Epidrm autogrft t/a/l add-on at BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO

4700 Alliance Blvd., Plano, TX · Baylor Scott & White Health · · NPI 1649273434

Source: hospital's published price file ↗ · Published Jun 29, 2026 · Ingested Aug 12, 2026

$1,113.83

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,856.39

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$222.77 with Superior Health Plan vs $1,804.00 with HealthSmart — 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 →

Payer
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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
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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 $222.77 ↓ -80%
United Healthcare Medicaid/CHIP $238.36 ↓ -79%
Employers Health Network BSWQA Direct/EHN Rental $872.50 ↓ -22%
Aetna Commercial $1,021.01 ↓ -8%
Employers Health Network EHN Network $1,021.01 ↓ -8%
QuikTrip Employee Benefit Plan $1,021.01 ↓ -8%
Imagine Health Commercial $1,076.71 ↓ -3%
Independent Medical System Commercial PPO $1,113.83 ↑ +0%
Aetna Medicare Advantage $1,113.83 ↑ +0%
United Healthcare Charter $1,154.49 ↑ +4%
United Healthcare Nexus $1,154.49 ↑ +4%
Superior Ambetter Ambetter Exchange $1,206.65 ↑ +8%
Curative Commercial $1,206.65 ↑ +8%
United Healthcare Commercial Broad $1,282.77 ↑ +15%
Humana Commercial PPO $1,299.47 ↑ +17%
Optum Commercial $1,299.47 ↑ +17%
First Health PPO $1,299.47 ↑ +17%
TriWest Community Care Network $1,392.29 ↑ +25%
HealthSmart Preferred Network $1,392.29 ↑ +25%
Private Health Care System PHCS Network $1,392.29 ↑ +25%
CORVEL Worker's Compensation $1,577.93 ↑ +42%
HealthSmart Accel Network $1,804.00 ↑ +62%

Visitor-reported prices

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Epidrm autogrft t/a/l add-on at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,113.83 $315.59 – $6,299.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,113.83 $297.02 – $1,577.93
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $1,113.83 $297.02 – $1,577.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE Grapevine $1,113.83 $278.46 – $1,577.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING Irving $1,113.83 $204.20 – $1,577.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett $1,113.83 $204.20 – $1,577.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY McKinney $1,113.83 $315.59 – $1,577.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco $1,113.83 $519.79 – $1,577.93

All Texas hospitals for this procedure →