Prq card revasc mi 1 vsl at BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO
4700 Alliance Blvd., Plano, TX · Baylor Scott & White Health · · NPI 1649273434
$18,392.20
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.
$30,653.67
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.
$1,726.04 with Blue Cross Blue Shield vs $26,055.62 with CORVEL — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Blue Advantage | $1,726.04 | ↓ -91% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,445.80 | ↓ -87% |
| Blue Cross Blue Shield | City of Dallas | $3,284.36 | ↓ -82% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,466.05 | ↓ -81% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,647.74 | ↓ -80% |
| Superior Health Plan | Medicaid | $3,678.44 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $3,935.93 | ↓ -79% |
| Employers Health Network | BSWQA Direct/EHN Rental | $14,407.22 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $15,112.26 | ↓ -18% |
| Cigna | Local Plus | $16,180.00 | ↓ -12% |
| Aetna | Commercial | $16,859.52 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $16,859.52 | ↓ -8% |
| Employers Health Network | EHN Network | $16,859.52 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $17,779.13 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $17,779.13 | ↓ -3% |
| Independent Medical System | Commercial PPO | $18,392.20 | ↑ +0% |
| Aetna | Medicare Advantage | $18,392.20 | ↑ +0% |
| United Healthcare | Nexus | $19,034.00 | ↑ +3% |
| United Healthcare | Charter | $19,034.00 | ↑ +3% |
| Cigna | HMO/PPO | $19,035.00 | ↑ +3% |
| Curative | Commercial | $19,924.89 | ↑ +8% |
| Superior Ambetter | Ambetter Exchange | $19,924.89 | ↑ +8% |
| United Healthcare | Commercial Broad | $21,149.00 | ↑ +15% |
| Humana | Commercial PPO | $21,457.57 | ↑ +17% |
| Optum | Commercial | $21,457.57 | ↑ +17% |
| First Health | PPO | $21,457.57 | ↑ +17% |
| HealthSmart | Accel Network | $21,457.57 | ↑ +17% |
| HealthSmart | Preferred Network | $22,990.25 | ↑ +25% |
| TriWest | Community Care Network | $22,990.25 | ↑ +25% |
| Private Health Care System | PHCS Network | $22,990.25 | ↑ +25% |
| CORVEL | Worker's Compensation | $26,055.62 | ↑ +42% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,392.20 | $1,726.04 – $26,055.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16,678.62 | $1,921.70 – $25,017.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $17,636.90 | $1,921.70 – $22,046.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,392.20 | $1,509.41 – $26,055.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $16,678.62 | $2,347.97 – $25,017.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $16,678.62 | $8,617.29 – $25,017.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $17,636.90 | $1,921.70 – $26,455.36 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $18,392.20 | $1,726.04 – $26,055.62 |