Critical care 30-74 minutes at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
$2,540.23
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.
$4,233.71
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.
$677.39 with WellPoint (fka Amerigroup) vs $9,739.00 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $677.39 | ↓ -73% |
| Superior Health Plan | Medicaid | $677.39 | ↓ -73% |
| United Healthcare | Medicaid/CHIP | $724.81 | ↓ -71% |
| Baylor Scott & White Health Plan | Medicare Advantage | $788.30 | ↓ -69% |
| CORVEL | Worker's Compensation | $804.90 | ↓ -68% |
| TriWest | Community Care Network | $829.79 | ↓ -67% |
| Humana | Medicare | $829.79 | ↓ -67% |
| WellPoint (fka Amerigroup) | Medicare | $854.68 | ↓ -66% |
| Molina | Medicare Advantage | $871.28 | ↓ -66% |
| American Health Plan | Medicare Advantage | $871.28 | ↓ -66% |
| Blue Cross Blue Shield | Medicare Advantage | $871.28 | ↓ -66% |
| HealthSpring | Medicare Advantage | $871.28 | ↓ -66% |
| ProCare Advantage | Medicare Advantage | $871.28 | ↓ -66% |
| Superior Health Plan | Medicare | $871.28 | ↓ -66% |
| United Healthcare | Medicare Advantage | $929.36 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $995.75 | ↓ -61% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,041.39 | ↓ -59% |
| Prime Health Services | Worker's Compensation | $1,046.37 | ↓ -59% |
| Sedgwick | Preferred Network | $1,240.54 | ↓ -51% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,369.15 | ↓ -46% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,504.70 | ↓ -41% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,770.24 | ↓ -30% |
| University of Mary Hardin-Baylor | Commercial | $1,779.00 | ↓ -30% |
| Superior Ambetter | Ambetter Exchange | $1,784.05 | ↓ -30% |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,989.84 | ↓ -22% |
| Cigna | Local Plus | $2,087.22 | ↓ -18% |
| Mark Cuban | Commercial | $2,198.25 | ↓ -13% |
| QuikTrip | Employee Benefit Plan | $2,328.54 | ↓ -8% |
| Employers Health Network | EHN Network | $2,328.54 | ↓ -8% |
| Imagine Health | Commercial | $2,455.55 | ↓ -3% |
| Cigna | HMO/PPO | $2,455.55 | ↓ -3% |
| Curative | Commercial | $2,751.91 | ↑ +8% |
| First Health | PPO | $2,963.60 | ↑ +17% |
| Humana | Commercial PPO | $2,963.60 | ↑ +17% |
| Private Health Care System | PHCS Network | $3,175.28 | ↑ +25% |
| HealthSmart | Accel Network | $3,175.28 | ↑ +25% |
| HealthSmart | Preferred Network | $3,175.28 | ↑ +25% |
| Blue Cross Blue Shield | Blue Advantage | $4,607.00 | ↑ +81% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $6,525.00 | ↑ +157% |
| Aetna | Commercial | $6,643.00 | ↑ +162% |
| Blue Cross Blue Shield | City of Dallas | $8,765.00 | ↑ +245% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $9,252.00 | ↑ +264% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $9,739.00 | ↑ +283% |
| United Healthcare | Commercial Broad | not published by hospital | — |
| United Healthcare | Charter | not published by hospital | — |
| United Healthcare | Nexus | not published by hospital | — |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,540.23 | $788.30 – $3,175.28 |
| Adventhealth Rollins Brook | Lampasas | $7,379.79 | $2,566.64 – $2,566.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,540.23 | $719.73 – $3,175.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,062.22 | $630.31 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,595.72 | $719.14 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,062.22 | $788.30 – $4,593.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,062.22 | $1,582.15 – $4,593.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,595.72 | $788.30 – $5,393.58 |