Drainage of arm bursa 23931 at BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762
$3,155.93
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.
$5,259.88
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.
$486.45 with Superior Health Plan vs $4,016.35 with Mark Cuban — 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 | $486.45 | ↓ -85% |
| Aetna | Medicaid | $496.18 | ↓ -84% |
| United Healthcare | Medicaid/CHIP | $520.50 | ↓ -84% |
| Baylor Scott & White Health Plan | Medicare Advantage | $1,578.77 | ↓ -50% |
| CORVEL | Worker's Compensation | $1,612.00 | ↓ -49% |
| Humana | Medicare | $1,661.86 | ↓ -47% |
| Aetna | Medicare Advantage | $1,661.86 | ↓ -47% |
| TriWest | Community Care Network | $1,661.86 | ↓ -47% |
| HealthSpring | Medicare Advantage | $1,744.95 | ↓ -45% |
| American Health Plan | Medicare Advantage | $1,744.95 | ↓ -45% |
| Superior Health Plan | Medicare | $1,744.95 | ↓ -45% |
| Blue Cross Blue Shield | Medicare Advantage | $1,744.95 | ↓ -45% |
| ProCare Advantage | Medicare Advantage | $1,744.95 | ↓ -45% |
| Blue Cross Blue Shield | Blue Advantage | $1,840.96 | ↓ -42% |
| United Healthcare | Medicare Advantage | $1,861.28 | ↓ -41% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,994.23 | ↓ -37% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $2,085.63 | ↓ -34% |
| Prime Health Services | Worker's Compensation | $2,095.61 | ↓ -34% |
| HealthSmart | Accel Network | $2,416.00 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,472.14 | ↓ -22% |
| Sedgwick | Preferred Network | $2,484.48 | ↓ -21% |
| Cigna | Local Plus | $2,593.12 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,593.12 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $2,742.07 | ↓ -13% |
| United Healthcare | Charter | $2,850.00 | ↓ -10% |
| United Healthcare | Nexus | $2,850.00 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $2,892.93 | ↓ -8% |
| Aetna | Commercial | $2,892.93 | ↓ -8% |
| Employers Health Network | EHN Network | $2,892.93 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $3,050.73 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $3,050.73 | ↓ -3% |
| Imagine Health | Commercial | $3,050.73 | ↓ -3% |
| Cigna | HMO/PPO | $3,050.73 | ↓ -3% |
| United Healthcare | Commercial Broad | $3,167.00 | ↑ +0% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,280.51 | ↑ +4% |
| Curative | Commercial | $3,418.92 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $3,524.12 | ↑ +12% |
| Superior Ambetter | Ambetter Exchange | $3,573.00 | ↑ +13% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,681.92 | ↑ +17% |
| Humana | Commercial PPO | $3,681.92 | ↑ +17% |
| First Health | PPO | $3,681.92 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,892.31 | ↑ +23% |
| Private Health Care System | PHCS Network | $3,944.91 | ↑ +25% |
| HealthSmart | Preferred Network | $3,944.91 | ↑ +25% |
| Mark Cuban | Commercial | $4,016.35 | ↑ +27% |
Visitor-reported prices
Comments
Drainage of arm bursa 23931 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,155.93 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,197.48 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,697.35 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,155.93 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,197.48 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,197.48 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,697.35 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,155.93 | $486.45 – $4,016.35 |