ER Visit (level 4) at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON
2801 S Mayhill Road, Denton, TX · Baylor Scott & White Health · · NPI 1194753590
$1,273.68
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.
$2,122.80
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.
$233.51 with Superior Health Plan vs $3,894.00 with Aetna — 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $233.51 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $249.85 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $398.20 | ↓ -69% |
| CORVEL | Worker's Compensation | $406.59 | ↓ -68% |
| TriWest | Community Care Network | $419.16 | ↓ -67% |
| Humana | Medicare | $419.16 | ↓ -67% |
| Blue Cross Blue Shield | Medicare Advantage | $440.12 | ↓ -65% |
| ProCare Advantage | Medicare Advantage | $440.12 | ↓ -65% |
| HealthSpring | Medicare Advantage | $440.12 | ↓ -65% |
| American Health Plan | Medicare Advantage | $440.12 | ↓ -65% |
| Superior Health Plan | Medicare | $440.12 | ↓ -65% |
| United Healthcare | Medicare Advantage | $469.46 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $502.99 | ↓ -61% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $526.05 | ↓ -59% |
| Prime Health Services | Worker's Compensation | $528.56 | ↓ -59% |
| Sedgwick | Preferred Network | $626.64 | ↓ -51% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $691.61 | ↓ -46% |
| Superior Ambetter | Ambetter Exchange | $901.19 | ↓ -29% |
| Employers Health Network | BSWQA Direct/EHN Rental | $997.72 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,100.45 | ↓ -14% |
| QuikTrip | Employee Benefit Plan | $1,167.54 | ↓ -8% |
| Employers Health Network | EHN Network | $1,167.54 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,294.65 | ↑ +2% |
| University of Mary Hardin-Baylor | Commercial | $1,301.00 | ↑ +2% |
| Curative | Commercial | $1,379.82 | ↑ +8% |
| Blue Cross Blue Shield | Blue Advantage | $1,420.00 | ↑ +11% |
| First Health | PPO | $1,485.96 | ↑ +17% |
| Humana | Commercial PPO | $1,485.96 | ↑ +17% |
| HealthSmart | Accel Network | $1,592.10 | ↑ +25% |
| HealthSmart | Preferred Network | $1,592.10 | ↑ +25% |
| Private Health Care System | PHCS Network | $1,592.10 | ↑ +25% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,020.00 | ↑ +59% |
| Blue Cross Blue Shield | City of Dallas | $2,720.00 | ↑ +114% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,860.00 | ↑ +125% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,020.00 | ↑ +137% |
| Mark Cuban | Commercial | $3,780.00 | ↑ +197% |
| Aetna | Commercial | $3,894.00 | ↑ +206% |
| United Healthcare | Charter | not published by hospital | — |
| United Healthcare | Commercial Broad | not published by hospital | — |
| Cigna | HMO/PPO | not published by hospital | — |
| United Healthcare | Nexus | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Denton | Denton | $845.10 | not published |
| Adventhealth Rollins Brook | Lampasas | $2,386.19 | $1,354.39 – $1,354.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,273.68 | $360.88 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,601.69 | $329.68 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,676.36 | $335.27 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,273.68 | $339.65 – $3,894.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,601.69 | $398.20 – $4,008.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,601.69 | $827.54 – $3,780.00 |