Graft xenmtrx sft rect 19x28cm at BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE
6800 Scenic Drive, Rowlett, TX · Baylor Scott & White Health · · NPI 1205018439
$3,670.92
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.
$6,118.20
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.
$2.85 with WellPoint (fka Amerigroup) vs $20.71 with Private Health Care System — 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 |
|---|---|---|---|
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $2.85 | ↓ -100% |
| Superior Health Plan | Medicaid | $2.85 | ↓ -100% |
| United Healthcare | Medicaid/CHIP | $3.05 | ↓ -100% |
| Blue Cross Blue Shield | Blue Advantage | $8.54 | ↓ -100% |
| Aetna | Commercial | $14.24 | ↓ -100% |
| QuikTrip | Employee Benefit Plan | $14.24 | ↓ -100% |
| Imagine Health | Commercial | $14.76 | ↓ -100% |
| Cigna | Local Plus | $15.40 | ↓ -100% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $15.40 | ↓ -100% |
| Employers Health Network | BSWQA Direct/EHN Rental | $15.53 | ↓ -100% |
| Texas A&M Commerce | Injured Athletes | $15.53 | ↓ -100% |
| United Healthcare | Nexus | $16.10 | ↓ -100% |
| United Healthcare | Charter | $16.10 | ↓ -100% |
| Superior Ambetter | Ambetter Exchange | $16.83 | ↓ -100% |
| Curative | Commercial | $16.83 | ↓ -100% |
| United Healthcare | Commercial Broad | $17.89 | ↓ -100% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $18.12 | ↓ -100% |
| Blue Cross Blue Shield | City of Dallas | $18.12 | ↓ -100% |
| Cigna | HMO/PPO | $18.12 | ↓ -100% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $18.12 | ↓ -100% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $18.12 | ↓ -100% |
| HealthSmart | Accel Network | $18.12 | ↓ -100% |
| Employers Health Network | EHN Network | $18.12 | ↓ -100% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $18.12 | ↓ -100% |
| First Health | PPO | $18.12 | ↓ -100% |
| University of Mary Hardin-Baylor | Commercial | $18.12 | ↓ -100% |
| Humana | Commercial PPO | $19.42 | ↓ -99% |
| TriWest | Community Care Network | $19.42 | ↓ -99% |
| HealthSmart | Preferred Network | $20.71 | ↓ -99% |
| Private Health Care System | PHCS Network | $20.71 | ↓ -99% |
| Prime Health Services | Worker's Compensation | not published by hospital | — |
| CORVEL | Worker's Compensation | not published by hospital | — |
| Sedgwick | Preferred Network | not published by hospital | — |
Visitor-reported prices
Comments
Graft xenmtrx sft rect 19x28cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,670.92 | $5.18 – $23.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,670.92 | $4.14 – $20.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $3,670.92 | $3.88 – $20.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,670.92 | $3.11 – $20.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $3,670.92 | $2.85 – $20.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $3,670.92 | $4.40 – $20.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $3,670.92 | $7.25 – $20.71 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $3,670.92 | $3.88 – $23.30 |