Ihc/icc per specimen initial single antibody stain at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$259.51
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.
$432.52
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.
$31.88 with Superior Health Plan vs $740.46 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 | $31.88 | ↓ -88% |
| United Healthcare | Medicaid/CHIP | $34.11 | ↓ -87% |
| United Healthcare | Charter | $35.00 | ↓ -87% |
| United Healthcare | Nexus | $35.00 | ↓ -87% |
| United Healthcare | Commercial Broad | $39.00 | ↓ -85% |
| Employers Health Network | BSWQA Direct/EHN Rental | $88.12 | ↓ -66% |
| Cigna | Local Plus | $92.44 | ↓ -64% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $92.44 | ↓ -64% |
| Aetna | Commercial | $103.12 | ↓ -60% |
| Employers Health Network | EHN Network | $103.12 | ↓ -60% |
| QuikTrip | Employee Benefit Plan | $103.12 | ↓ -60% |
| Cigna | HMO/PPO | $108.75 | ↓ -58% |
| Imagine Health | Commercial | $108.75 | ↓ -58% |
| University of Mary Hardin-Baylor | Commercial | $108.75 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $108.75 | ↓ -58% |
| Curative | Commercial | $121.88 | ↓ -53% |
| HealthSmart | Accel Network | $131.25 | ↓ -49% |
| First Health | PPO | $131.25 | ↓ -49% |
| Humana | Commercial PPO | $131.25 | ↓ -49% |
| HealthSmart | Preferred Network | $140.62 | ↓ -46% |
| Private Health Care System | PHCS Network | $140.62 | ↓ -46% |
| Baylor Scott & White Health Plan | Medicare Advantage | $162.59 | ↓ -37% |
| CORVEL | Worker's Compensation | $166.02 | ↓ -36% |
| TriWest | Community Care Network | $171.15 | ↓ -34% |
| Humana | Medicare | $171.15 | ↓ -34% |
| Aetna | Medicare Advantage | $171.15 | ↓ -34% |
| Blue Cross Blue Shield | Medicare Advantage | $179.71 | ↓ -31% |
| American Health Plan | Medicare Advantage | $179.71 | ↓ -31% |
| HealthSpring | Medicare Advantage | $179.71 | ↓ -31% |
| ProCare Advantage | Medicare Advantage | $179.71 | ↓ -31% |
| Superior Health Plan | Medicare | $179.71 | ↓ -31% |
| United Healthcare | Medicare Advantage | $191.69 | ↓ -26% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $205.38 | ↓ -21% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $214.79 | ↓ -17% |
| Prime Health Services | Worker's Compensation | $215.82 | ↓ -17% |
| Sedgwick | Preferred Network | $255.87 | ↓ -1% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $282.40 | ↑ +9% |
| Blue Cross Blue Shield | Blue Advantage | $350.14 | ↑ +35% |
| Superior Ambetter | Ambetter Exchange | $367.97 | ↑ +42% |
| Mark Cuban | Commercial | $423.12 | ↑ +63% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $496.51 | ↑ +91% |
| Blue Cross Blue Shield | City of Dallas | $665.84 | ↑ +157% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $703.15 | ↑ +171% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $740.46 | ↑ +185% |
Visitor-reported prices
Comments
Ihc/icc per specimen initial single antibody stain at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $259.51 | $24.07 – $423.12 |
| Adventhealth Rollins Brook | Lampasas | $541.08 | $552.48 – $552.48 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $259.51 | $31.88 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $351.07 | $23.16 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $351.07 | $22.50 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $259.51 | $30.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $351.07 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $351.07 | $26.00 – $423.12 |