Infect ag na resp virus 12-25 targets at BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE
6800 Scenic Drive, Rowlett, TX · Baylor Scott & White Health · · NPI 1205018439
$1,078.16
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.
?
What you pay up front if you don't use insurance.
$1,796.94
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.00 with United Healthcare vs $3,205.04 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare | Nexus | $10.00 | ↓ -99% |
| United Healthcare | Charter | $10.00 | ↓ -99% |
| United Healthcare | Commercial Broad | $11.00 | ↓ -99% |
| Superior Health Plan | Medicaid | $350.10 | ↓ -68% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $350.10 | ↓ -68% |
| United Healthcare | Medicaid/CHIP | $374.61 | ↓ -65% |
| Baylor Scott & White Health Plan | Medicare Advantage | $395.94 | ↓ -63% |
| CORVEL | Worker's Compensation | $404.28 | ↓ -63% |
| Humana | Medicare | $416.78 | ↓ -61% |
| TriWest | Community Care Network | $416.78 | ↓ -61% |
| WellPoint (fka Amerigroup) | Medicare | $429.28 | ↓ -60% |
| ProCare Advantage | Medicare Advantage | $437.62 | ↓ -59% |
| American Health Plan | Medicare Advantage | $437.62 | ↓ -59% |
| Blue Cross Blue Shield | Medicare Advantage | $437.62 | ↓ -59% |
| Superior Health Plan | Medicare | $437.62 | ↓ -59% |
| HealthSpring | Medicare Advantage | $437.62 | ↓ -59% |
| Molina | Medicare Advantage | $437.62 | ↓ -59% |
| United Healthcare | Medicare Advantage | $466.79 | ↓ -57% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $500.14 | ↓ -54% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $523.06 | ↓ -51% |
| Prime Health Services | Worker's Compensation | $525.56 | ↓ -51% |
| Sedgwick | Preferred Network | $623.09 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $638.01 | ↓ -41% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $687.69 | ↓ -36% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $750.60 | ↓ -30% |
| Employers Health Network | BSWQA Direct/EHN Rental | $844.56 | ↓ -22% |
| Cigna | Local Plus | $885.89 | ↓ -18% |
| Superior Ambetter | Ambetter Exchange | $896.08 | ↓ -17% |
| Aetna | Commercial | $988.32 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $988.32 | ↓ -8% |
| Employers Health Network | EHN Network | $988.32 | ↓ -8% |
| Mark Cuban | Commercial | $1,000.27 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $1,042.23 | ↓ -3% |
| Cigna | HMO/PPO | $1,042.23 | ↓ -3% |
| Imagine Health | Commercial | $1,042.23 | ↓ -3% |
| Texas A&M Commerce | Injured Athletes | $1,078.16 | ↑ +0% |
| Curative | Commercial | $1,168.01 | ↑ +8% |
| HealthSmart | Accel Network | $1,257.86 | ↑ +17% |
| First Health | PPO | $1,257.86 | ↑ +17% |
| Humana | Commercial PPO | $1,257.86 | ↑ +17% |
| Private Health Care System | PHCS Network | $1,347.70 | ↑ +25% |
| HealthSmart | Preferred Network | $1,347.70 | ↑ +25% |
| Blue Cross Blue Shield | Blue Advantage | $1,517.08 | ↑ +41% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,146.42 | ↑ +99% |
| Blue Cross Blue Shield | City of Dallas | $2,884.12 | ↑ +168% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,046.66 | ↑ +183% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,205.04 | ↑ +197% |
Visitor-reported prices
Comments
Infect ag na resp virus 12-25 targets at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,078.16 | $10.00 – $1,347.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,250.48 | $12.00 – $1,875.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,100.20 | $12.00 – $1,375.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,078.16 | $10.00 – $1,347.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,250.48 | $12.00 – $1,875.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,250.48 | $8.00 – $1,875.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,100.20 | $12.00 – $1,650.29 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,078.16 | $10.00 – $1,347.70 |