Clsd tx/metacarpal fx/sng/w manip 26605 at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$908.24
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.
$1,513.74
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.
$85.32 with Superior Health Plan vs $1,135.31 with Private Health Care System — 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 | $85.32 | ↓ -91% |
| United Healthcare | Medicaid/CHIP | $91.29 | ↓ -90% |
| Baylor Scott & White Health Plan | Medicare Advantage | $235.40 | ↓ -74% |
| CORVEL | Worker's Compensation | $240.36 | ↓ -74% |
| Humana | Medicare | $247.79 | ↓ -73% |
| TriWest | Community Care Network | $247.79 | ↓ -73% |
| Aetna | Medicare Advantage | $247.79 | ↓ -73% |
| American Health Plan | Medicare Advantage | $260.18 | ↓ -71% |
| Blue Cross Blue Shield | Medicare Advantage | $260.18 | ↓ -71% |
| Superior Health Plan | Medicare | $260.18 | ↓ -71% |
| HealthSpring | Medicare Advantage | $260.18 | ↓ -71% |
| ProCare Advantage | Medicare Advantage | $260.18 | ↓ -71% |
| United Healthcare | Medicare Advantage | $277.52 | ↓ -69% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $297.35 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $310.98 | ↓ -66% |
| Prime Health Services | Worker's Compensation | $312.46 | ↓ -66% |
| Blue Cross Blue Shield | Blue Advantage | $364.43 | ↓ -60% |
| Sedgwick | Preferred Network | $370.45 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $408.85 | ↓ -55% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $515.38 | ↓ -43% |
| Superior Ambetter | Ambetter Exchange | $532.75 | ↓ -41% |
| Mark Cuban | Commercial | $584.19 | ↓ -36% |
| Blue Cross Blue Shield | City of Dallas | $692.20 | ↓ -24% |
| Employers Health Network | BSWQA Direct/EHN Rental | $711.46 | ↓ -22% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $731.02 | ↓ -20% |
| Cigna | Local Plus | $746.27 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $746.27 | ↓ -18% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $769.83 | ↓ -15% |
| Employers Health Network | EHN Network | $832.56 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $832.56 | ↓ -8% |
| Aetna | Commercial | $832.56 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $877.97 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $877.97 | ↓ -3% |
| Imagine Health | Commercial | $877.97 | ↓ -3% |
| Cigna | HMO/PPO | $877.97 | ↓ -3% |
| United Healthcare | Charter | $941.39 | ↑ +4% |
| United Healthcare | Nexus | $941.39 | ↑ +4% |
| Curative | Commercial | $983.93 | ↑ +8% |
| United Healthcare | Commercial Broad | $1,045.99 | ↑ +15% |
| First Health | PPO | $1,059.62 | ↑ +17% |
| Humana | Commercial PPO | $1,059.62 | ↑ +17% |
| HealthSmart | Accel Network | $1,135.31 | ↑ +25% |
| HealthSmart | Preferred Network | $1,135.31 | ↑ +25% |
| Private Health Care System | PHCS Network | $1,135.31 | ↑ +25% |
Visitor-reported prices
Comments
Clsd tx/metacarpal fx/sng/w manip 26605 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $908.24 | $85.32 – $1,135.31 |
| Adventhealth Rollins Brook | Lampasas | $1,445.05 | $269.55 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $908.24 | $85.32 – $1,135.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $657.22 | $71.00 – $985.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $548.92 | $71.00 – $686.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $908.24 | $85.32 – $1,135.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $657.22 | $85.00 – $985.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $657.22 | $85.32 – $985.83 |