Inj for mammo ductogram at BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING
1901 N. MacArthur Blvd., Irving, TX · Baylor Scott & White Health · · NPI 1992700983
$621.62
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.
$1,036.04
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.
$113.96 with WellPoint (fka Amerigroup) vs $880.63 with CORVEL — 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 |
|---|---|---|---|
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $113.96 | ↓ -82% |
| Superior Health Plan | Medicaid | $113.96 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $121.94 | ↓ -80% |
| Blue Cross Blue Shield | Blue Advantage | $383.33 | ↓ -38% |
| Employers Health Network | BSWQA Direct/EHN Rental | $486.94 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $510.77 | ↓ -18% |
| Cigna | Local Plus | $510.77 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $538.74 | ↓ -13% |
| Employers Health Network | EHN Network | $569.82 | ↓ -8% |
| Aetna | Commercial | $569.82 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $569.82 | ↓ -8% |
| Imagine Health | Commercial | $600.90 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $600.90 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $600.90 | ↓ -3% |
| Cigna | HMO/PPO | $600.90 | ↓ -3% |
| Aetna | Medicare Advantage | $621.62 | ↑ +0% |
| United Healthcare | Charter | $644.31 | ↑ +4% |
| United Healthcare | Nexus | $644.31 | ↑ +4% |
| Curative | Commercial | $673.43 | ↑ +8% |
| Superior Ambetter | Ambetter Exchange | $673.43 | ↑ +8% |
| United Healthcare | Commercial Broad | $715.90 | ↑ +15% |
| Blue Cross Blue Shield | City of Dallas | $725.23 | ↑ +17% |
| First Health | PPO | $725.23 | ↑ +17% |
| HealthSmart | Accel Network | $725.23 | ↑ +17% |
| Humana | Commercial PPO | $725.23 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $766.67 | ↑ +23% |
| TriWest | Community Care Network | $777.03 | ↑ +25% |
| Private Health Care System | PHCS Network | $777.03 | ↑ +25% |
| HealthSmart | Preferred Network | $777.03 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $808.11 | ↑ +30% |
| CORVEL | Worker's Compensation | $880.63 | ↑ +42% |
Visitor-reported prices
Comments
Inj for mammo ductogram at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $621.62 | $176.13 – $880.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $219.68 | $45.22 – $329.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $219.68 | $43.94 – $274.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $621.62 | $165.77 – $880.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $219.68 | $70.52 – $329.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $219.68 | $113.50 – $329.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $219.68 | $71.00 – $329.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $621.62 | $165.77 – $880.63 |