Chromosome banding study at BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING
1901 N. MacArthur Blvd., Irving, TX · Baylor Scott & White Health · · NPI 1992700983
$272.21
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.
$453.68
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.
$35.00 with United Healthcare vs $353.98 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| United Healthcare | Charter | $35.00 | ↓ -87% |
| United Healthcare | Nexus | $35.00 | ↓ -87% |
| United Healthcare | Commercial Broad | $39.00 | ↓ -86% |
| Superior Health Plan | Medicaid | $57.62 | ↓ -79% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $57.62 | ↓ -79% |
| United Healthcare | Medicaid/CHIP | $61.65 | ↓ -77% |
| Baylor Scott & White Health Plan | Medicare Advantage | $65.17 | ↓ -76% |
| CORVEL | Worker's Compensation | $66.54 | ↓ -76% |
| TriWest | Community Care Network | $68.60 | ↓ -75% |
| Aetna | Medicare Advantage | $68.60 | ↓ -75% |
| Humana | Medicare | $68.60 | ↓ -75% |
| WellPoint (fka Amerigroup) | Medicare | $70.66 | ↓ -74% |
| Superior Health Plan | Medicare | $72.03 | ↓ -74% |
| ProCare Advantage | Medicare Advantage | $72.03 | ↓ -74% |
| American Health Plan | Medicare Advantage | $72.03 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $72.03 | ↓ -74% |
| HealthSpring | Medicare Advantage | $72.03 | ↓ -74% |
| United Healthcare | Medicare Advantage | $76.83 | ↓ -72% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $82.32 | ↓ -70% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $86.09 | ↓ -68% |
| Prime Health Services | Worker's Compensation | $86.50 | ↓ -68% |
| Sedgwick | Preferred Network | $102.56 | ↓ -62% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $105.57 | ↓ -61% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $113.19 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $124.20 | ↓ -54% |
| Superior Ambetter | Ambetter Exchange | $147.49 | ↓ -46% |
| Mark Cuban | Commercial | $164.64 | ↓ -40% |
| Blue Cross Blue Shield | Blue Advantage | $167.38 | ↓ -39% |
| Employers Health Network | BSWQA Direct/EHN Rental | $213.23 | ↓ -22% |
| Cigna | Local Plus | $223.66 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $237.36 | ↓ -13% |
| Aetna | Commercial | $249.52 | ↓ -8% |
| Employers Health Network | EHN Network | $249.52 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $249.52 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $263.13 | ↓ -3% |
| Cigna | HMO/PPO | $263.13 | ↓ -3% |
| Imagine Health | Commercial | $263.13 | ↓ -3% |
| Curative | Commercial | $294.89 | ↑ +8% |
| HealthSmart | Accel Network | $317.58 | ↑ +17% |
| Humana | Commercial PPO | $317.58 | ↑ +17% |
| First Health | PPO | $317.58 | ↑ +17% |
| Blue Cross Blue Shield | City of Dallas | $318.30 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $336.14 | ↑ +23% |
| Private Health Care System | PHCS Network | $340.26 | ↑ +25% |
| HealthSmart | Preferred Network | $340.26 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $353.98 | ↑ +30% |
Visitor-reported prices
Comments
Chromosome banding study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $272.21 | $35.00 – $340.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $293.03 | $36.00 – $439.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $293.03 | $36.00 – $366.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $272.21 | $35.00 – $340.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $293.03 | $36.00 – $439.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $293.03 | $26.00 – $439.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $293.03 | $36.00 – $439.55 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $272.21 | $35.00 – $340.26 |