Rp loclzj tum spect w/ct 2 at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$3,814.88
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.
$6,358.14
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.
$823.96 with Superior Health Plan vs $4,768.60 with HealthSmart — 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 | $823.96 | ↓ -78% |
| United Healthcare | Medicaid/CHIP | $881.64 | ↓ -77% |
| Baylor Scott & White Health Plan | Medicare Advantage | $1,364.64 | ↓ -64% |
| CORVEL | Worker's Compensation | $1,393.37 | ↓ -63% |
| Humana | Medicare | $1,436.46 | ↓ -62% |
| TriWest | Community Care Network | $1,436.46 | ↓ -62% |
| Aetna | Medicare Advantage | $1,436.46 | ↓ -62% |
| ProCare Advantage | Medicare Advantage | $1,508.28 | ↓ -60% |
| Blue Cross Blue Shield | Medicare Advantage | $1,508.28 | ↓ -60% |
| Superior Health Plan | Medicare | $1,508.28 | ↓ -60% |
| American Health Plan | Medicare Advantage | $1,508.28 | ↓ -60% |
| HealthSpring | Medicare Advantage | $1,508.28 | ↓ -60% |
| United Healthcare | Medicare Advantage | $1,608.84 | ↓ -58% |
| Blue Cross Blue Shield | Blue Advantage | $1,699.60 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,723.75 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,802.76 | ↓ -53% |
| Prime Health Services | Worker's Compensation | $1,811.38 | ↓ -53% |
| Sedgwick | Preferred Network | $2,147.51 | ↓ -44% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $2,370.16 | ↓ -38% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,404.93 | ↓ -37% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2,988.33 | ↓ -22% |
| Superior Ambetter | Ambetter Exchange | $3,088.39 | ↓ -19% |
| Cigna | Local Plus | $3,134.56 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $3,134.56 | ↓ -18% |
| Blue Cross Blue Shield | City of Dallas | $3,229.24 | ↓ -15% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,407.70 | ↓ -11% |
| QuikTrip | Employee Benefit Plan | $3,496.98 | ↓ -8% |
| Employers Health Network | EHN Network | $3,496.98 | ↓ -8% |
| Aetna | Commercial | $3,496.98 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,586.16 | ↓ -6% |
| Imagine Health | Commercial | $3,687.72 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $3,687.72 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $3,687.72 | ↓ -3% |
| Cigna | HMO/PPO | $3,687.72 | ↓ -3% |
| Mark Cuban | Commercial | $3,875.56 | ↑ +2% |
| United Healthcare | Nexus | $3,954.13 | ↑ +4% |
| United Healthcare | Charter | $3,954.13 | ↑ +4% |
| Curative | Commercial | $4,132.79 | ↑ +8% |
| United Healthcare | Commercial Broad | $4,393.47 | ↑ +15% |
| HealthSmart | Accel Network | $4,450.70 | ↑ +17% |
| First Health | PPO | $4,450.70 | ↑ +17% |
| Humana | Commercial PPO | $4,450.70 | ↑ +17% |
| Private Health Care System | PHCS Network | $4,768.60 | ↑ +25% |
| HealthSmart | Preferred Network | $4,768.60 | ↑ +25% |
Visitor-reported prices
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Rp loclzj tum spect w/ct 2 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $3,814.88 | $823.96 – $4,768.60 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,814.88 | $823.96 – $4,768.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,992.77 | $616.01 – $4,489.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,513.45 | $823.96 – $3,875.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,814.88 | $823.96 – $4,768.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,992.77 | $881.64 – $4,489.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,992.77 | $823.96 – $4,489.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,513.45 | $823.96 – $3,875.56 |