Observation per hour at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$107.81
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.
$179.69
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.
$30.55 with Superior Health Plan vs $824.39 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 | $30.55 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $32.69 | ↓ -70% |
| Employers Health Network | BSWQA Direct/EHN Rental | $84.45 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $88.59 | ↓ -18% |
| Cigna | Local Plus | $88.59 | ↓ -18% |
| QuikTrip | Employee Benefit Plan | $98.83 | ↓ -8% |
| Employers Health Network | EHN Network | $98.83 | ↓ -8% |
| Aetna | Commercial | $98.83 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $104.22 | ↓ -3% |
| Cigna | HMO/PPO | $104.22 | ↓ -3% |
| Imagine Health | Commercial | $104.22 | ↓ -3% |
| Aetna | Medicare Advantage | $107.81 | ↑ +0% |
| Curative | Commercial | $116.80 | ↑ +8% |
| Superior Ambetter | Ambetter Exchange | $116.80 | ↑ +8% |
| First Health | PPO | $125.78 | ↑ +17% |
| Humana | Commercial PPO | $125.78 | ↑ +17% |
| HealthSmart | Accel Network | $125.78 | ↑ +17% |
| Private Health Care System | PHCS Network | $134.77 | ↑ +25% |
| TriWest | Community Care Network | $134.77 | ↑ +25% |
| HealthSmart | Preferred Network | $134.77 | ↑ +25% |
| CORVEL | Worker's Compensation | $152.74 | ↑ +42% |
| Blue Cross Blue Shield | Blue Advantage | $390.57 | ↑ +262% |
| Blue Cross Blue Shield | City of Dallas | $741.69 | ↑ +588% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $781.13 | ↑ +625% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $783.68 | ↑ +627% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $824.39 | ↑ +665% |
| United Healthcare | Nexus | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| United Healthcare | Charter | not published by hospital | — |
| United Healthcare | Commercial Broad | not published by hospital | — |
Visitor-reported prices
Comments
Observation per hour at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $107.81 | $23.07 – $390.57 |
| Adventhealth Rollins Brook | Lampasas | $644.35 | $489.80 – $489.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $82.93 | $27.64 – $384.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $107.81 | $50.31 – $390.57 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $82.93 | $20.73 – $384.20 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $107.81 | $19.77 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $82.93 | $15.20 – $384.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $107.81 | $21.56 – $390.57 |