Shuntogram nonvascular supervision & interpretation at BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE

1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762

Source: hospital's published price file ↗ · Published Jun 29, 2026 · Ingested Aug 12, 2026

$697.07

Cash price

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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.

$1,161.78

Gross charge

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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.

$81.86 with Superior Health Plan vs $871.34 with Private Health Care System — 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 →

Payer
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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
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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 $81.86 ↓ -88%
Aetna Medicaid $83.50 ↓ -88%
United Healthcare Medicaid/CHIP $87.59 ↓ -87%
Baylor Scott & White Health Plan Medicare Advantage $99.94 ↓ -86%
CORVEL Worker's Compensation $102.04 ↓ -85%
Humana Medicare $105.20 ↓ -85%
TriWest Community Care Network $105.20 ↓ -85%
Aetna Medicare Advantage $105.20 ↓ -85%
Superior Health Plan Medicare $110.46 ↓ -84%
American Health Plan Medicare Advantage $110.46 ↓ -84%
HealthSpring Medicare Advantage $110.46 ↓ -84%
Blue Cross Blue Shield Medicare Advantage $110.46 ↓ -84%
ProCare Advantage Medicare Advantage $110.46 ↓ -84%
United Healthcare Medicare Advantage $117.82 ↓ -83%
Baylor Scott & White Health Plan BSW Premier - Small Group $126.24 ↓ -82%
Baylor Scott & White Health Plan BSW Premier - Individual $132.03 ↓ -81%
Prime Health Services Worker's Compensation $132.66 ↓ -81%
Sedgwick Preferred Network $157.27 ↓ -77%
Baylor Scott & White Health Plan BSW Plus - Small Group $173.58 ↓ -75%
Blue Cross Blue Shield Blue Advantage $224.16 ↓ -68%
Superior Ambetter Ambetter Exchange $226.18 ↓ -68%
Mark Cuban Commercial $272.35 ↓ -61%
Blue Cross Blue Shield Blue Premier/High Performance Network/My BlueHealth $317.19 ↓ -54%
Blue Cross Blue Shield City of Dallas $425.90 ↓ -39%
Blue Cross Blue Shield Blue Essentials (HMO) $449.44 ↓ -36%
Blue Cross Blue Shield BlueChoice (PPO) $472.98 ↓ -32%
Employers Health Network BSWQA Direct/EHN Rental $546.04 ↓ -22%
Cigna Local Plus $572.76 ↓ -18%
Baylor Scott & White Health Plan BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee $572.76 ↓ -18%
Imagine Health Commercial $638.98 ↓ -8%
Employers Health Network EHN Network $638.98 ↓ -8%
Aetna Commercial $638.98 ↓ -8%
QuikTrip Employee Benefit Plan $638.98 ↓ -8%
Cigna HMO/PPO $673.83 ↓ -3%
University of Mary Hardin-Baylor Commercial $673.83 ↓ -3%
Baylor Scott & White Health Plan BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) $673.83 ↓ -3%
United Healthcare Nexus $722.51 ↑ +4%
United Healthcare Charter $722.51 ↑ +4%
Curative Commercial $755.16 ↑ +8%
United Healthcare Commercial Broad $802.79 ↑ +15%
HealthSmart Accel Network $813.25 ↑ +17%
Humana Commercial PPO $813.25 ↑ +17%
First Health PPO $813.25 ↑ +17%
HealthSmart Preferred Network $871.34 ↑ +25%
Private Health Care System PHCS Network $871.34 ↑ +25%

Visitor-reported prices

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Shuntogram nonvascular supervision & interpretation at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $697.07 $81.86 – $871.34
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $375.67 $77.33 – $563.51
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $316.80 $81.86 – $396.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $697.07 $81.86 – $871.34
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $375.67 $87.59 – $563.51
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $375.67 $81.86 – $563.51
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $316.80 $81.86 – $475.20
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $697.07 $81.86 – $871.34

All Texas hospitals for this procedure →