Ot evaluation high complexity patient/family at BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING
1901 N. MacArthur Blvd., Irving, TX · Baylor Scott & White Health · · NPI 1992700983
$374.12
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.
$623.53
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.
$68.59 with WellPoint (fka Amerigroup) vs $602.51 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 |
|---|---|---|---|
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $68.59 | ↓ -82% |
| Superior Health Plan | Medicaid | $68.59 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $73.39 | ↓ -80% |
| Aetna | Commercial | $108.00 | ↓ -71% |
| United Healthcare | Charter | $112.00 | ↓ -70% |
| United Healthcare | Nexus | $112.00 | ↓ -70% |
| United Healthcare | Commercial Broad | $124.00 | ↓ -67% |
| Cigna | Local Plus | $134.00 | ↓ -64% |
| Cigna | HMO/PPO | $158.00 | ↓ -58% |
| Blue Cross Blue Shield | Blue Advantage | $285.45 | ↓ -24% |
| Employers Health Network | BSWQA Direct/EHN Rental | $293.06 | ↓ -22% |
| Mark Cuban | Commercial | $303.99 | ↓ -19% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $307.40 | ↓ -18% |
| Employers Health Network | EHN Network | $342.94 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $342.94 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $361.65 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $361.65 | ↓ -3% |
| Imagine Health | Commercial | $361.65 | ↓ -3% |
| Aetna | Medicare Advantage | $374.12 | ↑ +0% |
| Curative | Commercial | $405.29 | ↑ +8% |
| Superior Ambetter | Ambetter Exchange | $405.29 | ↑ +8% |
| First Health | PPO | $436.47 | ↑ +17% |
| HealthSmart | Accel Network | $436.47 | ↑ +17% |
| Humana | Commercial PPO | $436.47 | ↑ +17% |
| Private Health Care System | PHCS Network | $467.65 | ↑ +25% |
| TriWest | Community Care Network | $467.65 | ↑ +25% |
| HealthSmart | Preferred Network | $467.65 | ↑ +25% |
| CORVEL | Worker's Compensation | $530.00 | ↑ +42% |
| Blue Cross Blue Shield | City of Dallas | $542.07 | ↑ +45% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $570.90 | ↑ +53% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $572.76 | ↑ +53% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $602.51 | ↑ +61% |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $333.87 | $357.97 – $357.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $374.12 | $106.00 – $530.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $419.98 | $86.45 – $629.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $405.44 | $81.09 – $506.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $374.12 | $99.76 – $530.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $419.98 | $108.00 – $629.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $419.98 | $155.00 – $629.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $405.44 | $108.00 – $608.17 |