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ER Visit (level 1, minor) at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
$286.94
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.
$478.23
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.
$76.52 with WellPoint (fka Amerigroup) vs $859.00 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 |
|---|---|---|---|
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $76.52 | ↓ -73% |
| Superior Health Plan | Medicaid | $76.52 | ↓ -73% |
| Baylor Scott & White Health Plan | Medicare Advantage | $80.47 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $81.87 | ↓ -71% |
| CORVEL | Worker's Compensation | $82.17 | ↓ -71% |
| Humana | Medicare | $84.71 | ↓ -70% |
| TriWest | Community Care Network | $84.71 | ↓ -70% |
| WellPoint (fka Amerigroup) | Medicare | $87.25 | ↓ -70% |
| Blue Cross Blue Shield | Medicare Advantage | $88.95 | ↓ -69% |
| ProCare Advantage | Medicare Advantage | $88.95 | ↓ -69% |
| Molina | Medicare Advantage | $88.95 | ↓ -69% |
| HealthSpring | Medicare Advantage | $88.95 | ↓ -69% |
| American Health Plan | Medicare Advantage | $88.95 | ↓ -69% |
| Superior Health Plan | Medicare | $88.95 | ↓ -69% |
| United Healthcare | Medicare Advantage | $94.88 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $101.65 | ↓ -65% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $106.31 | ↓ -63% |
| Prime Health Services | Worker's Compensation | $106.82 | ↓ -63% |
| Sedgwick | Preferred Network | $126.64 | ↓ -56% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $139.77 | ↓ -51% |
| Superior Ambetter | Ambetter Exchange | $182.13 | ↓ -37% |
| Blue Cross Blue Shield | Blue Advantage | $192.00 | ↓ -33% |
| Employers Health Network | BSWQA Direct/EHN Rental | $224.77 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $232.39 | ↓ -19% |
| Employers Health Network | EHN Network | $263.03 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $263.03 | ↓ -8% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $272.00 | ↓ -5% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $273.40 | ↓ -5% |
| University of Mary Hardin-Baylor | Commercial | $274.00 | ↓ -5% |
| Curative | Commercial | $310.85 | ↑ +8% |
| Humana | Commercial PPO | $334.76 | ↑ +17% |
| First Health | PPO | $334.76 | ↑ +17% |
| HealthSmart | Preferred Network | $358.67 | ↑ +25% |
| Private Health Care System | PHCS Network | $358.67 | ↑ +25% |
| HealthSmart | Accel Network | $358.67 | ↑ +25% |
| Blue Cross Blue Shield | City of Dallas | $365.00 | ↑ +27% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $386.00 | ↑ +35% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $406.00 | ↑ +41% |
| Mark Cuban | Commercial | $600.00 | ↑ +109% |
| Aetna | Commercial | $859.00 | ↑ +199% |
| United Healthcare | Commercial Broad | not published by hospital | — |
| United Healthcare | Nexus | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| United Healthcare | Charter | not published by hospital | — |
| Cigna | HMO/PPO | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $286.94 | $80.47 – $358.67 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $286.94 | $80.47 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $312.33 | $64.29 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $333.31 | $66.66 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $312.33 | $80.47 – $859.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $312.33 | $161.37 – $600.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $286.94 | $76.52 – $600.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $286.94 | $71.73 – $600.00 |