Injection therapeutic/prophylactic/diagnostic subcutaneous/im at BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE
6800 Scenic Drive, Rowlett, TX · Baylor Scott & White Health · · NPI 1205018439
$192.72
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.
?
What you pay up front if you don't use insurance.
$321.20
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.
?
The hospital's undiscounted list price — almost no one pays this.
$35.33 with Superior Health Plan vs $250.54 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $35.33 | ↓ -82% |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $35.33 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $37.81 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $68.71 | ↓ -64% |
| CORVEL | Worker's Compensation | $70.16 | ↓ -64% |
| Humana | Medicare | $72.33 | ↓ -62% |
| TriWest | Community Care Network | $72.33 | ↓ -62% |
| WellPoint (fka Amerigroup) | Medicare | $74.50 | ↓ -61% |
| Molina | Medicare Advantage | $75.95 | ↓ -61% |
| Blue Cross Blue Shield | Medicare Advantage | $75.95 | ↓ -61% |
| Superior Health Plan | Medicare | $75.95 | ↓ -61% |
| HealthSpring | Medicare Advantage | $75.95 | ↓ -61% |
| American Health Plan | Medicare Advantage | $75.95 | ↓ -61% |
| ProCare Advantage | Medicare Advantage | $75.95 | ↓ -61% |
| United Healthcare | Medicare Advantage | $81.01 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $86.80 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $90.77 | ↓ -53% |
| Prime Health Services | Worker's Compensation | $91.21 | ↓ -53% |
| Sedgwick | Preferred Network | $108.13 | ↓ -44% |
| Blue Cross Blue Shield | Blue Advantage | $118.84 | ↓ -38% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $119.34 | ↓ -38% |
| Employers Health Network | BSWQA Direct/EHN Rental | $150.96 | ↓ -22% |
| Superior Ambetter | Ambetter Exchange | $155.51 | ↓ -19% |
| Cigna | Local Plus | $158.35 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $158.35 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $167.02 | ↓ -13% |
| Mark Cuban | Commercial | $174.51 | ↓ -9% |
| QuikTrip | Employee Benefit Plan | $176.66 | ↓ -8% |
| Aetna | Commercial | $176.66 | ↓ -8% |
| Employers Health Network | EHN Network | $176.66 | ↓ -8% |
| Imagine Health | Commercial | $186.30 | ↓ -3% |
| Cigna | HMO/PPO | $186.30 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $186.30 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $186.30 | ↓ -3% |
| Texas A&M Commerce | Injured Athletes | $192.72 | ↑ +0% |
| United Healthcare | Charter | $199.75 | ↑ +4% |
| United Healthcare | Nexus | $199.75 | ↑ +4% |
| Curative | Commercial | $208.78 | ↑ +8% |
| United Healthcare | Commercial Broad | $221.95 | ↑ +15% |
| Humana | Commercial PPO | $224.84 | ↑ +17% |
| Blue Cross Blue Shield | City of Dallas | $224.84 | ↑ +17% |
| First Health | PPO | $224.84 | ↑ +17% |
| HealthSmart | Accel Network | $224.84 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $237.69 | ↑ +23% |
| Private Health Care System | PHCS Network | $240.90 | ↑ +25% |
| HealthSmart | Preferred Network | $240.90 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $250.54 | ↑ +30% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic subcutaneous/im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $350.96 | $232.81 – $232.81 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $192.72 | $54.60 – $240.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $172.35 | $35.48 – $258.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $197.78 | $39.56 – $247.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $192.72 | $51.39 – $240.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $172.35 | $55.32 – $258.52 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $172.35 | $89.05 – $258.52 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $197.78 | $65.93 – $296.68 |