Orthosis lso rigd frm hyperex at BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE
6800 Scenic Drive, Rowlett, TX · Baylor Scott & White Health · · NPI 1205018439
$678.20
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.
?
What you pay up front if you don't use insurance.
$1,130.34
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.
$124.34 with WellPoint (fka Amerigroup) vs $904.27 with Private Health Care System — 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 |
|---|---|---|---|
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $124.34 | ↓ -82% |
| Superior Health Plan | Medicaid | $124.34 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $133.04 | ↓ -80% |
| Blue Cross Blue Shield | Blue Advantage | $373.01 | ↓ -45% |
| Aetna | Commercial | $621.69 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $621.69 | ↓ -8% |
| Imagine Health | Commercial | $644.29 | ↓ -5% |
| Cigna | Local Plus | $672.55 | ↓ -1% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $672.55 | ↓ -1% |
| Employers Health Network | BSWQA Direct/EHN Rental | $678.20 | ↑ +0% |
| Texas A&M Commerce | Injured Athletes | $678.20 | ↑ +0% |
| United Healthcare | Nexus | $702.96 | ↑ +4% |
| United Healthcare | Charter | $702.96 | ↑ +4% |
| Superior Ambetter | Ambetter Exchange | $734.72 | ↑ +8% |
| Curative | Commercial | $734.72 | ↑ +8% |
| United Healthcare | Commercial Broad | $781.06 | ↑ +15% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $791.24 | ↑ +17% |
| Blue Cross Blue Shield | City of Dallas | $791.24 | ↑ +17% |
| Cigna | HMO/PPO | $791.24 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $791.24 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $791.24 | ↑ +17% |
| HealthSmart | Accel Network | $791.24 | ↑ +17% |
| Employers Health Network | EHN Network | $791.24 | ↑ +17% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $791.24 | ↑ +17% |
| First Health | PPO | $791.24 | ↑ +17% |
| University of Mary Hardin-Baylor | Commercial | $791.24 | ↑ +17% |
| Humana | Commercial PPO | $847.75 | ↑ +25% |
| TriWest | Community Care Network | $847.75 | ↑ +25% |
| HealthSmart | Preferred Network | $904.27 | ↑ +33% |
| Private Health Care System | PHCS Network | $904.27 | ↑ +33% |
| 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
Orthosis lso rigd frm hyperex at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $678.20 | $192.16 – $904.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $389.40 | $80.15 – $584.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $389.40 | $77.88 – $519.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $678.20 | $180.85 – $904.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $389.40 | $125.00 – $584.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $389.40 | $201.19 – $584.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $389.40 | $129.80 – $584.10 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $678.20 | $180.85 – $904.27 |