Consultation pathology during surgery cytological exam initial site at BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762
$461.95
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.
$769.91
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.
$35.00 with United Healthcare vs $3,241.51 with Blue Cross Blue Shield — 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 | Nexus | $35.00 | ↓ -92% |
| United Healthcare | Charter | $35.00 | ↓ -92% |
| United Healthcare | Commercial Broad | $39.00 | ↓ -92% |
| Superior Health Plan | Medicaid | $115.49 | ↓ -75% |
| Aetna | Medicaid | $117.80 | ↓ -74% |
| United Healthcare | Medicaid/CHIP | $123.57 | ↓ -73% |
| Employers Health Network | BSWQA Direct/EHN Rental | $361.86 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $379.57 | ↓ -18% |
| Cigna | Local Plus | $379.57 | ↓ -18% |
| Aetna | Commercial | $423.45 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $423.45 | ↓ -8% |
| Employers Health Network | EHN Network | $423.45 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $446.55 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $446.55 | ↓ -3% |
| Cigna | HMO/PPO | $446.55 | ↓ -3% |
| Imagine Health | Commercial | $446.55 | ↓ -3% |
| Curative | Commercial | $500.44 | ↑ +8% |
| First Health | PPO | $538.94 | ↑ +17% |
| Humana | Commercial PPO | $538.94 | ↑ +17% |
| HealthSmart | Accel Network | $538.94 | ↑ +17% |
| HealthSmart | Preferred Network | $577.43 | ↑ +25% |
| Private Health Care System | PHCS Network | $577.43 | ↑ +25% |
| Baylor Scott & White Health Plan | Medicare Advantage | $770.15 | ↑ +67% |
| CORVEL | Worker's Compensation | $786.36 | ↑ +70% |
| Aetna | Medicare Advantage | $810.68 | ↑ +75% |
| TriWest | Community Care Network | $810.68 | ↑ +75% |
| Humana | Medicare | $810.68 | ↑ +75% |
| Superior Health Plan | Medicare | $851.21 | ↑ +84% |
| American Health Plan | Medicare Advantage | $851.21 | ↑ +84% |
| HealthSpring | Medicare Advantage | $851.21 | ↑ +84% |
| Blue Cross Blue Shield | Medicare Advantage | $851.21 | ↑ +84% |
| ProCare Advantage | Medicare Advantage | $851.21 | ↑ +84% |
| United Healthcare | Medicare Advantage | $907.96 | ↑ +97% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $972.82 | ↑ +111% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,017.40 | ↑ +120% |
| Prime Health Services | Worker's Compensation | $1,022.27 | ↑ +121% |
| Sedgwick | Preferred Network | $1,211.97 | ↑ +162% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,337.62 | ↑ +190% |
| Blue Cross Blue Shield | Blue Advantage | $1,532.81 | ↑ +232% |
| Superior Ambetter | Ambetter Exchange | $1,742.96 | ↑ +277% |
| Mark Cuban | Commercial | $2,130.15 | ↑ +361% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,173.57 | ↑ +371% |
| Blue Cross Blue Shield | City of Dallas | $2,914.85 | ↑ +531% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,078.18 | ↑ +566% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,241.51 | ↑ +602% |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $461.95 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $519.69 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $519.69 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $461.95 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $519.69 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $519.69 | $26.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $519.69 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $461.95 | $35.00 – $2,130.15 |