Noninv pace analysis at BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762
$1,108.14
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.
?
What you pay up front if you don't use insurance.
$1,846.90
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.
$104.01 with Blue Cross Blue Shield vs $1,385.17 with HealthSmart — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Blue Advantage | $104.01 | ↓ -91% |
| Blue Cross Blue Shield | City of Dallas | $197.52 | ↓ -82% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $208.02 | ↓ -81% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $208.70 | ↓ -81% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $219.54 | ↓ -80% |
| Superior Health Plan | Medicaid | $277.04 | ↓ -75% |
| Aetna | Medicaid | $282.58 | ↓ -74% |
| Baylor Scott & White Health Plan | Medicare Advantage | $293.60 | ↓ -74% |
| United Healthcare | Medicaid/CHIP | $296.43 | ↓ -73% |
| CORVEL | Worker's Compensation | $299.78 | ↓ -73% |
| Humana | Medicare | $309.05 | ↓ -72% |
| TriWest | Community Care Network | $309.05 | ↓ -72% |
| Aetna | Medicare Advantage | $309.05 | ↓ -72% |
| Blue Cross Blue Shield | Medicare Advantage | $324.50 | ↓ -71% |
| HealthSpring | Medicare Advantage | $324.50 | ↓ -71% |
| ProCare Advantage | Medicare Advantage | $324.50 | ↓ -71% |
| American Health Plan | Medicare Advantage | $324.50 | ↓ -71% |
| Superior Health Plan | Medicare | $324.50 | ↓ -71% |
| United Healthcare | Medicare Advantage | $346.14 | ↓ -69% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $370.86 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $387.86 | ↓ -65% |
| Prime Health Services | Worker's Compensation | $389.71 | ↓ -65% |
| Sedgwick | Preferred Network | $462.03 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $509.93 | ↓ -54% |
| Superior Ambetter | Ambetter Exchange | $664.46 | ↓ -40% |
| Mark Cuban | Commercial | $739.93 | ↓ -33% |
| Employers Health Network | BSWQA Direct/EHN Rental | $868.04 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $910.52 | ↓ -18% |
| Cigna | Local Plus | $910.52 | ↓ -18% |
| Employers Health Network | EHN Network | $1,015.79 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $1,015.79 | ↓ -8% |
| Aetna | Commercial | $1,015.79 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,071.20 | ↓ -3% |
| Cigna | HMO/PPO | $1,071.20 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $1,071.20 | ↓ -3% |
| Imagine Health | Commercial | $1,071.20 | ↓ -3% |
| United Healthcare | Nexus | $1,148.59 | ↑ +4% |
| United Healthcare | Charter | $1,148.59 | ↑ +4% |
| Curative | Commercial | $1,200.48 | ↑ +8% |
| United Healthcare | Commercial Broad | $1,276.21 | ↑ +15% |
| Humana | Commercial PPO | $1,292.83 | ↑ +17% |
| First Health | PPO | $1,292.83 | ↑ +17% |
| HealthSmart | Accel Network | $1,292.83 | ↑ +17% |
| Private Health Care System | PHCS Network | $1,385.17 | ↑ +25% |
| HealthSmart | Preferred Network | $1,385.17 | ↑ +25% |
Visitor-reported prices
Comments
Noninv pace analysis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,108.14 | $104.01 – $1,385.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,504.51 | $102.32 – $2,256.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,074.43 | $102.32 – $1,343.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,108.14 | $79.28 – $1,385.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,504.51 | $125.02 – $2,256.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,504.51 | $739.93 – $2,256.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,074.43 | $102.32 – $1,611.64 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,108.14 | $104.01 – $1,385.17 |