Gi tract capsule endoscopy (pillcam) 91110 at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$2,418.92
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.
$4,031.53
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.
$732.90 with Superior Health Plan vs $4,934.58 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 | $732.90 | ↓ -70% |
| United Healthcare | Medicaid/CHIP | $784.20 | ↓ -68% |
| Baylor Scott & White Health Plan | Medicare Advantage | $865.56 | ↓ -64% |
| CORVEL | Worker's Compensation | $883.79 | ↓ -63% |
| Humana | Medicare | $911.12 | ↓ -62% |
| TriWest | Community Care Network | $911.12 | ↓ -62% |
| Aetna | Medicare Advantage | $911.12 | ↓ -62% |
| American Health Plan | Medicare Advantage | $956.68 | ↓ -60% |
| Blue Cross Blue Shield | Medicare Advantage | $956.68 | ↓ -60% |
| ProCare Advantage | Medicare Advantage | $956.68 | ↓ -60% |
| Superior Health Plan | Medicare | $956.68 | ↓ -60% |
| HealthSpring | Medicare Advantage | $956.68 | ↓ -60% |
| United Healthcare | Medicare Advantage | $1,020.45 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,093.34 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,143.46 | ↓ -53% |
| Prime Health Services | Worker's Compensation | $1,148.92 | ↓ -53% |
| Sedgwick | Preferred Network | $1,362.12 | ↓ -44% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,503.35 | ↓ -38% |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,894.82 | ↓ -22% |
| Superior Ambetter | Ambetter Exchange | $1,958.91 | ↓ -19% |
| Cigna | Local Plus | $1,987.54 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $2,056.08 | ↓ -15% |
| QuikTrip | Employee Benefit Plan | $2,217.34 | ↓ -8% |
| Employers Health Network | EHN Network | $2,217.34 | ↓ -8% |
| Aetna | Commercial | $2,217.34 | ↓ -8% |
| Mark Cuban | Commercial | $2,245.59 | ↓ -7% |
| Blue Cross Blue Shield | Blue Advantage | $2,337.84 | ↓ -3% |
| Cigna | HMO/PPO | $2,338.29 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $2,418.92 | ↑ +0% |
| Curative | Commercial | $2,620.49 | ↑ +8% |
| Humana | Commercial PPO | $2,822.07 | ↑ +17% |
| HealthSmart | Accel Network | $2,822.07 | ↑ +17% |
| First Health | PPO | $2,822.07 | ↑ +17% |
| United Healthcare | Charter | $2,850.00 | ↑ +18% |
| United Healthcare | Nexus | $2,850.00 | ↑ +18% |
| Private Health Care System | PHCS Network | $3,023.65 | ↑ +25% |
| HealthSmart | Preferred Network | $3,023.65 | ↑ +25% |
| United Healthcare | Commercial Broad | $3,167.00 | ↑ +31% |
| Blue Cross Blue Shield | City of Dallas | $4,439.60 | ↑ +84% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $4,675.67 | ↑ +93% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $4,690.90 | ↑ +94% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $4,934.58 | ↑ +104% |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
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Gi tract capsule endoscopy (pillcam) 91110 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $2,418.92 | $732.90 – $3,023.65 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,418.92 | $732.90 – $3,023.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,992.73 | $410.17 – $2,989.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,539.87 | $732.90 – $3,174.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,418.92 | $732.90 – $3,023.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,992.73 | $784.20 – $2,989.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,992.73 | $732.90 – $2,989.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,539.87 | $732.90 – $3,809.80 |