Bilateral n block inj trigeminal 64400 at BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING

1901 N. MacArthur Blvd., Irving, TX · Baylor Scott & White Health · · NPI 1992700983

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

$788.11

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.

$1,313.52

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$67.55 with Superior Health Plan vs $985.14 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 $67.55 ↓ -91%
WellPoint (fka Amerigroup) CHIP/Medicaid $67.55 ↓ -91%
United Healthcare Medicaid/CHIP $72.28 ↓ -91%
Baylor Scott & White Health Plan Medicare Advantage $292.93 ↓ -63%
CORVEL Worker's Compensation $299.10 ↓ -62%
Humana Medicare $308.35 ↓ -61%
TriWest Community Care Network $308.35 ↓ -61%
Aetna Medicare Advantage $308.35 ↓ -61%
WellPoint (fka Amerigroup) Medicare $317.60 ↓ -60%
Blue Cross Blue Shield Medicare Advantage $323.77 ↓ -59%
ProCare Advantage Medicare Advantage $323.77 ↓ -59%
Superior Health Plan Medicare $323.77 ↓ -59%
HealthSpring Medicare Advantage $323.77 ↓ -59%
American Health Plan Medicare Advantage $323.77 ↓ -59%
United Healthcare Medicare Advantage $345.35 ↓ -56%
Baylor Scott & White Health Plan BSW Premier - Small Group $370.02 ↓ -53%
Baylor Scott & White Health Plan BSW Premier - Individual $386.98 ↓ -51%
Prime Health Services Worker's Compensation $388.83 ↓ -51%
Blue Cross Blue Shield Blue Advantage $459.73 ↓ -42%
Sedgwick Preferred Network $460.98 ↓ -42%
Baylor Scott & White Health Plan BSW Plus - Small Group $508.78 ↓ -35%
Employers Health Network BSWQA Direct/EHN Rental $617.35 ↓ -22%
Baylor Scott & White Health Plan BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee $647.57 ↓ -18%
Cigna Local Plus $647.57 ↓ -18%
Superior Ambetter Ambetter Exchange $662.95 ↓ -16%
Blue Cross Blue Shield Blue Premier/High Performance Network/My BlueHealth $683.03 ↓ -13%
Aetna Commercial $722.44 ↓ -8%
Employers Health Network EHN Network $722.44 ↓ -8%
QuikTrip Employee Benefit Plan $722.44 ↓ -8%
Mark Cuban Commercial $733.72 ↓ -7%
Cigna HMO/PPO $761.84 ↓ -3%
Baylor Scott & White Health Plan BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) $761.84 ↓ -3%
Imagine Health Commercial $761.84 ↓ -3%
University of Mary Hardin-Baylor Commercial $761.84 ↓ -3%
United Healthcare Nexus $816.88 ↑ +4%
United Healthcare Charter $816.88 ↑ +4%
Curative Commercial $853.79 ↑ +8%
Blue Cross Blue Shield City of Dallas $880.06 ↑ +12%
United Healthcare Commercial Broad $907.64 ↑ +15%
HealthSmart Accel Network $919.46 ↑ +17%
First Health PPO $919.46 ↑ +17%
Blue Cross Blue Shield Blue Essentials (HMO) $919.46 ↑ +17%
Humana Commercial PPO $919.46 ↑ +17%
Blue Cross Blue Shield BlueChoice (PPO) $972.00 ↑ +23%
HealthSmart Preferred Network $985.14 ↑ +25%
Private Health Care System PHCS Network $985.14 ↑ +25%

Visitor-reported prices

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Bilateral n block inj trigeminal 64400 at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $1,426.83 $95.64 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $788.11 $67.55 – $985.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $795.31 $71.00 – $1,192.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $807.04 $67.55 – $1,008.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $788.11 $67.55 – $985.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $795.31 $72.28 – $1,192.97
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $795.31 $67.55 – $1,192.97
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $807.04 $67.55 – $1,210.55

All Texas hospitals for this procedure →