Infect ag na influenza r/amp 1st 2 types at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$390.44
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.
$650.73
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.
$10.00 with United Healthcare vs $494.33 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 | $10.00 | ↓ -97% |
| United Healthcare | Nexus | $10.00 | ↓ -97% |
| United Healthcare | Commercial Broad | $11.00 | ↓ -97% |
| Superior Health Plan | Medicaid | $80.47 | ↓ -79% |
| United Healthcare | Medicaid/CHIP | $86.10 | ↓ -78% |
| Baylor Scott & White Health Plan | Medicare Advantage | $91.01 | ↓ -77% |
| CORVEL | Worker's Compensation | $92.93 | ↓ -76% |
| Aetna | Medicare Advantage | $95.80 | ↓ -75% |
| Humana | Medicare | $95.80 | ↓ -75% |
| TriWest | Community Care Network | $95.80 | ↓ -75% |
| ProCare Advantage | Medicare Advantage | $100.59 | ↓ -74% |
| Superior Health Plan | Medicare | $100.59 | ↓ -74% |
| HealthSpring | Medicare Advantage | $100.59 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $100.59 | ↓ -74% |
| American Health Plan | Medicare Advantage | $100.59 | ↓ -74% |
| United Healthcare | Medicare Advantage | $107.30 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $114.96 | ↓ -71% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $120.23 | ↓ -69% |
| Prime Health Services | Worker's Compensation | $120.80 | ↓ -69% |
| Sedgwick | Preferred Network | $143.22 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $146.88 | ↓ -62% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $158.07 | ↓ -60% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $172.80 | ↓ -56% |
| Superior Ambetter | Ambetter Exchange | $205.97 | ↓ -47% |
| Mark Cuban | Commercial | $229.92 | ↓ -41% |
| Blue Cross Blue Shield | Blue Advantage | $233.75 | ↓ -40% |
| Employers Health Network | BSWQA Direct/EHN Rental | $305.84 | ↓ -22% |
| Cigna | Local Plus | $320.81 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $331.47 | ↓ -15% |
| Aetna | Commercial | $357.90 | ↓ -8% |
| Employers Health Network | EHN Network | $357.90 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $357.90 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $377.42 | ↓ -3% |
| Imagine Health | Commercial | $377.42 | ↓ -3% |
| Cigna | HMO/PPO | $377.42 | ↓ -3% |
| Curative | Commercial | $422.97 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $444.51 | ↑ +14% |
| First Health | PPO | $455.51 | ↑ +17% |
| Humana | Commercial PPO | $455.51 | ↑ +17% |
| HealthSmart | Accel Network | $455.51 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $469.42 | ↑ +20% |
| HealthSmart | Preferred Network | $488.05 | ↑ +25% |
| Private Health Care System | PHCS Network | $488.05 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $494.33 | ↑ +27% |
Visitor-reported prices
Comments
Infect ag na influenza r/amp 1st 2 types at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $390.44 | $10.00 – $488.05 |
| Adventhealth Rollins Brook | Lampasas | $295.47 | $86.22 – $368.83 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $390.44 | $10.00 – $488.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $137.07 | $12.00 – $229.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $137.07 | $12.00 – $229.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $390.44 | $10.00 – $488.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $137.07 | $12.00 – $229.92 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $137.07 | $8.00 – $229.92 |