Finger joint sz00 swanson w/grommets at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
$6,338.45
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.
?
What you pay up front if you don't use insurance.
$10,564.09
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.
?
The hospital's undiscounted list price — almost no one pays this.
$620.68 with WellPoint (fka Amerigroup) vs $3,103.41 with Private Health Care System — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $620.68 | ↓ -90% |
| Superior Health Plan | Medicaid | $620.68 | ↓ -90% |
| United Healthcare | Medicaid/CHIP | $664.13 | ↓ -90% |
| Blue Cross Blue Shield | Blue Advantage | $1,280.16 | ↓ -80% |
| Aetna | Commercial | $2,133.59 | ↓ -66% |
| QuikTrip | Employee Benefit Plan | $2,133.59 | ↓ -66% |
| Imagine Health | Commercial | $2,211.18 | ↓ -65% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,308.16 | ↓ -64% |
| Cigna | Local Plus | $2,308.16 | ↓ -64% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,327.56 | ↓ -63% |
| United Healthcare | Nexus | $2,412.51 | ↓ -62% |
| United Healthcare | Charter | $2,412.51 | ↓ -62% |
| Superior Ambetter | Ambetter Exchange | $2,521.52 | ↓ -60% |
| Curative | Commercial | $2,521.52 | ↓ -60% |
| United Healthcare | Commercial Broad | $2,680.57 | ↓ -58% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,715.48 | ↓ -57% |
| Blue Cross Blue Shield | City of Dallas | $2,715.48 | ↓ -57% |
| Cigna | HMO/PPO | $2,715.48 | ↓ -57% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,715.48 | ↓ -57% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,715.48 | ↓ -57% |
| HealthSmart | Accel Network | $2,715.48 | ↓ -57% |
| Employers Health Network | EHN Network | $2,715.48 | ↓ -57% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $2,715.48 | ↓ -57% |
| First Health | PPO | $2,715.48 | ↓ -57% |
| University of Mary Hardin-Baylor | Commercial | $2,715.48 | ↓ -57% |
| Humana | Commercial PPO | $2,909.45 | ↓ -54% |
| TriWest | Community Care Network | $2,909.45 | ↓ -54% |
| HealthSmart | Preferred Network | $3,103.41 | ↓ -51% |
| Private Health Care System | PHCS Network | $3,103.41 | ↓ -51% |
| Prime Health Services | Worker's Compensation | not published by hospital | — |
| CORVEL | Worker's Compensation | not published by hospital | — |
| Sedgwick | Preferred Network | not published by hospital | — |
Visitor-reported prices
Comments
Finger joint sz00 swanson w/grommets at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $6,338.45 | $1,086.19 – $3,103.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,338.45 | $659.47 – $3,103.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,338.45 | $81.26 – $592.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,338.45 | $78.96 – $526.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,338.45 | $126.73 – $592.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,338.45 | $203.98 – $592.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $6,338.45 | $131.60 – $592.20 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $6,338.45 | $620.68 – $3,103.41 |