Inj., evomela, 1 mg at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
$3,630.00
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.
$6,050.00
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.
$18.46 with Baylor Scott & White Health Plan vs $4,537.50 with HealthSmart — 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $18.46 | ↓ -99% |
| CORVEL | Worker's Compensation | $18.85 | ↓ -99% |
| Humana | Medicare | $19.43 | ↓ -99% |
| TriWest | Community Care Network | $19.43 | ↓ -99% |
| WellPoint (fka Amerigroup) | Medicare | $20.01 | ↓ -99% |
| Molina | Medicare Advantage | $20.40 | ↓ -99% |
| HealthSpring | Medicare Advantage | $20.40 | ↓ -99% |
| Superior Health Plan | Medicare | $20.40 | ↓ -99% |
| Blue Cross Blue Shield | Medicare Advantage | $20.40 | ↓ -99% |
| ProCare Advantage | Medicare Advantage | $20.40 | ↓ -99% |
| American Health Plan | Medicare Advantage | $20.40 | ↓ -99% |
| Mark Cuban | Commercial | $21.37 | ↓ -99% |
| United Healthcare | Medicare Advantage | $21.76 | ↓ -99% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $23.32 | ↓ -99% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $24.38 | ↓ -99% |
| Prime Health Services | Worker's Compensation | $24.50 | ↓ -99% |
| Sedgwick | Preferred Network | $29.05 | ↓ -99% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $29.55 | ↓ -99% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $30.70 | ↓ -99% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $32.06 | ↓ -99% |
| Superior Ambetter | Ambetter Exchange | $41.77 | ↓ -99% |
| Superior Health Plan | Medicaid | $968.00 | ↓ -73% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $968.00 | ↓ -73% |
| United Healthcare | Medicaid/CHIP | $1,035.76 | ↓ -71% |
| Blue Cross Blue Shield | Blue Advantage | $2,117.50 | ↓ -42% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,843.50 | ↓ -22% |
| Cigna | Local Plus | $2,982.65 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,025.00 | ↓ -17% |
| Employers Health Network | EHN Network | $3,327.50 | ↓ -8% |
| Aetna | Commercial | $3,327.50 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $3,327.50 | ↓ -8% |
| Imagine Health | Commercial | $3,509.00 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $3,509.00 | ↓ -3% |
| Cigna | HMO/PPO | $3,509.00 | ↓ -3% |
| United Healthcare | Charter | $3,762.49 | ↑ +4% |
| United Healthcare | Nexus | $3,762.49 | ↑ +4% |
| Curative | Commercial | $3,932.50 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $4,053.50 | ↑ +12% |
| United Healthcare | Commercial Broad | $4,180.55 | ↑ +15% |
| HealthSmart | Accel Network | $4,235.00 | ↑ +17% |
| Humana | Commercial PPO | $4,235.00 | ↑ +17% |
| First Health | PPO | $4,235.00 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $4,235.00 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $4,477.00 | ↑ +23% |
| Private Health Care System | PHCS Network | $4,537.50 | ↑ +25% |
| HealthSmart | Preferred Network | $4,537.50 | ↑ +25% |
Visitor-reported prices
Comments
Inj., evomela, 1 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $18.85 – $137.45 |
| Adventhealth Rollins Brook | Lampasas | not published | $153.38 – $153.38 |
| Covenant Children's Hospital | Lubbock | not published | $60.80 – $159.07 |
| HCA HOUSTON CONROE | CONROE | not published | $19.43 – $78.09 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $19.43 – $78.09 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $19.43 – $78.09 |
| HCA HOUSTON WEST | HOUSTON | not published | $19.43 – $78.09 |
| Covenant Medical Center | Lubbock | not published | $19.43 – $173.35 |