healthcosts.net
Clsd/shoulder dislo/manip/no anest 23650 at BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762
$909.08
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.
$1,515.14
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.
$85.32 with Superior Health Plan vs $1,136.36 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $85.32 | ↓ -91% |
| Aetna | Medicaid | $87.03 | ↓ -90% |
| United Healthcare | Medicaid/CHIP | $91.29 | ↓ -90% |
| Baylor Scott & White Health Plan | Medicare Advantage | $235.79 | ↓ -74% |
| CORVEL | Worker's Compensation | $240.75 | ↓ -74% |
| TriWest | Community Care Network | $248.20 | ↓ -73% |
| Humana | Medicare | $248.20 | ↓ -73% |
| Aetna | Medicare Advantage | $248.20 | ↓ -73% |
| Superior Health Plan | Medicare | $260.61 | ↓ -71% |
| American Health Plan | Medicare Advantage | $260.61 | ↓ -71% |
| HealthSpring | Medicare Advantage | $260.61 | ↓ -71% |
| ProCare Advantage | Medicare Advantage | $260.61 | ↓ -71% |
| Blue Cross Blue Shield | Medicare Advantage | $260.61 | ↓ -71% |
| United Healthcare | Medicare Advantage | $277.98 | ↓ -69% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $297.84 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $311.49 | ↓ -66% |
| Prime Health Services | Worker's Compensation | $312.98 | ↓ -66% |
| Blue Cross Blue Shield | Blue Advantage | $364.43 | ↓ -60% |
| Sedgwick | Preferred Network | $371.06 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $409.53 | ↓ -55% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $515.38 | ↓ -43% |
| Superior Ambetter | Ambetter Exchange | $533.63 | ↓ -41% |
| Mark Cuban | Commercial | $584.19 | ↓ -36% |
| Blue Cross Blue Shield | City of Dallas | $692.20 | ↓ -24% |
| Employers Health Network | BSWQA Direct/EHN Rental | $712.12 | ↓ -22% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $731.02 | ↓ -20% |
| Cigna | Local Plus | $746.96 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $746.96 | ↓ -18% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $769.83 | ↓ -15% |
| QuikTrip | Employee Benefit Plan | $833.33 | ↓ -8% |
| Aetna | Commercial | $833.33 | ↓ -8% |
| Employers Health Network | EHN Network | $833.33 | ↓ -8% |
| Imagine Health | Commercial | $878.78 | ↓ -3% |
| Cigna | HMO/PPO | $878.78 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $878.78 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $878.78 | ↓ -3% |
| United Healthcare | Charter | $942.27 | ↑ +4% |
| United Healthcare | Nexus | $942.27 | ↑ +4% |
| Curative | Commercial | $984.84 | ↑ +8% |
| United Healthcare | Commercial Broad | $1,046.96 | ↑ +15% |
| Humana | Commercial PPO | $1,060.60 | ↑ +17% |
| HealthSmart | Accel Network | $1,060.60 | ↑ +17% |
| First Health | PPO | $1,060.60 | ↑ +17% |
| HealthSmart | Preferred Network | $1,136.36 | ↑ +25% |
| Private Health Care System | PHCS Network | $1,136.36 | ↑ +25% |
Visitor-reported prices
Comments
Clsd/shoulder dislo/manip/no anest 23650 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $909.08 | $85.32 – $1,136.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $840.17 | $71.00 – $1,260.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $973.84 | $71.00 – $1,217.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $909.08 | $85.32 – $1,136.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $840.17 | $85.00 – $1,260.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $840.17 | $85.32 – $1,260.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $973.84 | $71.00 – $1,460.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $909.08 | $85.32 – $1,136.36 |