Acetylcholine receptor modulating antibody at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$469.10
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.
$781.83
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.
$10.00 with United Healthcare vs $73.12 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 |
|---|---|---|---|
| United Healthcare | Charter | $10.00 | ↓ -98% |
| United Healthcare | Nexus | $10.00 | ↓ -98% |
| Superior Health Plan | Medicaid | $10.12 | ↓ -98% |
| United Healthcare | Medicaid/CHIP | $10.83 | ↓ -98% |
| United Healthcare | Commercial Broad | $11.00 | ↓ -98% |
| Baylor Scott & White Health Plan | Medicare Advantage | $11.45 | ↓ -98% |
| CORVEL | Worker's Compensation | $11.69 | ↓ -98% |
| TriWest | Community Care Network | $12.05 | ↓ -97% |
| Aetna | Medicare Advantage | $12.05 | ↓ -97% |
| Humana | Medicare | $12.05 | ↓ -97% |
| ProCare Advantage | Medicare Advantage | $12.65 | ↓ -97% |
| American Health Plan | Medicare Advantage | $12.65 | ↓ -97% |
| Blue Cross Blue Shield | Medicare Advantage | $12.65 | ↓ -97% |
| Superior Health Plan | Medicare | $12.65 | ↓ -97% |
| HealthSpring | Medicare Advantage | $12.65 | ↓ -97% |
| United Healthcare | Medicare Advantage | $13.50 | ↓ -97% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $14.46 | ↓ -97% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $15.12 | ↓ -97% |
| Prime Health Services | Worker's Compensation | $15.20 | ↓ -97% |
| Sedgwick | Preferred Network | $18.01 | ↓ -96% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $18.36 | ↓ -96% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $19.88 | ↓ -96% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $21.60 | ↓ -95% |
| Superior Ambetter | Ambetter Exchange | $25.91 | ↓ -94% |
| Mark Cuban | Commercial | $28.92 | ↓ -94% |
| Blue Cross Blue Shield | Blue Advantage | $34.12 | ↓ -93% |
| Employers Health Network | BSWQA Direct/EHN Rental | $45.83 | ↓ -90% |
| Cigna | Local Plus | $48.07 | ↓ -90% |
| Aetna | Commercial | $53.62 | ↓ -89% |
| Employers Health Network | EHN Network | $53.62 | ↓ -89% |
| QuikTrip | Employee Benefit Plan | $53.62 | ↓ -89% |
| Imagine Health | Commercial | $56.55 | ↓ -88% |
| University of Mary Hardin-Baylor | Commercial | $56.55 | ↓ -88% |
| Cigna | HMO/PPO | $56.55 | ↓ -88% |
| Curative | Commercial | $63.38 | ↓ -86% |
| Blue Cross Blue Shield | City of Dallas | $65.33 | ↓ -86% |
| First Health | PPO | $68.25 | ↓ -85% |
| Humana | Commercial PPO | $68.25 | ↓ -85% |
| HealthSmart | Accel Network | $68.25 | ↓ -85% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $68.25 | ↓ -85% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $72.15 | ↓ -85% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $72.15 | ↓ -85% |
| Private Health Care System | PHCS Network | $73.12 | ↓ -84% |
| HealthSmart | Preferred Network | $73.12 | ↓ -84% |
Visitor-reported prices
Comments
Acetylcholine receptor modulating antibody at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $469.10 | $10.00 – $73.12 |
| Adventhealth Rollins Brook | Lampasas | $149.46 | $10.85 – $46.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $469.10 | $10.00 – $73.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $469.10 | $12.00 – $87.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $469.10 | $10.12 – $73.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $469.10 | $10.00 – $73.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $469.10 | $10.83 – $87.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $469.10 | $8.00 – $87.75 |