Intro cath dialysis circuit w/stent plcmnt at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
$28,837.03
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.
$48,061.72
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.
$5,270.09 with WellPoint (fka Amerigroup) vs $36,046.29 with Private Health Care System — 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 | $5,270.09 | ↓ -82% |
| Superior Health Plan | Medicaid | $5,270.09 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $5,639.00 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $11,016.95 | ↓ -62% |
| CORVEL | Worker's Compensation | $11,248.89 | ↓ -61% |
| TriWest | Community Care Network | $11,596.79 | ↓ -60% |
| Humana | Medicare | $11,596.79 | ↓ -60% |
| WellPoint (fka Amerigroup) | Medicare | $11,944.69 | ↓ -59% |
| Molina | Medicare Advantage | $12,176.63 | ↓ -58% |
| American Health Plan | Medicare Advantage | $12,176.63 | ↓ -58% |
| Blue Cross Blue Shield | Medicare Advantage | $12,176.63 | ↓ -58% |
| HealthSpring | Medicare Advantage | $12,176.63 | ↓ -58% |
| ProCare Advantage | Medicare Advantage | $12,176.63 | ↓ -58% |
| Superior Health Plan | Medicare | $12,176.63 | ↓ -58% |
| United Healthcare | Medicare Advantage | $12,988.40 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $13,916.15 | ↓ -52% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $14,553.97 | ↓ -50% |
| Prime Health Services | Worker's Compensation | $14,623.55 | ↓ -49% |
| United Healthcare | Charter | $16,062.00 | ↓ -44% |
| United Healthcare | Nexus | $16,062.00 | ↓ -44% |
| Blue Cross Blue Shield | Blue Advantage | $16,821.60 | ↓ -42% |
| Sedgwick | Preferred Network | $17,337.20 | ↓ -40% |
| United Healthcare | Commercial Broad | $17,847.00 | ↓ -38% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $19,134.70 | ↓ -34% |
| Employers Health Network | BSWQA Direct/EHN Rental | $22,589.01 | ↓ -22% |
| Cigna | Local Plus | $23,694.43 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $23,694.43 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $24,030.86 | ↓ -17% |
| Superior Ambetter | Ambetter Exchange | $24,933.10 | ↓ -14% |
| Aetna | Commercial | $26,433.95 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $26,433.95 | ↓ -8% |
| Employers Health Network | EHN Network | $26,433.95 | ↓ -8% |
| Mark Cuban | Commercial | $27,252.71 | ↓ -5% |
| Cigna | HMO/PPO | $27,875.80 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $27,875.80 | ↓ -3% |
| Imagine Health | Commercial | $27,875.80 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $27,875.80 | ↓ -3% |
| Curative | Commercial | $31,240.12 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $32,201.35 | ↑ +12% |
| Humana | Commercial PPO | $33,643.20 | ↑ +17% |
| HealthSmart | Accel Network | $33,643.20 | ↑ +17% |
| First Health | PPO | $33,643.20 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $33,643.20 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $35,565.67 | ↑ +23% |
| HealthSmart | Preferred Network | $36,046.29 | ↑ +25% |
| Private Health Care System | PHCS Network | $36,046.29 | ↑ +25% |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/stent plcmnt at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $28,837.03 | $5,270.09 – $36,046.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $28,837.03 | $5,270.09 – $36,046.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $22,824.58 | $71.00 – $34,236.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $20,749.61 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $22,824.58 | $85.00 – $34,236.87 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $22,824.58 | $5,270.09 – $34,236.87 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $20,749.61 | $71.00 – $31,124.42 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $28,837.03 | $5,270.09 – $36,046.29 |