Genome sequence analysis at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$7,500.00
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.
$12,500.00
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.
$35.00 with United Healthcare vs $25,960.99 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 | Charter | $35.00 | ↓ -100% |
| United Healthcare | Nexus | $35.00 | ↓ -100% |
| United Healthcare | Commercial Broad | $39.00 | ↓ -99% |
| Superior Health Plan | Medicaid | $616.25 | ↓ -92% |
| United Healthcare | Medicaid/CHIP | $659.39 | ↓ -91% |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,703.75 | ↓ -77% |
| Cigna | Local Plus | $1,787.12 | ↓ -76% |
| Aetna | Commercial | $1,993.75 | ↓ -73% |
| Employers Health Network | EHN Network | $1,993.75 | ↓ -73% |
| QuikTrip | Employee Benefit Plan | $1,993.75 | ↓ -73% |
| University of Mary Hardin-Baylor | Commercial | $2,102.50 | ↓ -72% |
| Imagine Health | Commercial | $2,102.50 | ↓ -72% |
| Cigna | HMO/PPO | $2,102.50 | ↓ -72% |
| Curative | Commercial | $2,356.25 | ↓ -69% |
| HealthSmart | Accel Network | $2,537.50 | ↓ -66% |
| First Health | PPO | $2,537.50 | ↓ -66% |
| Humana | Commercial PPO | $2,537.50 | ↓ -66% |
| Private Health Care System | PHCS Network | $2,718.75 | ↓ -64% |
| HealthSmart | Preferred Network | $2,718.75 | ↓ -64% |
| Baylor Scott & White Health Plan | Medicare Advantage | $4,779.64 | ↓ -36% |
| CORVEL | Worker's Compensation | $4,880.26 | ↓ -35% |
| Aetna | Medicare Advantage | $5,031.20 | ↓ -33% |
| TriWest | Community Care Network | $5,031.20 | ↓ -33% |
| Humana | Medicare | $5,031.20 | ↓ -33% |
| Blue Cross Blue Shield | Medicare Advantage | $5,282.76 | ↓ -30% |
| Superior Health Plan | Medicare | $5,282.76 | ↓ -30% |
| ProCare Advantage | Medicare Advantage | $5,282.76 | ↓ -30% |
| HealthSpring | Medicare Advantage | $5,282.76 | ↓ -30% |
| American Health Plan | Medicare Advantage | $5,282.76 | ↓ -30% |
| United Healthcare | Medicare Advantage | $5,634.94 | ↓ -25% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $6,037.44 | ↓ -20% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $6,314.16 | ↓ -16% |
| Prime Health Services | Worker's Compensation | $6,344.34 | ↓ -15% |
| Sedgwick | Preferred Network | $7,521.64 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $7,697.43 | ↑ +3% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $8,301.48 | ↑ +11% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $9,055.80 | ↑ +21% |
| Superior Ambetter | Ambetter Exchange | $10,817.08 | ↑ +44% |
| Mark Cuban | Commercial | $12,074.88 | ↑ +61% |
| Blue Cross Blue Shield | Blue Advantage | $12,276.13 | ↑ +64% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $17,407.95 | ↑ +132% |
| Blue Cross Blue Shield | City of Dallas | $23,344.77 | ↑ +211% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $24,652.88 | ↑ +229% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $25,960.99 | ↑ +246% |
Visitor-reported prices
Comments
Genome sequence analysis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $7,500.00 | $35.00 – $12,074.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $7,500.00 | $35.00 – $12,074.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,500.00 | $36.00 – $12,074.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,500.00 | $36.00 – $12,074.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $7,500.00 | $35.00 – $12,074.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,500.00 | $36.00 – $12,074.88 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,500.00 | $26.00 – $12,074.88 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,500.00 | $36.00 – $12,074.88 |