Emg 3 ext w-w/o paraspinal area 95863 at BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762
$545.38
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.
$908.96
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.
$123.00 with Baylor Scott & White Health Plan vs $770.67 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $123.00 | ↓ -77% |
| CORVEL | Worker's Compensation | $125.59 | ↓ -77% |
| TriWest | Community Care Network | $129.47 | ↓ -76% |
| Aetna | Medicare Advantage | $129.47 | ↓ -76% |
| Humana | Medicare | $129.47 | ↓ -76% |
| ProCare Advantage | Medicare Advantage | $135.94 | ↓ -75% |
| American Health Plan | Medicare Advantage | $135.94 | ↓ -75% |
| Blue Cross Blue Shield | Medicare Advantage | $135.94 | ↓ -75% |
| HealthSpring | Medicare Advantage | $135.94 | ↓ -75% |
| Superior Health Plan | Medicare | $135.94 | ↓ -75% |
| Superior Health Plan | Medicaid | $136.34 | ↓ -75% |
| Aetna | Medicaid | $139.07 | ↓ -75% |
| United Healthcare | Medicare Advantage | $145.01 | ↓ -73% |
| United Healthcare | Medicaid/CHIP | $145.89 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $155.36 | ↓ -72% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $162.48 | ↓ -70% |
| Prime Health Services | Worker's Compensation | $163.26 | ↓ -70% |
| Sedgwick | Preferred Network | $193.56 | ↓ -65% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $213.63 | ↓ -61% |
| Superior Ambetter | Ambetter Exchange | $278.36 | ↓ -49% |
| Blue Cross Blue Shield | Blue Advantage | $365.12 | ↓ -33% |
| Mark Cuban | Commercial | $386.96 | ↓ -29% |
| Employers Health Network | BSWQA Direct/EHN Rental | $427.21 | ↓ -22% |
| Cigna | Local Plus | $448.12 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $448.12 | ↓ -18% |
| Aetna | Commercial | $499.93 | ↓ -8% |
| Employers Health Network | EHN Network | $499.93 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $499.93 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $527.20 | ↓ -3% |
| Imagine Health | Commercial | $527.20 | ↓ -3% |
| Cigna | HMO/PPO | $527.20 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $527.20 | ↓ -3% |
| United Healthcare | Nexus | $565.28 | ↑ +4% |
| United Healthcare | Charter | $565.28 | ↑ +4% |
| Curative | Commercial | $590.82 | ↑ +8% |
| United Healthcare | Commercial Broad | $628.09 | ↑ +15% |
| Humana | Commercial PPO | $636.27 | ↑ +17% |
| First Health | PPO | $636.27 | ↑ +17% |
| HealthSmart | Accel Network | $636.27 | ↑ +17% |
| Private Health Care System | PHCS Network | $681.72 | ↑ +25% |
| HealthSmart | Preferred Network | $681.72 | ↑ +25% |
| Blue Cross Blue Shield | City of Dallas | $693.36 | ↑ +27% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $730.23 | ↑ +34% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $732.61 | ↑ +34% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $770.67 | ↑ +41% |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $545.38 | $122.80 – $681.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $647.91 | $133.36 – $971.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $572.65 | $114.53 – $715.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $545.38 | $122.80 – $681.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $647.91 | $122.80 – $971.87 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $647.91 | $334.75 – $971.87 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $572.65 | $122.80 – $858.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $545.38 | $122.80 – $681.72 |