R & l heart cath congenital at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$10,707.77
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.
$17,846.29
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.
$3,033.87 with Superior Health Plan vs $21,149.00 with United Healthcare — 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 | $3,033.87 | ↓ -72% |
| United Healthcare | Medicaid/CHIP | $3,246.24 | ↓ -70% |
| Blue Cross Blue Shield | Blue Advantage | $6,246.20 | ↓ -42% |
| Employers Health Network | BSWQA Direct/EHN Rental | $8,387.76 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $8,798.22 | ↓ -18% |
| Employers Health Network | EHN Network | $9,815.46 | ↓ -8% |
| Aetna | Commercial | $9,815.46 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $9,815.46 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $10,350.85 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $10,350.85 | ↓ -3% |
| Aetna | Medicare Advantage | $10,707.77 | ↑ +0% |
| Superior Ambetter | Ambetter Exchange | $11,600.09 | ↑ +8% |
| Curative | Commercial | $11,600.09 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $11,957.01 | ↑ +12% |
| Humana | Commercial PPO | $12,492.40 | ↑ +17% |
| First Health | PPO | $12,492.40 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $12,492.40 | ↑ +17% |
| HealthSmart | Accel Network | $12,492.40 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $13,206.25 | ↑ +23% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $13,206.25 | ↑ +23% |
| TriWest | Community Care Network | $13,384.72 | ↑ +25% |
| HealthSmart | Preferred Network | $13,384.72 | ↑ +25% |
| Private Health Care System | PHCS Network | $13,384.72 | ↑ +25% |
| CORVEL | Worker's Compensation | $15,169.35 | ↑ +42% |
| Cigna | Local Plus | $16,180.00 | ↑ +51% |
| United Healthcare | Charter | $19,034.00 | ↑ +78% |
| United Healthcare | Nexus | $19,034.00 | ↑ +78% |
| Cigna | HMO/PPO | $19,035.00 | ↑ +78% |
| United Healthcare | Commercial Broad | $21,149.00 | ↑ +98% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
R & l heart cath congenital at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $10,707.77 | $2,291.46 – $16,180.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,707.77 | $3,033.87 – $15,169.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,439.29 | $2,148.75 – $15,658.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,961.25 | $2,192.25 – $13,701.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,707.77 | $2,855.41 – $16,180.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,439.29 | $3,351.01 – $15,658.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,439.29 | $5,393.63 – $15,658.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,961.25 | $3,653.75 – $16,441.88 |