Valvuloplasty/tv without ring insert 33463 at BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
$15,523.12
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.
$25,871.87
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.
$2,546.00 with United Healthcare vs $21,991.09 with CORVEL — 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 |
|---|---|---|---|
| United Healthcare | Charter | $2,546.00 | ↓ -84% |
| United Healthcare | Nexus | $2,546.00 | ↓ -84% |
| United Healthcare | Commercial Broad | $2,829.00 | ↓ -82% |
| Blue Cross Blue Shield | Blue Advantage | $4,000.07 | ↓ -74% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $4,139.50 | ↓ -73% |
| Superior Health Plan | Medicaid | $4,139.50 | ↓ -73% |
| United Healthcare | Medicaid/CHIP | $4,429.26 | ↓ -71% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $5,677.51 | ↓ -63% |
| Cigna | Local Plus | $7,038.00 | ↓ -55% |
| Blue Cross Blue Shield | City of Dallas | $7,645.29 | ↓ -51% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $8,064.65 | ↓ -48% |
| Cigna | HMO/PPO | $8,280.00 | ↓ -47% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $8,484.01 | ↓ -45% |
| Employers Health Network | BSWQA Direct/EHN Rental | $12,159.78 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $13,194.65 | ↓ -15% |
| Aetna | Commercial | $14,229.53 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $14,229.53 | ↓ -8% |
| Employers Health Network | EHN Network | $14,229.53 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $15,523.12 | ↑ +0% |
| Superior Ambetter | Ambetter Exchange | $16,816.72 | ↑ +8% |
| Curative | Commercial | $16,816.72 | ↑ +8% |
| Humana | Commercial PPO | $18,110.31 | ↑ +17% |
| First Health | PPO | $18,110.31 | ↑ +17% |
| HealthSmart | Accel Network | $18,110.31 | ↑ +17% |
| HealthSmart | Preferred Network | $19,403.90 | ↑ +25% |
| TriWest | Community Care Network | $19,403.90 | ↑ +25% |
| Private Health Care System | PHCS Network | $19,403.90 | ↑ +25% |
| CORVEL | Worker's Compensation | $21,991.09 | ↑ +42% |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty/tv without ring insert 33463 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $15,523.12 | $2,546.00 – $21,991.09 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $4,483.95 – $22,025.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $15,523.12 | $2,546.00 – $21,991.09 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $15,523.12 | $2,546.00 – $21,991.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $15,523.12 | $2,546.00 – $21,991.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $15,523.12 | $2,546.00 – $21,991.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $15,523.12 | $2,546.00 – $21,991.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $15,523.12 | $2,546.00 – $21,991.09 |