Emb/throm/pop-tib-pero art/leg inc 34203 at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
$6,719.96
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.
$11,199.93
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.
$1,791.99 with WellPoint (fka Amerigroup) vs $13,613.39 with Mark Cuban — 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 | $1,791.99 | ↓ -73% |
| Superior Health Plan | Medicaid | $1,791.99 | ↓ -73% |
| United Healthcare | Medicaid/CHIP | $1,917.43 | ↓ -71% |
| Blue Cross Blue Shield | Blue Advantage | $4,143.97 | ↓ -38% |
| Employers Health Network | BSWQA Direct/EHN Rental | $5,263.97 | ↓ -22% |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,310.35 | ↓ -21% |
| CORVEL | Worker's Compensation | $5,422.14 | ↓ -19% |
| Cigna | Local Plus | $5,521.57 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $5,521.57 | ↓ -18% |
| TriWest | Community Care Network | $5,589.84 | ↓ -17% |
| Humana | Medicare | $5,589.84 | ↓ -17% |
| WellPoint (fka Amerigroup) | Medicare | $5,757.54 | ↓ -14% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $5,823.96 | ↓ -13% |
| Molina | Medicare Advantage | $5,869.33 | ↓ -13% |
| American Health Plan | Medicare Advantage | $5,869.33 | ↓ -13% |
| Blue Cross Blue Shield | Medicare Advantage | $5,869.33 | ↓ -13% |
| HealthSpring | Medicare Advantage | $5,869.33 | ↓ -13% |
| ProCare Advantage | Medicare Advantage | $5,869.33 | ↓ -13% |
| Superior Health Plan | Medicare | $5,869.33 | ↓ -13% |
| Employers Health Network | EHN Network | $6,159.96 | ↓ -8% |
| Aetna | Commercial | $6,159.96 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $6,159.96 | ↓ -8% |
| United Healthcare | Medicare Advantage | $6,260.62 | ↓ -7% |
| Cigna | HMO/PPO | $6,495.96 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $6,495.96 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $6,495.96 | ↓ -3% |
| Imagine Health | Commercial | $6,495.96 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $6,707.81 | ↓ -0% |
| United Healthcare | Charter | $6,965.24 | ↑ +4% |
| United Healthcare | Nexus | $6,965.24 | ↑ +4% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $7,015.25 | ↑ +4% |
| Prime Health Services | Worker's Compensation | $7,048.79 | ↑ +5% |
| Curative | Commercial | $7,279.95 | ↑ +8% |
| United Healthcare | Commercial Broad | $7,739.15 | ↑ +15% |
| Blue Cross Blue Shield | City of Dallas | $7,839.95 | ↑ +17% |
| First Health | PPO | $7,839.95 | ↑ +17% |
| HealthSmart | Accel Network | $7,839.95 | ↑ +17% |
| Humana | Commercial PPO | $7,839.95 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $8,287.95 | ↑ +23% |
| Sedgwick | Preferred Network | $8,356.81 | ↑ +24% |
| HealthSmart | Preferred Network | $8,399.95 | ↑ +25% |
| Private Health Care System | PHCS Network | $8,399.95 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $8,735.95 | ↑ +30% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $9,223.24 | ↑ +37% |
| Superior Ambetter | Ambetter Exchange | $12,018.16 | ↑ +79% |
| Mark Cuban | Commercial | $13,613.39 | ↑ +103% |
Visitor-reported prices
Comments
Emb/throm/pop-tib-pero art/leg inc 34203 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $6,719.96 | $3,135.98 – $12,018.16 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,719.96 | $1,903.99 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,842.44 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,708.28 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,842.44 | $85.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,842.44 | $3,535.26 – $13,613.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $6,708.28 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $6,719.96 | $1,791.99 – $13,613.39 |