healthcosts.net
Egd w/transmural drain cyst at BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING
1901 N. MacArthur Blvd., Irving, TX · Baylor Scott & White Health · · NPI 1992700983
$700.80
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.
$1,168.00
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.
$548.96 with Employers Health Network vs $14,118.49 with Mark Cuban — 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 |
|---|---|---|---|
| Employers Health Network | BSWQA Direct/EHN Rental | $548.96 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $595.68 | ↓ -15% |
| Aetna | Commercial | $642.40 | ↓ -8% |
| Employers Health Network | EHN Network | $642.40 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $642.40 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $700.80 | ↑ +0% |
| Curative | Commercial | $759.20 | ↑ +8% |
| First Health | PPO | $817.60 | ↑ +17% |
| Humana | Commercial PPO | $817.60 | ↑ +17% |
| HealthSmart | Preferred Network | $876.00 | ↑ +25% |
| Private Health Care System | PHCS Network | $876.00 | ↑ +25% |
| HealthSmart | Accel Network | $2,416.00 | ↑ +245% |
| Superior Health Plan | Medicaid | $2,814.82 | ↑ +302% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $2,814.82 | ↑ +302% |
| United Healthcare | Medicaid/CHIP | $3,011.86 | ↑ +330% |
| Cigna | Local Plus | $4,063.00 | ↑ +480% |
| United Healthcare | Charter | $4,302.00 | ↑ +514% |
| United Healthcare | Nexus | $4,302.00 | ↑ +514% |
| Cigna | HMO/PPO | $4,779.00 | ↑ +582% |
| United Healthcare | Commercial Broad | $4,780.00 | ↑ +582% |
| Blue Cross Blue Shield | Blue Advantage | $5,068.45 | ↑ +623% |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,793.63 | ↑ +727% |
| CORVEL | Worker's Compensation | $5,915.60 | ↑ +744% |
| Aetna | Medicare Advantage | $6,098.56 | ↑ +770% |
| TriWest | Community Care Network | $6,098.56 | ↑ +770% |
| Humana | Medicare | $6,098.56 | ↑ +770% |
| WellPoint (fka Amerigroup) | Medicare | $6,281.52 | ↑ +796% |
| Blue Cross Blue Shield | Medicare Advantage | $6,403.49 | ↑ +814% |
| ProCare Advantage | Medicare Advantage | $6,403.49 | ↑ +814% |
| Superior Health Plan | Medicare | $6,403.49 | ↑ +814% |
| HealthSpring | Medicare Advantage | $6,403.49 | ↑ +814% |
| American Health Plan | Medicare Advantage | $6,403.49 | ↑ +814% |
| United Healthcare | Medicare Advantage | $6,830.39 | ↑ +875% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $7,167.80 | ↑ +923% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $7,318.27 | ↑ +944% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $7,653.69 | ↑ +992% |
| Prime Health Services | Worker's Compensation | $7,690.28 | ↑ +997% |
| Sedgwick | Preferred Network | $9,117.35 | ↑ +1201% |
| Blue Cross Blue Shield | City of Dallas | $9,627.05 | ↑ +1274% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $10,062.62 | ↑ +1336% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $10,166.88 | ↑ +1351% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $10,706.72 | ↑ +1428% |
| Superior Ambetter | Ambetter Exchange | $13,111.90 | ↑ +1771% |
| Mark Cuban | Commercial | $14,118.49 | ↑ +1915% |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Egd w/transmural drain cyst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $700.80 | $420.48 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $700.80 | $144.25 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $786.71 | $517.13 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $700.80 | $548.96 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $700.80 | $460.66 – $14,118.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $700.80 | $642.40 – $14,118.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $786.71 | $517.13 – $14,118.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $700.80 | $548.96 – $14,118.49 |