System | PHCS Network | $305.87 | ↑ +25% |
| HealthSmart | Preferred Network | $305.87 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $318.11 | ↑ +30% |
| CORVEL | Worker's Compensation | $346.66 | ↑ +42% |
Visitor-reported prices
Comments
Avul nail plate addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $244.70 | $69.33 – $346.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $274.56 | $56.51 – $411.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $249.59 | $49.92 – $311.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $244.70 | $65.25 – $346.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $274.56 | $85.00 – $411.84 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $274.56 | $141.86 – $411.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $249.59 | $71.00 – $374.38 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $244.70 | $65.25 – $346.66 |