Polysom <6 yrs cpap/bilvl at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
$4,802.77
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.
$8,004.62
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.
$819.52 with Baylor Scott & White Health Plan vs $6,003.47 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $819.52 | ↓ -83% |
| CORVEL | Worker's Compensation | $836.77 | ↓ -83% |
| TriWest | Community Care Network | $862.65 | ↓ -82% |
| Humana | Medicare | $862.65 | ↓ -82% |
| WellPoint (fka Amerigroup) | Medicare | $888.53 | ↓ -81% |
| Blue Cross Blue Shield | Medicare Advantage | $905.78 | ↓ -81% |
| American Health Plan | Medicare Advantage | $905.78 | ↓ -81% |
| ProCare Advantage | Medicare Advantage | $905.78 | ↓ -81% |
| HealthSpring | Medicare Advantage | $905.78 | ↓ -81% |
| Molina | Medicare Advantage | $905.78 | ↓ -81% |
| Superior Health Plan | Medicare | $905.78 | ↓ -81% |
| United Healthcare | Medicare Advantage | $966.17 | ↓ -80% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,035.18 | ↓ -78% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,082.63 | ↓ -77% |
| Prime Health Services | Worker's Compensation | $1,087.80 | ↓ -77% |
| Superior Health Plan | Medicaid | $1,280.74 | ↓ -73% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $1,280.74 | ↓ -73% |
| Sedgwick | Preferred Network | $1,289.66 | ↓ -73% |
| United Healthcare | Medicaid/CHIP | $1,370.39 | ↓ -71% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,423.37 | ↓ -70% |
| Superior Ambetter | Ambetter Exchange | $1,854.70 | ↓ -61% |
| Blue Cross Blue Shield | Blue Advantage | $1,974.21 | ↓ -59% |
| Aetna | Commercial | $2,062.00 | ↓ -57% |
| Mark Cuban | Commercial | $2,590.07 | ↓ -46% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,792.58 | ↓ -42% |
| Blue Cross Blue Shield | City of Dallas | $3,754.38 | ↓ -22% |
| Employers Health Network | BSWQA Direct/EHN Rental | $3,762.17 | ↓ -22% |
| Cigna | Local Plus | $3,946.28 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $3,946.28 | ↓ -18% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,956.86 | ↓ -18% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $4,167.78 | ↓ -13% |
| Employers Health Network | EHN Network | $4,402.54 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $4,402.54 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $4,642.68 | ↓ -3% |
| Imagine Health | Commercial | $4,642.68 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $4,642.68 | ↓ -3% |
| Cigna | HMO/PPO | $4,642.68 | ↓ -3% |
| United Healthcare | Nexus | $4,978.07 | ↑ +4% |
| United Healthcare | Charter | $4,978.07 | ↑ +4% |
| Curative | Commercial | $5,203.00 | ↑ +8% |
| United Healthcare | Commercial Broad | $5,531.19 | ↑ +15% |
| Humana | Commercial PPO | $5,603.23 | ↑ +17% |
| HealthSmart | Accel Network | $5,603.23 | ↑ +17% |
| First Health | PPO | $5,603.23 | ↑ +17% |
| HealthSmart | Preferred Network | $6,003.47 | ↑ +25% |
| Private Health Care System | PHCS Network | $6,003.47 | ↑ +25% |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $4,802.77 | $819.52 – $6,003.47 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,802.77 | $819.52 – $6,003.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,277.17 | $1,292.05 – $9,415.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,360.45 | $819.52 – $5,450.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,277.17 | $819.52 – $9,415.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,277.17 | $2,590.07 – $9,415.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,360.45 | $819.52 – $6,540.67 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,802.77 | $819.52 – $6,003.47 |