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ER Visit (level 3) at BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762
$770.04
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.
$1,283.40
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.
$192.51 with Superior Health Plan vs $2,691.00 with Aetna — 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 | $192.51 | ↓ -75% |
| Aetna | Medicaid | $196.36 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $205.99 | ↓ -73% |
| Baylor Scott & White Health Plan | Medicare Advantage | $260.94 | ↓ -66% |
| CORVEL | Worker's Compensation | $266.43 | ↓ -65% |
| Humana | Medicare | $274.67 | ↓ -64% |
| Aetna | Medicare Advantage | $274.67 | ↓ -64% |
| TriWest | Community Care Network | $274.67 | ↓ -64% |
| Blue Cross Blue Shield | Medicare Advantage | $288.40 | ↓ -63% |
| ProCare Advantage | Medicare Advantage | $288.40 | ↓ -63% |
| HealthSpring | Medicare Advantage | $288.40 | ↓ -63% |
| American Health Plan | Medicare Advantage | $288.40 | ↓ -63% |
| Superior Health Plan | Medicare | $288.40 | ↓ -63% |
| United Healthcare | Medicare Advantage | $307.63 | ↓ -60% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $329.60 | ↓ -57% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $344.71 | ↓ -55% |
| Prime Health Services | Worker's Compensation | $346.36 | ↓ -55% |
| Sedgwick | Preferred Network | $410.63 | ↓ -47% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $453.21 | ↓ -41% |
| Superior Ambetter | Ambetter Exchange | $590.54 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $603.20 | ↓ -22% |
| Employers Health Network | EHN Network | $705.87 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $705.87 | ↓ -8% |
| Blue Cross Blue Shield | Blue Advantage | $728.00 | ↓ -5% |
| Curative | Commercial | $834.21 | ↑ +8% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $868.06 | ↑ +13% |
| Humana | Commercial PPO | $898.38 | ↑ +17% |
| First Health | PPO | $898.38 | ↑ +17% |
| HealthSmart | Preferred Network | $962.55 | ↑ +25% |
| Private Health Care System | PHCS Network | $962.55 | ↑ +25% |
| HealthSmart | Accel Network | $962.55 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,021.25 | ↑ +33% |
| University of Mary Hardin-Baylor | Commercial | $1,026.00 | ↑ +33% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,029.00 | ↑ +34% |
| Blue Cross Blue Shield | City of Dallas | $1,379.00 | ↑ +79% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,456.00 | ↑ +89% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,533.00 | ↑ +99% |
| Mark Cuban | Commercial | $2,410.00 | ↑ +213% |
| Aetna | Commercial | $2,691.00 | ↑ +249% |
| United Healthcare | Commercial Broad | not published by hospital | — |
| United Healthcare | Nexus | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| United Healthcare | Charter | not published by hospital | — |
| Cigna | HMO/PPO | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $770.04 | $218.18 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $886.75 | $182.52 – $2,805.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,006.17 | $201.23 – $2,805.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $770.04 | $205.34 – $2,691.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $886.75 | $260.51 – $2,805.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $886.75 | $458.16 – $2,410.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $770.04 | $205.34 – $2,410.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $886.75 | $177.35 – $2,805.00 |