Extraction erupted tooth/exr at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL

12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839

Source: hospital's published price file ↗ · Published Jun 29, 2026 · Ingested Aug 12, 2026

$454.74

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$757.90

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$121.26 with WellPoint (fka Amerigroup) vs $2,181.14 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 →

Payer
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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
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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 $121.26 ↓ -73%
Superior Health Plan Medicaid $121.26 ↓ -73%
United Healthcare Medicaid/CHIP $129.75 ↓ -71%
Employers Health Network BSWQA Direct/EHN Rental $356.21 ↓ -22%
QuikTrip Employee Benefit Plan $416.85 ↓ -8%
Employers Health Network EHN Network $416.85 ↓ -8%
Aetna Commercial $416.85 ↓ -8%
Imagine Health Commercial $439.58 ↓ -3%
Curative Commercial $492.63 ↑ +8%
HealthSmart Accel Network $530.53 ↑ +17%
Humana Commercial PPO $530.53 ↑ +17%
First Health PPO $530.53 ↑ +17%
Private Health Care System PHCS Network $568.42 ↑ +25%
HealthSmart Preferred Network $568.42 ↑ +25%
Baylor Scott & White Health Plan Medicare Advantage $616.96 ↑ +36%
CORVEL Worker's Compensation $629.95 ↑ +39%
Humana Medicare $649.43 ↑ +43%
TriWest Community Care Network $649.43 ↑ +43%
WellPoint (fka Amerigroup) Medicare $668.91 ↑ +47%
Molina Medicare Advantage $681.90 ↑ +50%
Superior Health Plan Medicare $681.90 ↑ +50%
ProCare Advantage Medicare Advantage $681.90 ↑ +50%
Blue Cross Blue Shield Medicare Advantage $681.90 ↑ +50%
American Health Plan Medicare Advantage $681.90 ↑ +50%
HealthSpring Medicare Advantage $681.90 ↑ +50%
Prime Health Services Worker's Compensation $818.93 ↑ +80%
Sedgwick Preferred Network $970.90 ↑ +114%
Superior Ambetter Ambetter Exchange $1,396.27 ↑ +207%
Mark Cuban Commercial $2,181.14 ↑ +380%

Visitor-reported prices

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Extraction erupted tooth/exr at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco $454.74 $212.21 – $1,396.27
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $454.74 $128.84 – $6,299.00
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $454.74 $121.26 – $2,181.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE Grapevine $454.74 $113.69 – $2,181.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING Irving $454.74 $83.37 – $2,181.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett $454.74 $83.37 – $2,181.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY McKinney $454.74 $128.84 – $2,181.14
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON Denton $454.74 $83.37 – $2,181.14

All Texas hospitals for this procedure →