Tgsap so/hl 51/< rna alys at BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING
1901 N. MacArthur Blvd., Irving, TX · Baylor Scott & White Health · · NPI 1992700983
$5,025.00
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.
$8,375.00
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.
$35.00 with United Healthcare vs $15,065.14 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 | Nexus | $35.00 | ↓ -99% |
| United Healthcare | Charter | $35.00 | ↓ -99% |
| United Healthcare | Commercial Broad | $39.00 | ↓ -99% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $2,452.46 | ↓ -51% |
| Superior Health Plan | Medicaid | $2,452.46 | ↓ -51% |
| United Healthcare | Medicaid/CHIP | $2,624.13 | ↓ -48% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,704.98 | ↓ -46% |
| Baylor Scott & White Health Plan | Medicare Advantage | $2,773.62 | ↓ -45% |
| CORVEL | Worker's Compensation | $2,832.01 | ↓ -44% |
| Cigna | Local Plus | $2,837.35 | ↓ -44% |
| Aetna | Medicare Advantage | $2,919.60 | ↓ -42% |
| TriWest | Community Care Network | $2,919.60 | ↓ -42% |
| Humana | Medicare | $2,919.60 | ↓ -42% |
| WellPoint (fka Amerigroup) | Medicare | $3,007.19 | ↓ -40% |
| HealthSpring | Medicare Advantage | $3,065.58 | ↓ -39% |
| Superior Health Plan | Medicare | $3,065.58 | ↓ -39% |
| Blue Cross Blue Shield | Medicare Advantage | $3,065.58 | ↓ -39% |
| American Health Plan | Medicare Advantage | $3,065.58 | ↓ -39% |
| ProCare Advantage | Medicare Advantage | $3,065.58 | ↓ -39% |
| Aetna | Commercial | $3,165.40 | ↓ -37% |
| QuikTrip | Employee Benefit Plan | $3,165.40 | ↓ -37% |
| Employers Health Network | EHN Network | $3,165.40 | ↓ -37% |
| United Healthcare | Medicare Advantage | $3,269.95 | ↓ -35% |
| Cigna | HMO/PPO | $3,338.06 | ↓ -34% |
| University of Mary Hardin-Baylor | Commercial | $3,338.06 | ↓ -34% |
| Imagine Health | Commercial | $3,338.06 | ↓ -34% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,503.52 | ↓ -30% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $3,664.10 | ↓ -27% |
| Prime Health Services | Worker's Compensation | $3,681.62 | ↓ -27% |
| Curative | Commercial | $3,740.93 | ↓ -26% |
| First Health | PPO | $4,028.70 | ↓ -20% |
| HealthSmart | Accel Network | $4,028.70 | ↓ -20% |
| Humana | Commercial PPO | $4,028.70 | ↓ -20% |
| Private Health Care System | PHCS Network | $4,316.46 | ↓ -14% |
| HealthSmart | Preferred Network | $4,316.46 | ↓ -14% |
| Sedgwick | Preferred Network | $4,364.80 | ↓ -13% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $4,467.60 | ↓ -11% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $4,817.34 | ↓ -4% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $5,256.00 | ↑ +5% |
| Superior Ambetter | Ambetter Exchange | $6,277.14 | ↑ +25% |
| Mark Cuban | Commercial | $7,007.04 | ↑ +39% |
| Blue Cross Blue Shield | Blue Advantage | $7,123.82 | ↑ +42% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $10,101.82 | ↑ +101% |
| Blue Cross Blue Shield | City of Dallas | $13,546.94 | ↑ +170% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $14,306.04 | ↑ +185% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $15,065.14 | ↑ +200% |
Visitor-reported prices
Comments
Tgsap so/hl 51/< rna alys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | not published | $1,751.76 – $11,125.47 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,025.00 | $35.00 – $7,007.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,025.00 | $36.00 – $7,007.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,025.00 | $36.00 – $7,007.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,025.00 | $35.00 – $7,007.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,025.00 | $36.00 – $7,007.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,025.00 | $26.00 – $7,007.04 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,025.00 | $36.00 – $7,007.04 |