Biopsy/removal lymph nodes at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$4,196.54
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.
$6,994.24
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.
$963.66 with Superior Health Plan vs $9,442.65 with Mark Cuban — 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 | $963.66 | ↓ -77% |
| United Healthcare | Medicaid/CHIP | $1,031.12 | ↓ -75% |
| HealthSmart | Accel Network | $2,416.00 | ↓ -42% |
| Blue Cross Blue Shield | Blue Advantage | $2,587.87 | ↓ -38% |
| Employers Health Network | BSWQA Direct/EHN Rental | $3,287.29 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $3,448.16 | ↓ -18% |
| Cigna | Local Plus | $3,448.16 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,637.00 | ↓ -13% |
| Baylor Scott & White Health Plan | Medicare Advantage | $3,736.62 | ↓ -11% |
| CORVEL | Worker's Compensation | $3,815.28 | ↓ -9% |
| Aetna | Commercial | $3,846.83 | ↓ -8% |
| Employers Health Network | EHN Network | $3,846.83 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $3,846.83 | ↓ -8% |
| Humana | Medicare | $3,933.28 | ↓ -6% |
| Aetna | Medicare Advantage | $3,933.28 | ↓ -6% |
| TriWest | Community Care Network | $3,933.28 | ↓ -6% |
| Cigna | HMO/PPO | $4,056.66 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $4,056.66 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $4,056.66 | ↓ -3% |
| Imagine Health | Commercial | $4,056.66 | ↓ -3% |
| HealthSpring | Medicare Advantage | $4,129.94 | ↓ -2% |
| ProCare Advantage | Medicare Advantage | $4,129.94 | ↓ -2% |
| Blue Cross Blue Shield | Medicare Advantage | $4,129.94 | ↓ -2% |
| Superior Health Plan | Medicare | $4,129.94 | ↓ -2% |
| American Health Plan | Medicare Advantage | $4,129.94 | ↓ -2% |
| United Healthcare | Charter | $4,349.72 | ↑ +4% |
| United Healthcare | Nexus | $4,349.72 | ↑ +4% |
| United Healthcare | Medicare Advantage | $4,405.27 | ↑ +5% |
| Curative | Commercial | $4,546.26 | ↑ +8% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $4,719.94 | ↑ +12% |
| United Healthcare | Commercial Broad | $4,833.02 | ↑ +15% |
| Humana | Commercial PPO | $4,895.97 | ↑ +17% |
| First Health | PPO | $4,895.97 | ↑ +17% |
| Blue Cross Blue Shield | City of Dallas | $4,895.97 | ↑ +17% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $4,936.27 | ↑ +18% |
| Prime Health Services | Worker's Compensation | $4,959.87 | ↑ +18% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $5,175.74 | ↑ +23% |
| HealthSmart | Preferred Network | $5,245.68 | ↑ +25% |
| Private Health Care System | PHCS Network | $5,245.68 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $5,455.51 | ↑ +30% |
| Sedgwick | Preferred Network | $5,880.25 | ↑ +40% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $6,489.91 | ↑ +55% |
| Superior Ambetter | Ambetter Exchange | $8,456.55 | ↑ +102% |
| Mark Cuban | Commercial | $9,442.65 | ↑ +125% |
Visitor-reported prices
Comments
Biopsy/removal lymph nodes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $4,196.54 | $963.66 – $9,442.65 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,196.54 | $963.66 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,302.03 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,529.65 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,196.54 | $963.66 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,302.03 | $85.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,302.03 | $963.66 – $9,442.65 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,529.65 | $71.00 – $9,442.65 |