Bx perianal mass at BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO
4700 Alliance Blvd., Plano, TX · Baylor Scott & White Health · · NPI 1649273434
$943.21
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.
$1,572.01
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.
$393.00 with United Healthcare vs $8,280.00 with Cigna — 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 | Medicaid/CHIP | $393.00 | ↓ -58% |
| Employers Health Network | BSWQA Direct/EHN Rental | $738.84 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $801.73 | ↓ -15% |
| QuikTrip | Employee Benefit Plan | $864.61 | ↓ -8% |
| Aetna | Commercial | $864.61 | ↓ -8% |
| Employers Health Network | EHN Network | $864.61 | ↓ -8% |
| Baylor Scott & White Health Plan | Medicare Advantage | $887.49 | ↓ -6% |
| CORVEL | Worker's Compensation | $906.17 | ↓ -4% |
| Humana | Medicare | $934.20 | ↓ -1% |
| TriWest | Community Care Network | $934.20 | ↓ -1% |
| Aetna | Medicare Advantage | $934.20 | ↓ -1% |
| Independent Medical System | Commercial PPO | $943.21 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $943.21 | ↑ +0% |
| HealthSpring | Medicare Advantage | $980.91 | ↑ +4% |
| American Health Plan | Medicare Advantage | $980.91 | ↑ +4% |
| Superior Health Plan | Medicare | $980.91 | ↑ +4% |
| ProCare Advantage | Medicare Advantage | $980.91 | ↑ +4% |
| Blue Cross Blue Shield | Medicare Advantage | $980.91 | ↑ +4% |
| Curative | Commercial | $1,021.81 | ↑ +8% |
| United Healthcare | Medicare Advantage | $1,046.30 | ↑ +11% |
| HealthSmart | Accel Network | $1,100.41 | ↑ +17% |
| First Health | PPO | $1,100.41 | ↑ +17% |
| Optum | Commercial | $1,100.41 | ↑ +17% |
| Humana | Commercial PPO | $1,100.41 | ↑ +17% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,121.04 | ↑ +19% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,172.42 | ↑ +24% |
| Prime Health Services | Worker's Compensation | $1,178.03 | ↑ +25% |
| HealthSmart | Preferred Network | $1,179.01 | ↑ +25% |
| Private Health Care System | PHCS Network | $1,179.01 | ↑ +25% |
| Blue Cross Blue Shield | Blue Advantage | $1,290.96 | ↑ +37% |
| Sedgwick | Preferred Network | $1,396.63 | ↑ +48% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,541.43 | ↑ +63% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,825.67 | ↑ +94% |
| Superior Ambetter | Ambetter Exchange | $2,008.53 | ↑ +113% |
| Mark Cuban | Commercial | $2,264.11 | ↑ +140% |
| Blue Cross Blue Shield | City of Dallas | $2,452.05 | ↑ +160% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,589.55 | ↑ +175% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,727.05 | ↑ +189% |
| United Healthcare | Charter | $2,850.00 | ↑ +202% |
| United Healthcare | Nexus | $2,850.00 | ↑ +202% |
| United Healthcare | Commercial Broad | $3,167.00 | ↑ +236% |
| Cigna | Local Plus | $7,038.00 | ↑ +646% |
| Cigna | HMO/PPO | $8,280.00 | ↑ +778% |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Bx perianal mass at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $943.21 | $393.00 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,658.93 | $71.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,369.03 | $71.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $943.21 | $393.00 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,658.93 | $85.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,658.93 | $681.80 – $2,264.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,369.03 | $71.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $943.21 | $393.00 – $7,038.00 |