Artery x-rays lung at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$3,150.00
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.
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What you pay up front if you don't use insurance.
$5,250.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$129.98 with Superior Health Plan vs $11,694.80 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 | $129.98 | ↓ -96% |
| United Healthcare | Medicaid/CHIP | $139.08 | ↓ -96% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,467.50 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,588.25 | ↓ -18% |
| Cigna | Local Plus | $2,588.25 | ↓ -18% |
| QuikTrip | Employee Benefit Plan | $2,887.50 | ↓ -8% |
| Aetna | Commercial | $2,887.50 | ↓ -8% |
| Employers Health Network | EHN Network | $2,887.50 | ↓ -8% |
| Imagine Health | Commercial | $2,887.50 | ↓ -8% |
| Baylor Scott & White Health Plan | Medicare Advantage | $3,013.28 | ↓ -4% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $3,045.00 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $3,045.00 | ↓ -3% |
| Cigna | HMO/PPO | $3,045.00 | ↓ -3% |
| CORVEL | Worker's Compensation | $3,076.71 | ↓ -2% |
| Aetna | Medicare Advantage | $3,150.00 | ↑ +0% |
| TriWest | Community Care Network | $3,171.87 | ↑ +1% |
| Humana | Medicare | $3,171.87 | ↑ +1% |
| United Healthcare | Charter | $3,264.97 | ↑ +4% |
| United Healthcare | Nexus | $3,264.97 | ↑ +4% |
| Blue Cross Blue Shield | Medicare Advantage | $3,330.46 | ↑ +6% |
| HealthSpring | Medicare Advantage | $3,330.46 | ↑ +6% |
| ProCare Advantage | Medicare Advantage | $3,330.46 | ↑ +6% |
| Superior Health Plan | Medicare | $3,330.46 | ↑ +6% |
| American Health Plan | Medicare Advantage | $3,330.46 | ↑ +6% |
| Curative | Commercial | $3,412.50 | ↑ +8% |
| Superior Ambetter | Ambetter Exchange | $3,412.50 | ↑ +8% |
| United Healthcare | Medicare Advantage | $3,552.49 | ↑ +13% |
| United Healthcare | Commercial Broad | $3,627.75 | ↑ +15% |
| First Health | PPO | $3,675.00 | ↑ +17% |
| Humana | Commercial PPO | $3,675.00 | ↑ +17% |
| HealthSmart | Accel Network | $3,675.00 | ↑ +17% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,806.24 | ↑ +21% |
| HealthSmart | Preferred Network | $3,937.50 | ↑ +25% |
| Private Health Care System | PHCS Network | $3,937.50 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $3,980.70 | ↑ +26% |
| Prime Health Services | Worker's Compensation | $3,999.73 | ↑ +27% |
| Sedgwick | Preferred Network | $4,741.95 | ↑ +51% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $5,233.59 | ↑ +66% |
| Blue Cross Blue Shield | Blue Advantage | $5,542.56 | ↑ +76% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $7,842.72 | ↑ +149% |
| Mark Cuban | Commercial | $7,896.23 | ↑ +151% |
| Blue Cross Blue Shield | City of Dallas | $10,530.86 | ↑ +234% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $11,112.83 | ↑ +253% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $11,694.80 | ↑ +271% |
Visitor-reported prices
Comments
Artery x-rays lung at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $3,150.00 | $129.98 – $7,896.23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,150.00 | $129.98 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,402.00 | $700.25 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,344.80 | $129.98 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,150.00 | $129.98 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,402.00 | $139.08 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,402.00 | $129.98 – $7,896.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,344.80 | $129.98 – $7,896.23 |