Unlisted laparoscopy procedure biliary tract 47579 at BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY
5252 W. University Drive, McKinney, TX · Baylor Scott & White Health · · NPI 1124305065
$9,492.80
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.
$15,821.34
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.
$3,955.34 with United Healthcare vs $17,256.34 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 |
|---|---|---|---|
| United Healthcare | Medicaid/CHIP | $3,955.34 | ↓ -58% |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,769.43 | ↓ -39% |
| CORVEL | Worker's Compensation | $5,890.89 | ↓ -38% |
| Aetna | Medicare Advantage | $6,073.08 | ↓ -36% |
| TriWest | Community Care Network | $6,073.08 | ↓ -36% |
| Humana | Medicare | $6,073.08 | ↓ -36% |
| HealthSpring | Medicare Advantage | $6,376.73 | ↓ -33% |
| Blue Cross Blue Shield | Medicare Advantage | $6,376.73 | ↓ -33% |
| ProCare Advantage | Medicare Advantage | $6,376.73 | ↓ -33% |
| Superior Health Plan | Medicare | $6,376.73 | ↓ -33% |
| American Health Plan | Medicare Advantage | $6,376.73 | ↓ -33% |
| United Healthcare | Medicare Advantage | $6,801.85 | ↓ -28% |
| Cigna | Local Plus | $7,038.00 | ↓ -26% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $7,287.70 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $7,436.03 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $7,621.72 | ↓ -20% |
| Prime Health Services | Worker's Compensation | $7,658.15 | ↓ -19% |
| United Healthcare | Charter | $7,711.00 | ↓ -19% |
| United Healthcare | Nexus | $7,711.00 | ↓ -19% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $8,068.88 | ↓ -15% |
| Blue Cross Blue Shield | Blue Advantage | $8,168.97 | ↓ -14% |
| Cigna | HMO/PPO | $8,280.00 | ↓ -13% |
| United Healthcare | Commercial Broad | $8,568.00 | ↓ -10% |
| Aetna | Commercial | $8,701.74 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $8,701.74 | ↓ -8% |
| Employers Health Network | EHN Network | $8,701.74 | ↓ -8% |
| Sedgwick | Preferred Network | $9,079.25 | ↓ -4% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $9,492.80 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $10,020.58 | ↑ +6% |
| Curative | Commercial | $10,283.87 | ↑ +8% |
| First Health | PPO | $11,074.94 | ↑ +17% |
| Humana | Commercial PPO | $11,074.94 | ↑ +17% |
| HealthSmart | Accel Network | $11,074.94 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $11,552.57 | ↑ +22% |
| HealthSmart | Preferred Network | $11,866.00 | ↑ +25% |
| Private Health Care System | PHCS Network | $11,866.00 | ↑ +25% |
| Superior Ambetter | Ambetter Exchange | $13,057.12 | ↑ +38% |
| Mark Cuban | Commercial | $14,293.73 | ↑ +51% |
| Blue Cross Blue Shield | City of Dallas | $15,516.21 | ↑ +63% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $16,386.28 | ↑ +73% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $17,256.34 | ↑ +82% |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
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Unlisted laparoscopy procedure biliary tract 47579 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $9,492.80 | $3,955.34 – $14,293.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $9,492.80 | $3,955.34 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,299.35 | $746.85 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,492.80 | $1,511.84 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $9,492.80 | $3,955.34 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,299.35 | $1,511.84 – $14,293.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,299.35 | $3,326.04 – $14,293.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $9,492.80 | $1,511.84 – $14,293.73 |