Emergency visit, highest (level 5) at Baylor Scott & White Medical Center - Grapevine. CPT 99285.
What Baylor Scott & White Medical Center - Grapevine publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$2,328cash price (self-pay)
$3,880list price
$569–$6,643range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $569 |
| CORVEL | Worker's Compensation | $581 |
| Superior Health Plan | Medicaid | $582 |
| Aetna | Medicaid | $594 |
| Aetna | Medicare Advantage | $599 |
| Humana | Medicare | $599 |
| TriWest | Community Care Network | $599 |
| United Healthcare | Medicaid/CHIP | $623 |
| American Health Plan | Medicare Advantage | $629 |
| Blue Cross Blue Shield | Medicare Advantage | $629 |
| HealthSpring | Medicare Advantage | $629 |
| ProCare Advantage | Medicare Advantage | $629 |
| Superior Health Plan | Medicare | $629 |
| United Healthcare | Medicare Advantage | $671 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $719 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $752 |
| Prime Health Services | Worker's Compensation | $756 |
| Sedgwick | Preferred Network | $896 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $989 |
| Superior Ambetter | Ambetter Exchange | $1,288 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $1,505 |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier | $1,770 |
| University of Mary Hardin-Baylor | Commercial | $1,779 |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,823 |
| QuikTrip | Employee Benefit Plan | $2,134 |
| Employers Health Network | EHN Network | $2,134 |
| Curative | Commercial | $2,522 |
| First Health | PPO | $2,716 |
| Humana | Commercial PPO | $2,716 |
| HealthSmart | Accel Network | $2,910 |
Inpatient
$2,328cash price (self-pay)
$3,880list price
$2,134–$2,716range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $2,134 |
| Curative | Commercial | $2,522 |
| First Health | PPO | $2,716 |
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All common services at Baylor Scott & White Medical Center - Grapevine