Counseling visit to discuss need for ldct g0296 at BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762
$98.14
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.
$163.56
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.
$24.53 with Superior Health Plan vs $1,968.00 with Cigna — 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 | $24.53 | ↓ -75% |
| Aetna | Medicaid | $25.02 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $26.25 | ↓ -73% |
| Employers Health Network | BSWQA Direct/EHN Rental | $76.87 | ↓ -22% |
| Blue Cross Blue Shield | Blue Advantage | $82.98 | ↓ -15% |
| Aetna | Commercial | $89.96 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $89.96 | ↓ -8% |
| Employers Health Network | EHN Network | $89.96 | ↓ -8% |
| Imagine Health | Commercial | $94.86 | ↓ -3% |
| Baylor Scott & White Health Plan | Medicare Advantage | $97.11 | ↓ -1% |
| CORVEL | Worker's Compensation | $99.15 | ↑ +1% |
| United Healthcare | Nexus | $101.72 | ↑ +4% |
| United Healthcare | Charter | $101.72 | ↑ +4% |
| Aetna | Medicare Advantage | $102.22 | ↑ +4% |
| TriWest | Community Care Network | $102.22 | ↑ +4% |
| Humana | Medicare | $102.22 | ↑ +4% |
| Curative | Commercial | $106.31 | ↑ +8% |
| Superior Health Plan | Medicare | $107.33 | ↑ +9% |
| American Health Plan | Medicare Advantage | $107.33 | ↑ +9% |
| HealthSpring | Medicare Advantage | $107.33 | ↑ +9% |
| Blue Cross Blue Shield | Medicare Advantage | $107.33 | ↑ +9% |
| ProCare Advantage | Medicare Advantage | $107.33 | ↑ +9% |
| United Healthcare | Commercial Broad | $113.02 | ↑ +15% |
| United Healthcare | Medicare Advantage | $114.49 | ↑ +17% |
| First Health | PPO | $114.49 | ↑ +17% |
| Humana | Commercial PPO | $114.49 | ↑ +17% |
| HealthSmart | Accel Network | $114.49 | ↑ +17% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $122.66 | ↑ +25% |
| Private Health Care System | PHCS Network | $122.67 | ↑ +25% |
| HealthSmart | Preferred Network | $122.67 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $128.29 | ↑ +31% |
| Prime Health Services | Worker's Compensation | $128.90 | ↑ +31% |
| Sedgwick | Preferred Network | $152.82 | ↑ +56% |
| Blue Cross Blue Shield | City of Dallas | $157.58 | ↑ +61% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $165.96 | ↑ +69% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $166.50 | ↑ +70% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $168.66 | ↑ +72% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $175.15 | ↑ +78% |
| Superior Ambetter | Ambetter Exchange | $219.77 | ↑ +124% |
| Mark Cuban | Commercial | $220.82 | ↑ +125% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,557.43 | ↑ +1487% |
| Cigna | Local Plus | $1,673.00 | ↑ +1605% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,832.27 | ↑ +1767% |
| University of Mary Hardin-Baylor | Commercial | $1,841.00 | ↑ +1776% |
| Cigna | HMO/PPO | $1,968.00 | ↑ +1905% |
Visitor-reported prices
Comments
Counseling visit to discuss need for ldct g0296 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $98.14 | $27.81 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $102.60 | $21.12 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $102.60 | $20.52 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $98.14 | $26.17 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $102.60 | $32.93 – $1,841.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $102.60 | $53.01 – $220.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $102.60 | $34.20 – $1,841.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $98.14 | $26.17 – $1,841.00 |