Ultrasound exam k transpl w/doppler at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$684.31
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.
$1,140.51
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.
$99.77 with Baylor Scott & White Health Plan vs $969.43 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $99.77 | ↓ -85% |
| CORVEL | Worker's Compensation | $101.87 | ↓ -85% |
| Superior Health Plan | Medicaid | $104.75 | ↓ -85% |
| Humana | Medicare | $105.02 | ↓ -85% |
| TriWest | Community Care Network | $105.02 | ↓ -85% |
| Aetna | Medicare Advantage | $105.02 | ↓ -85% |
| Superior Health Plan | Medicare | $110.27 | ↓ -84% |
| Blue Cross Blue Shield | Medicare Advantage | $110.27 | ↓ -84% |
| American Health Plan | Medicare Advantage | $110.27 | ↓ -84% |
| ProCare Advantage | Medicare Advantage | $110.27 | ↓ -84% |
| HealthSpring | Medicare Advantage | $110.27 | ↓ -84% |
| United Healthcare | Medicaid/CHIP | $112.08 | ↓ -84% |
| United Healthcare | Medicare Advantage | $117.62 | ↓ -83% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $126.02 | ↓ -82% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $131.80 | ↓ -81% |
| Prime Health Services | Worker's Compensation | $132.43 | ↓ -81% |
| Sedgwick | Preferred Network | $157.00 | ↓ -77% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $173.28 | ↓ -75% |
| Superior Ambetter | Ambetter Exchange | $225.79 | ↓ -67% |
| Mark Cuban | Commercial | $272.35 | ↓ -60% |
| Cigna | Local Plus | $562.27 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $562.27 | ↓ -18% |
| Imagine Health | Commercial | $627.28 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $627.28 | ↓ -8% |
| Aetna | Commercial | $627.28 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $661.50 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $661.50 | ↓ -3% |
| Cigna | HMO/PPO | $661.50 | ↓ -3% |
| United Healthcare | Charter | $709.28 | ↑ +4% |
| United Healthcare | Nexus | $709.28 | ↑ +4% |
| Curative | Commercial | $741.33 | ↑ +8% |
| United Healthcare | Commercial Broad | $788.09 | ↑ +15% |
| HealthSmart | Accel Network | $798.36 | ↑ +17% |
| First Health | PPO | $798.36 | ↑ +17% |
| Humana | Commercial PPO | $798.36 | ↑ +17% |
| Private Health Care System | PHCS Network | $855.38 | ↑ +25% |
| HealthSmart | Preferred Network | $969.43 | ↑ +42% |
| Blue Cross Blue Shield | Blue Advantage | not published by hospital | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | not published by hospital | — |
| Employers Health Network | EHN Network | not published by hospital | — |
| Blue Cross Blue Shield | City of Dallas | not published by hospital | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | not published by hospital | — |
| Employers Health Network | BSWQA Direct/EHN Rental | not published by hospital | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | not published by hospital | — |
Visitor-reported prices
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Ultrasound exam k transpl w/doppler at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $684.31 | $99.77 – $855.38 |
| Adventhealth Rollins Brook | Lampasas | $2,288.27 | $431.51 – $431.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $684.31 | $99.77 – $855.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $618.88 | $127.39 – $928.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $601.20 | $99.77 – $751.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $684.31 | $99.77 – $855.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $618.88 | $99.77 – $928.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $618.88 | $104.75 – $928.31 |