Kit tissue closure sealant adhesive air leak progel 4 ml pleura at BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING
1901 N. MacArthur Blvd., Irving, TX · Baylor Scott & White Health · · NPI 1992700983
$2,541.00
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.
$4,235.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$461.71 with WellPoint (fka Amerigroup) vs $3,357.91 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 →
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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 | $461.71 | ↓ -82% |
| Superior Health Plan | Medicaid | $461.71 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $494.03 | ↓ -81% |
| Blue Cross Blue Shield | Blue Advantage | $1,385.14 | ↓ -45% |
| Aetna | Commercial | $2,308.56 | ↓ -9% |
| QuikTrip | Employee Benefit Plan | $2,308.56 | ↓ -9% |
| Imagine Health | Commercial | $2,392.51 | ↓ -6% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,497.45 | ↓ -2% |
| Cigna | Local Plus | $2,497.45 | ↓ -2% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,518.43 | ↓ -1% |
| Aetna | Medicare Advantage | $2,518.43 | ↓ -1% |
| United Healthcare | Nexus | $2,610.36 | ↑ +3% |
| United Healthcare | Charter | $2,610.36 | ↑ +3% |
| Superior Ambetter | Ambetter Exchange | $2,728.30 | ↑ +7% |
| Curative | Commercial | $2,728.30 | ↑ +7% |
| United Healthcare | Commercial Broad | $2,900.40 | ↑ +14% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,938.17 | ↑ +16% |
| Blue Cross Blue Shield | City of Dallas | $2,938.17 | ↑ +16% |
| University of Mary Hardin-Baylor | Commercial | $2,938.17 | ↑ +16% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,938.17 | ↑ +16% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,938.17 | ↑ +16% |
| HealthSmart | Accel Network | $2,938.17 | ↑ +16% |
| Employers Health Network | EHN Network | $2,938.17 | ↑ +16% |
| Cigna | HMO/PPO | $2,938.17 | ↑ +16% |
| First Health | PPO | $2,938.17 | ↑ +16% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $2,938.17 | ↑ +16% |
| Humana | Commercial PPO | $3,148.04 | ↑ +24% |
| TriWest | Community Care Network | $3,148.04 | ↑ +24% |
| HealthSmart | Preferred Network | $3,357.91 | ↑ +32% |
| Private Health Care System | PHCS Network | $3,357.91 | ↑ +32% |
| Prime Health Services | Worker's Compensation | not published by hospital | — |
| CORVEL | Worker's Compensation | not published by hospital | — |
| Sedgwick | Preferred Network | not published by hospital | — |
Visitor-reported prices
Comments
Kit tissue closure sealant adhesive air leak progel 4 ml pleura at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,541.00 | $713.56 – $3,357.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,541.00 | $518.38 – $3,777.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,541.00 | $503.69 – $3,357.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,541.00 | $671.58 – $3,357.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,541.00 | $808.42 – $3,777.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,541.00 | $1,301.19 – $3,777.65 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,541.00 | $839.48 – $3,777.65 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,541.00 | $671.58 – $3,357.91 |