Sec abd wall suture evisceration/dehsn 49900 at BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762
not published by hospital
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.
not published by hospital
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.
$1,439.81 with Blue Cross Blue Shield vs $8,280.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Blue Advantage | $1,439.81 | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,036.18 | — |
| United Healthcare | Nexus | $2,546.00 | — |
| United Healthcare | Charter | $2,546.00 | — |
| Blue Cross Blue Shield | City of Dallas | $2,734.79 | — |
| United Healthcare | Commercial Broad | $2,829.00 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,888.14 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,041.50 | — |
| Cigna | Local Plus | $7,038.00 | — |
| Cigna | HMO/PPO | $8,280.00 | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Sec abd wall suture evisceration/dehsn 49900 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,281.42 | $243.47 – $2,745.90 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,064.95 – $4,826.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | not published | $1,439.81 – $7,038.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $7,812.47 – $7,812.47 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $7,812.47 – $7,812.47 |
| HCA HOUSTON CONROE | CONROE | not published | $7,812.47 – $7,812.47 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $7,812.47 – $7,812.47 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $7,812.47 – $7,812.47 |