Ph1 assmt&mgmt nqhp 21-30 at BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE
6800 Scenic Drive, Rowlett, TX · Baylor Scott & White Health · · NPI 1205018439
$87.78
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.
$146.30
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.
$16.09 with WellPoint (fka Amerigroup) vs $192.26 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 |
|---|---|---|---|
| WellPoint (fka Amerigroup) | CHIP/Medicaid | $16.09 | ↓ -82% |
| Superior Health Plan | Medicaid | $16.09 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $17.22 | ↓ -80% |
| Employers Health Network | BSWQA Direct/EHN Rental | $68.76 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $72.13 | ↓ -18% |
| Cigna | Local Plus | $72.13 | ↓ -18% |
| Employers Health Network | EHN Network | $80.47 | ↓ -8% |
| Aetna | Commercial | $80.47 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $80.47 | ↓ -8% |
| Imagine Health | Commercial | $84.85 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $84.85 | ↓ -3% |
| Cigna | HMO/PPO | $84.85 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $84.85 | ↓ -3% |
| Texas A&M Commerce | Injured Athletes | $87.78 | ↑ +0% |
| United Healthcare | Nexus | $90.98 | ↑ +4% |
| United Healthcare | Charter | $90.98 | ↑ +4% |
| Blue Cross Blue Shield | Blue Advantage | $91.07 | ↑ +4% |
| Superior Ambetter | Ambetter Exchange | $95.09 | ↑ +8% |
| Curative | Commercial | $95.09 | ↑ +8% |
| United Healthcare | Commercial Broad | $101.09 | ↑ +15% |
| First Health | PPO | $102.41 | ↑ +17% |
| HealthSmart | Accel Network | $102.41 | ↑ +17% |
| Humana | Commercial PPO | $102.41 | ↑ +17% |
| Private Health Care System | PHCS Network | $109.72 | ↑ +25% |
| TriWest | Community Care Network | $109.72 | ↑ +25% |
| HealthSmart | Preferred Network | $109.72 | ↑ +25% |
| CORVEL | Worker's Compensation | $124.36 | ↑ +42% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $128.83 | ↑ +47% |
| Blue Cross Blue Shield | City of Dallas | $173.19 | ↑ +97% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $182.53 | ↑ +108% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $192.26 | ↑ +119% |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 21-30 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $87.78 | $24.87 – $124.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $92.30 | $19.00 – $138.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $87.78 | $17.56 – $117.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $87.78 | $23.41 – $124.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $92.30 | $29.63 – $143.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $92.30 | $47.69 – $138.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $87.78 | $29.26 – $131.67 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $87.78 | $23.41 – $124.36 |