Ercp biliary & pancreas at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON
2801 S Mayhill Road, Denton, TX · Baylor Scott & White Health · · NPI 1194753590
$967.04
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.
$1,611.73
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.
$92.98 with Blue Cross Blue Shield vs $1,369.97 with CORVEL — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Blue Advantage | $92.98 | ↓ -90% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $131.57 | ↓ -86% |
| Blue Cross Blue Shield | City of Dallas | $176.66 | ↓ -82% |
| Superior Health Plan | Medicaid | $177.29 | ↓ -82% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $186.42 | ↓ -81% |
| United Healthcare | Medicaid/CHIP | $189.70 | ↓ -80% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $196.19 | ↓ -80% |
| Employers Health Network | BSWQA Direct/EHN Rental | $757.51 | ↓ -22% |
| Cigna | Local Plus | $794.58 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $794.58 | ↓ -18% |
| Aetna | Commercial | $886.45 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $886.45 | ↓ -8% |
| Imagine Health | Commercial | $886.45 | ↓ -8% |
| Employers Health Network | EHN Network | $886.45 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $934.80 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $934.80 | ↓ -3% |
| Cigna | HMO/PPO | $934.80 | ↓ -3% |
| United Healthcare | Nexus | $1,002.33 | ↑ +4% |
| United Healthcare | Charter | $1,002.33 | ↑ +4% |
| Superior Ambetter | Ambetter Exchange | $1,047.62 | ↑ +8% |
| Curative | Commercial | $1,047.62 | ↑ +8% |
| United Healthcare | Commercial Broad | $1,113.71 | ↑ +15% |
| First Health | PPO | $1,128.21 | ↑ +17% |
| Humana | Commercial PPO | $1,128.21 | ↑ +17% |
| HealthSmart | Accel Network | $1,128.21 | ↑ +17% |
| TriWest | Community Care Network | $1,208.80 | ↑ +25% |
| HealthSmart | Preferred Network | $1,208.80 | ↑ +25% |
| Private Health Care System | PHCS Network | $1,208.80 | ↑ +25% |
| CORVEL | Worker's Compensation | $1,369.97 | ↑ +42% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $967.04 | $92.98 – $1,369.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,167.85 | $156.21 – $1,751.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,106.24 | $156.21 – $1,382.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $967.04 | $106.46 – $1,369.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,167.85 | $190.14 – $1,751.78 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,167.85 | $603.39 – $1,751.78 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,106.24 | $156.21 – $1,659.37 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $967.04 | $92.98 – $1,369.97 |