Inj hrt cath w/s&i nonsel p-art angrp at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$2,613.24
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.
$4,355.40
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.
$740.42 with Superior Health Plan vs $17,181.00 with Aetna — 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 | $740.42 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $792.25 | ↓ -70% |
| United Healthcare | Charter | $1,896.00 | ↓ -27% |
| United Healthcare | Nexus | $1,896.00 | ↓ -27% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,047.04 | ↓ -22% |
| United Healthcare | Commercial Broad | $2,107.00 | ↓ -19% |
| Cigna | Local Plus | $2,147.21 | ↓ -18% |
| QuikTrip | Employee Benefit Plan | $2,395.47 | ↓ -8% |
| Employers Health Network | EHN Network | $2,395.47 | ↓ -8% |
| Cigna | HMO/PPO | $2,526.13 | ↓ -3% |
| Aetna | Medicare Advantage | $2,613.24 | ↑ +0% |
| Superior Ambetter | Ambetter Exchange | $2,831.01 | ↑ +8% |
| Curative | Commercial | $2,831.01 | ↑ +8% |
| Humana | Commercial PPO | $3,048.78 | ↑ +17% |
| First Health | PPO | $3,048.78 | ↑ +17% |
| HealthSmart | Accel Network | $3,048.78 | ↑ +17% |
| HealthSmart | Preferred Network | $3,266.55 | ↑ +25% |
| TriWest | Community Care Network | $3,266.55 | ↑ +25% |
| Private Health Care System | PHCS Network | $3,266.55 | ↑ +25% |
| CORVEL | Worker's Compensation | $3,702.09 | ↑ +42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $11,279.92 | ↑ +332% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $13,269.32 | ↑ +408% |
| University of Mary Hardin-Baylor | Commercial | $13,331.00 | ↑ +410% |
| Aetna | Commercial | $17,181.00 | ↑ +557% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Inj hrt cath w/s&i nonsel p-art angrp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $2,613.24 | $559.23 – $17,647.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,613.24 | $740.42 – $13,331.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,613.24 | $537.89 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,488.80 | $497.76 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,613.24 | $696.86 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,613.24 | $838.85 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,613.24 | $1,350.17 – $3,919.86 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,488.80 | $829.60 – $13,331.00 |