Closure of windpipe lesion 31820 at BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE
6800 Scenic Drive, Rowlett, TX · Baylor Scott & White Health · · NPI 1205018439
$3,200.72
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.
$5,334.54
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.
$886.62 with Superior Health Plan vs $7,975.81 with Mark Cuban — 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 | $886.62 | ↓ -72% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $886.62 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $948.68 | ↓ -70% |
| HealthSmart | Accel Network | $1,804.00 | ↓ -44% |
| Blue Cross Blue Shield | Blue Advantage | $1,973.78 | ↓ -38% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,507.23 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,629.93 | ↓ -18% |
| Cigna | Local Plus | $2,629.93 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,773.96 | ↓ -13% |
| QuikTrip | Employee Benefit Plan | $2,934.00 | ↓ -8% |
| Aetna | Commercial | $2,934.00 | ↓ -8% |
| Employers Health Network | EHN Network | $2,934.00 | ↓ -8% |
| Imagine Health | Commercial | $3,094.03 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $3,094.03 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $3,094.03 | ↓ -3% |
| Cigna | HMO/PPO | $3,094.03 | ↓ -3% |
| Baylor Scott & White Health Plan | Medicare Advantage | $3,164.04 | ↓ -1% |
| Texas A&M Commerce | Injured Athletes | $3,200.72 | ↑ +0% |
| CORVEL | Worker's Compensation | $3,230.65 | ↑ +1% |
| United Healthcare | Charter | $3,317.55 | ↑ +4% |
| United Healthcare | Nexus | $3,317.55 | ↑ +4% |
| Humana | Medicare | $3,330.57 | ↑ +4% |
| TriWest | Community Care Network | $3,330.57 | ↑ +4% |
| WellPoint (fka Amerigroup) | Medicare | $3,430.49 | ↑ +7% |
| Curative | Commercial | $3,467.45 | ↑ +8% |
| HealthSpring | Medicare Advantage | $3,497.10 | ↑ +9% |
| American Health Plan | Medicare Advantage | $3,497.10 | ↑ +9% |
| Molina | Medicare Advantage | $3,497.10 | ↑ +9% |
| ProCare Advantage | Medicare Advantage | $3,497.10 | ↑ +9% |
| Superior Health Plan | Medicare | $3,497.10 | ↑ +9% |
| Blue Cross Blue Shield | Medicare Advantage | $3,497.10 | ↑ +9% |
| United Healthcare | Commercial Broad | $3,686.17 | ↑ +15% |
| United Healthcare | Medicare Advantage | $3,730.24 | ↑ +17% |
| Blue Cross Blue Shield | City of Dallas | $3,734.18 | ↑ +17% |
| First Health | PPO | $3,734.18 | ↑ +17% |
| Humana | Commercial PPO | $3,734.18 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,947.56 | ↑ +23% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,996.68 | ↑ +25% |
| Private Health Care System | PHCS Network | $4,000.91 | ↑ +25% |
| HealthSmart | Preferred Network | $4,000.91 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $4,160.94 | ↑ +30% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $4,179.87 | ↑ +31% |
| Prime Health Services | Worker's Compensation | $4,199.85 | ↑ +31% |
| Sedgwick | Preferred Network | $4,979.20 | ↑ +56% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $5,495.44 | ↑ +72% |
| Superior Ambetter | Ambetter Exchange | $7,160.73 | ↑ +124% |
| Mark Cuban | Commercial | $7,975.81 | ↑ +149% |
Visitor-reported prices
Comments
Closure of windpipe lesion 31820 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,200.72 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,866.23 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,866.23 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,200.72 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,866.23 | $85.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,866.23 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,866.23 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,200.72 | $886.62 – $7,975.81 |