Colonoscopy w/control bleed at BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO
4700 Alliance Blvd., Plano, TX · Baylor Scott & White Health · · NPI 1649273434
not published by hospital
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.
not published by hospital
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.
$429.26 with Superior Health Plan vs $4,779.00 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $429.26 | — |
| United Healthcare | Medicaid/CHIP | $459.31 | — |
| Baylor Scott & White Health Plan | Medicare Advantage | $1,141.99 | — |
| CORVEL | Worker's Compensation | $1,166.03 | — |
| TriWest | Community Care Network | $1,202.09 | — |
| Aetna | Medicare Advantage | $1,202.09 | — |
| Humana | Medicare | $1,202.09 | — |
| HealthSpring | Medicare Advantage | $1,262.19 | — |
| American Health Plan | Medicare Advantage | $1,262.19 | — |
| Blue Cross Blue Shield | Medicare Advantage | $1,262.19 | — |
| ProCare Advantage | Medicare Advantage | $1,262.19 | — |
| Superior Health Plan | Medicare | $1,262.19 | — |
| United Healthcare | Medicare Advantage | $1,346.34 | — |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,442.51 | — |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,508.62 | — |
| Prime Health Services | Worker's Compensation | $1,515.84 | — |
| Blue Cross Blue Shield | Blue Advantage | $1,697.13 | — |
| Sedgwick | Preferred Network | $1,797.12 | — |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,983.45 | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,400.09 | — |
| Superior Ambetter | Ambetter Exchange | $2,584.49 | — |
| United Healthcare | Nexus | $2,850.00 | — |
| United Healthcare | Charter | $2,850.00 | — |
| Mark Cuban | Commercial | $2,923.34 | — |
| United Healthcare | Commercial Broad | $3,167.00 | — |
| Blue Cross Blue Shield | City of Dallas | $3,223.55 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,404.31 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,585.07 | — |
| HealthSmart | Accel Network | $3,630.00 | — |
| Cigna | Local Plus | $4,063.00 | — |
| Cigna | HMO/PPO | $4,779.00 | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy w/control bleed at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,364.58 | $932.10 – $7,034.24 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,475.60 | $2,529.60 – $3,162.00 |
| Covenant Medical Center | Lubbock | $1,364.58 | $947.84 – $6,330.82 |
| Covenant Hospital Plainview | Plainview | $1,255.38 | $1,166.03 – $2,150.00 |
| Texas Health Hospital Mansfield | Mansfield | $8,895.96 | $1,060.46 – $2,761.00 |
| Covenant Hospital Levelland | Levelland | $1,252.44 | $1,166.03 – $3,356.38 |
| Covenant Specialty Hospital | Lubbock | $1,364.58 | not published |
| Adventhealth Rollins Brook | Lampasas | not published | $1,255.28 – $2,991.88 |