Breath hydrogen test 91065 at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$548.19
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.
$913.65
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.
$155.32 with Superior Health Plan vs $2,107.00 with United Healthcare — 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 | $155.32 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $166.19 | ↓ -70% |
| Blue Cross Blue Shield | Blue Advantage | $203.57 | ↓ -63% |
| Baylor Scott & White Health Plan | Medicare Advantage | $206.06 | ↓ -62% |
| CORVEL | Worker's Compensation | $210.40 | ↓ -62% |
| Aetna | Medicare Advantage | $216.91 | ↓ -60% |
| TriWest | Community Care Network | $216.91 | ↓ -60% |
| Humana | Medicare | $216.91 | ↓ -60% |
| HealthSpring | Medicare Advantage | $227.76 | ↓ -58% |
| ProCare Advantage | Medicare Advantage | $227.76 | ↓ -58% |
| Superior Health Plan | Medicare | $227.76 | ↓ -58% |
| Blue Cross Blue Shield | Medicare Advantage | $227.76 | ↓ -58% |
| American Health Plan | Medicare Advantage | $227.76 | ↓ -58% |
| United Healthcare | Medicare Advantage | $242.94 | ↓ -56% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $260.29 | ↓ -53% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $272.22 | ↓ -50% |
| Prime Health Services | Worker's Compensation | $273.52 | ↓ -50% |
| Sedgwick | Preferred Network | $324.28 | ↓ -41% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $357.90 | ↓ -35% |
| Blue Cross Blue Shield | City of Dallas | $386.59 | ↓ -29% |
| Mark Cuban | Commercial | $386.96 | ↓ -29% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $407.14 | ↓ -26% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $408.47 | ↓ -25% |
| Employers Health Network | BSWQA Direct/EHN Rental | $429.42 | ↓ -22% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $429.69 | ↓ -22% |
| Cigna | Local Plus | $450.43 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $465.96 | ↓ -15% |
| Superior Ambetter | Ambetter Exchange | $466.36 | ↓ -15% |
| Aetna | Commercial | $502.51 | ↓ -8% |
| Employers Health Network | EHN Network | $502.51 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $502.51 | ↓ -8% |
| Cigna | HMO/PPO | $529.92 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $548.19 | ↑ +0% |
| Curative | Commercial | $593.87 | ↑ +8% |
| HealthSmart | Accel Network | $639.55 | ↑ +17% |
| First Health | PPO | $639.55 | ↑ +17% |
| Humana | Commercial PPO | $639.55 | ↑ +17% |
| Private Health Care System | PHCS Network | $685.24 | ↑ +25% |
| HealthSmart | Preferred Network | $685.24 | ↑ +25% |
| United Healthcare | Nexus | $1,896.00 | ↑ +246% |
| United Healthcare | Charter | $1,896.00 | ↑ +246% |
| United Healthcare | Commercial Broad | $2,107.00 | ↑ +284% |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
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Breath hydrogen test 91065 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $548.19 | $117.31 – $685.24 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $548.19 | $155.32 – $685.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $675.83 | $139.11 – $1,013.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $626.67 | $125.33 – $783.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $548.19 | $146.18 – $685.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $675.83 | $206.06 – $1,013.74 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $675.83 | $349.18 – $1,667.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $626.67 | $200.26 – $940.00 |