Autoimmune rheumatoid arthr anl 12 mrk ia at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$357.79
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.
$596.31
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.
$35.00 with United Healthcare vs $4,337.75 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 |
|---|---|---|---|
| United Healthcare | Nexus | $35.00 | ↓ -90% |
| United Healthcare | Charter | $35.00 | ↓ -90% |
| United Healthcare | Commercial Broad | $39.00 | ↓ -89% |
| Superior Health Plan | Medicaid | $101.37 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $108.47 | ↓ -70% |
| Employers Health Network | BSWQA Direct/EHN Rental | $280.27 | ↓ -22% |
| Cigna | Local Plus | $293.98 | ↓ -18% |
| QuikTrip | Employee Benefit Plan | $327.97 | ↓ -8% |
| Aetna | Commercial | $327.97 | ↓ -8% |
| Employers Health Network | EHN Network | $327.97 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $345.86 | ↓ -3% |
| Cigna | HMO/PPO | $345.86 | ↓ -3% |
| Imagine Health | Commercial | $345.86 | ↓ -3% |
| Curative | Commercial | $387.60 | ↑ +8% |
| HealthSmart | Accel Network | $417.42 | ↑ +17% |
| First Health | PPO | $417.42 | ↑ +17% |
| Humana | Commercial PPO | $417.42 | ↑ +17% |
| HealthSmart | Preferred Network | $447.23 | ↑ +25% |
| Private Health Care System | PHCS Network | $447.23 | ↑ +25% |
| Baylor Scott & White Health Plan | Medicare Advantage | $798.62 | ↑ +123% |
| CORVEL | Worker's Compensation | $815.43 | ↑ +128% |
| TriWest | Community Care Network | $840.65 | ↑ +135% |
| Aetna | Medicare Advantage | $840.65 | ↑ +135% |
| Humana | Medicare | $840.65 | ↑ +135% |
| American Health Plan | Medicare Advantage | $882.68 | ↑ +147% |
| Blue Cross Blue Shield | Medicare Advantage | $882.68 | ↑ +147% |
| HealthSpring | Medicare Advantage | $882.68 | ↑ +147% |
| ProCare Advantage | Medicare Advantage | $882.68 | ↑ +147% |
| Superior Health Plan | Medicare | $882.68 | ↑ +147% |
| United Healthcare | Medicare Advantage | $941.53 | ↑ +163% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,008.78 | ↑ +182% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,055.02 | ↑ +195% |
| Prime Health Services | Worker's Compensation | $1,060.06 | ↑ +196% |
| Sedgwick | Preferred Network | $1,256.77 | ↑ +251% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,286.73 | ↑ +260% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,387.07 | ↑ +288% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,513.80 | ↑ +323% |
| Superior Ambetter | Ambetter Exchange | $1,807.40 | ↑ +405% |
| Mark Cuban | Commercial | $2,017.56 | ↑ +464% |
| Blue Cross Blue Shield | Blue Advantage | $2,051.19 | ↑ +473% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,908.65 | ↑ +713% |
| Blue Cross Blue Shield | City of Dallas | $3,900.62 | ↑ +990% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $4,119.19 | ↑ +1051% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $4,337.75 | ↑ +1112% |
Visitor-reported prices
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Autoimmune rheumatoid arthr anl 12 mrk ia at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $357.79 | $35.00 – $2,017.56 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $357.79 | $35.00 – $1,807.40 |