BSW Health Plan Colonoscopy Rates in Dallas-Fort Worth

Published Baylor Scott & White Health Plan negotiated rates for Colonoscopy at 13 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$794.07

BSW Medical Center Centennial

all plan types

Highest Rate

$1,786.41

BSW Medical Center Waxahachie

all plan types

Rate Spread

2x

across all plan types

Hospitals

13

with Baylor Scott & White Health Plan data

Baylor Scott & White Health Plan colonoscopy rates across 13 Dallas-Fort Worth hospitals range from $794 to $1,786, with the lowest rate at BSW Medical Center Centen (Medicare Advantage plan). The median rate stands at $1,295, showing a 2x spread between facilities. This significant variation highlights the importance of comparing negotiated rates across the health system's network.

Why the range is so wide: Baylor Scott & White Health Plan negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Baylor Scott & White Health Plan Colonoscopy Rates by Hospital

Hospital Lowest Baylor Scott & White Health Plan Rate
BSW Medical Center Centennial $794.07
BSW Medical Center Irving $794.07
BSW Medical Center Lake Pointe $794.07
BSW Medical Center McKinney $794.07
BSW Medical Center Plano $794.07
BSW Heart Hospital Dallas $794.07
BSW Heart Hospital McKinney $794.07
BSW Heart Hospital Plano $794.07
BSW Heart Hospital Waxahachie $794.07
Baylor University Medical Center $794.07
BSW All Saints Fort Worth $796.59
BSW Medical Center Grapevine $796.59
BSW Medical Center Waxahachie $796.59

Rates shown are Baylor Scott & White Health Plan's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Baylor Scott & White Health Plan plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Understanding Baylor Scott & White Health Plan Negotiated Rates

A negotiated rate is the price Baylor Scott & White Health Plan has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Baylor Scott & White Health Plan plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for Colonoscopy in Dallas-Fort Worth

View all Colonoscopy prices in Dallas-Fort Worth (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Baylor Scott & White Health Plan Colonoscopy in Dallas-Fort Worth?

The lowest Baylor Scott & White Health Plan negotiated rate for Colonoscopy in Dallas-Fort Worth is $794.07 at BSW Medical Center Centennial, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,786.41 at BSW Medical Center Waxahachie, a 2x difference. Commercial plan rates typically fall between these extremes.

Is the Baylor Scott & White Health Plan negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Baylor Scott & White Health Plan has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Baylor Scott & White Health Plan for a pre-service cost estimate specific to your plan.

How many Dallas-Fort Worth hospitals have published Baylor Scott & White Health Plan rates?

13 hospitals in the Dallas-Fort Worth area have published Baylor Scott & White Health Plan negotiated rates for Colonoscopy in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Baylor Scott & White Health Plan directly.

Is a preventive colonoscopy covered differently by Baylor Scott & White Health Plan?

Preventive and diagnostic colonoscopies are often billed differently under Baylor Scott & White Health Plan plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Baylor Scott & White Health Plan about your plan's specific policy before scheduling.

We are not affiliated with Baylor Scott & White Health Plan or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Baylor Scott & White Health Plan or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official Baylor Scott & White Health Plan website: www.bswhealthplan.com