Rmvl icd gen w/rplc icd gen dual lead sys at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
$43,926.37
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.
$73,210.62
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.
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The hospital's undiscounted list price — almost no one pays this.
$16,336.46 with WellPoint (fka Amerigroup) vs $58,392.49 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 →
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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 | $16,336.46 | ↓ -63% |
| Superior Health Plan | Medicaid | $16,336.46 | ↓ -63% |
| United Healthcare | Medicaid/CHIP | $17,480.01 | ↓ -60% |
| United Healthcare | Nexus | $19,034.00 | ↓ -57% |
| United Healthcare | Charter | $19,034.00 | ↓ -57% |
| United Healthcare | Commercial Broad | $21,149.00 | ↓ -52% |
| Baylor Scott & White Health Plan | Medicare Advantage | $21,227.69 | ↓ -52% |
| CORVEL | Worker's Compensation | $21,674.59 | ↓ -51% |
| Humana | Medicare | $22,344.94 | ↓ -49% |
| TriWest | Community Care Network | $22,344.94 | ↓ -49% |
| WellPoint (fka Amerigroup) | Medicare | $23,015.29 | ↓ -48% |
| ProCare Advantage | Medicare Advantage | $23,462.19 | ↓ -47% |
| Molina | Medicare Advantage | $23,462.19 | ↓ -47% |
| HealthSpring | Medicare Advantage | $23,462.19 | ↓ -47% |
| Superior Health Plan | Medicare | $23,462.19 | ↓ -47% |
| Blue Cross Blue Shield | Medicare Advantage | $23,462.19 | ↓ -47% |
| American Health Plan | Medicare Advantage | $23,462.19 | ↓ -47% |
| United Healthcare | Medicare Advantage | $25,026.33 | ↓ -43% |
| Blue Cross Blue Shield | Blue Advantage | $25,623.72 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $26,813.93 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $28,042.90 | ↓ -36% |
| Prime Health Services | Worker's Compensation | $28,176.97 | ↓ -36% |
| Sedgwick | Preferred Network | $33,405.69 | ↓ -24% |
| Employers Health Network | BSWQA Direct/EHN Rental | $34,408.99 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $36,092.84 | ↓ -18% |
| Cigna | Local Plus | $36,092.84 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $36,605.31 | ↓ -17% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $36,869.15 | ↓ -16% |
| Employers Health Network | EHN Network | $40,265.84 | ↓ -8% |
| Aetna | Commercial | $40,265.84 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $40,265.84 | ↓ -8% |
| Cigna | HMO/PPO | $42,462.16 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $42,462.16 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $42,462.16 | ↓ -3% |
| Imagine Health | Commercial | $42,462.16 | ↓ -3% |
| Curative | Commercial | $47,586.90 | ↑ +8% |
| Superior Ambetter | Ambetter Exchange | $48,041.62 | ↑ +9% |
| Blue Cross Blue Shield | City of Dallas | $49,051.12 | ↑ +12% |
| HealthSmart | Accel Network | $51,247.43 | ↑ +17% |
| Humana | Commercial PPO | $51,247.43 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $51,247.43 | ↑ +17% |
| First Health | PPO | $51,247.43 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $54,175.86 | ↑ +23% |
| Private Health Care System | PHCS Network | $54,907.96 | ↑ +25% |
| HealthSmart | Preferred Network | $54,907.96 | ↑ +25% |
| Mark Cuban | Commercial | $58,392.49 | ↑ +33% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen dual lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $43,926.37 | $16,336.46 – $54,907.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $43,926.37 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $53,511.93 | $11,014.54 – $80,267.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $31,991.42 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $53,511.93 | $15,811.00 – $80,267.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $53,511.93 | $13,462.00 – $80,267.90 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $31,991.42 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $43,926.37 | $16,336.46 – $58,392.49 |