Observation direct referral from physician office for admission at BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY
7600 Better Way, Frisco, TX · Baylor Scott & White Health · · NPI 1851108765
$554.33
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.
$923.88
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.
$258.69 with Superior Health Plan vs $1,286.22 with Superior Ambetter — 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $258.69 | ↓ -53% |
| Blue Cross Blue Shield | Blue Advantage | $341.84 | ↓ -38% |
| Employers Health Network | BSWQA Direct/EHN Rental | $434.22 | ↓ -22% |
| Cigna | Local Plus | $455.47 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $455.47 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $480.42 | ↓ -13% |
| QuikTrip | Employee Benefit Plan | $508.13 | ↓ -8% |
| Aetna | Commercial | $508.13 | ↓ -8% |
| Employers Health Network | EHN Network | $508.13 | ↓ -8% |
| Imagine Health | Commercial | $535.85 | ↓ -3% |
| Cigna | HMO/PPO | $535.85 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $535.85 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $535.85 | ↓ -3% |
| Baylor Scott & White Health Plan | Medicare Advantage | $568.33 | ↑ +3% |
| United Healthcare | Charter | $574.56 | ↑ +4% |
| United Healthcare | Nexus | $574.56 | ↑ +4% |
| CORVEL | Worker's Compensation | $580.29 | ↑ +5% |
| Humana | Medicare | $598.24 | ↑ +8% |
| Aetna | Medicare Advantage | $598.24 | ↑ +8% |
| Curative | Commercial | $600.52 | ↑ +8% |
| Blue Cross Blue Shield | Medicare Advantage | $628.15 | ↑ +13% |
| American Health Plan | Medicare Advantage | $628.15 | ↑ +13% |
| HealthSpring | Medicare Advantage | $628.15 | ↑ +13% |
| Superior Health Plan | Medicare | $628.15 | ↑ +13% |
| ProCare Advantage | Medicare Advantage | $628.15 | ↑ +13% |
| United Healthcare | Commercial Broad | $638.40 | ↑ +15% |
| HealthSmart | Accel Network | $646.72 | ↑ +17% |
| Blue Cross Blue Shield | City of Dallas | $646.72 | ↑ +17% |
| First Health | PPO | $646.72 | ↑ +17% |
| Humana | Commercial PPO | $646.72 | ↑ +17% |
| United Healthcare | Medicare Advantage | $670.03 | ↑ +21% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $683.67 | ↑ +23% |
| HealthSmart | Preferred Network | $692.91 | ↑ +25% |
| Private Health Care System | PHCS Network | $692.91 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $717.89 | ↑ +30% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $720.63 | ↑ +30% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $750.79 | ↑ +35% |
| Prime Health Services | Worker's Compensation | $754.38 | ↑ +36% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $987.10 | ↑ +78% |
| Superior Ambetter | Ambetter Exchange | $1,286.22 | ↑ +132% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $554.33 | $147.82 – $1,591.17 |
| Adventhealth Rollins Brook | Lampasas | $162.54 | $489.80 – $489.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $554.33 | $157.06 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $527.99 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $602.45 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $527.99 | $169.48 – $1,591.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $527.99 | $272.79 – $1,591.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $602.45 | $71.00 – $1,591.17 |