Repair defect of artery at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON
2801 S Mayhill Road, Denton, TX · Baylor Scott & White Health · · NPI 1194753590
$2,168.66
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.
$3,614.43
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.
$397.59 with Superior Health Plan vs $8,280.00 with Cigna — 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 | $397.59 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $425.42 | ↓ -80% |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,698.78 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,843.36 | ↓ -15% |
| QuikTrip | Employee Benefit Plan | $1,987.94 | ↓ -8% |
| Aetna | Commercial | $1,987.94 | ↓ -8% |
| Employers Health Network | EHN Network | $1,987.94 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $2,168.66 | ↑ +0% |
| Superior Ambetter | Ambetter Exchange | $2,349.38 | ↑ +8% |
| Curative | Commercial | $2,349.38 | ↑ +8% |
| Blue Cross Blue Shield | Blue Advantage | $2,449.64 | ↑ +13% |
| First Health | PPO | $2,530.10 | ↑ +17% |
| Humana | Commercial PPO | $2,530.10 | ↑ +17% |
| HealthSmart | Accel Network | $2,530.10 | ↑ +17% |
| United Healthcare | Nexus | $2,546.00 | ↑ +17% |
| United Healthcare | Charter | $2,546.00 | ↑ +17% |
| Private Health Care System | PHCS Network | $2,710.82 | ↑ +25% |
| TriWest | Community Care Network | $2,710.82 | ↑ +25% |
| HealthSmart | Preferred Network | $2,710.82 | ↑ +25% |
| United Healthcare | Commercial Broad | $2,829.00 | ↑ +30% |
| CORVEL | Worker's Compensation | $3,072.27 | ↑ +42% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,464.28 | ↑ +60% |
| Blue Cross Blue Shield | City of Dallas | $4,652.86 | ↑ +115% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $4,913.77 | ↑ +127% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $5,174.68 | ↑ +139% |
| Cigna | Local Plus | $7,038.00 | ↑ +225% |
| Cigna | HMO/PPO | $8,280.00 | ↑ +282% |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Repair defect of artery at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,168.66 | $614.45 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,005.04 | $412.70 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,005.04 | $401.01 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,168.66 | $578.31 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,005.04 | $643.62 – $5,388.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,005.04 | $1,035.94 – $3,007.57 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,005.04 | $668.35 – $5,388.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,168.66 | $578.31 – $7,038.00 |