Cath combo lt&rt heart w/inj/s at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$16,367.53
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.
$27,279.22
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.
$3,093.86 with Baylor Scott & White Health Plan vs $30,271.00 with United Healthcare — 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 | $3,093.86 | ↓ -81% |
| CORVEL | Worker's Compensation | $3,159.00 | ↓ -81% |
| Humana | Medicare | $3,256.70 | ↓ -80% |
| Aetna | Medicare Advantage | $3,256.70 | ↓ -80% |
| TriWest | Community Care Network | $3,256.70 | ↓ -80% |
| HealthSpring | Medicare Advantage | $3,419.53 | ↓ -79% |
| Superior Health Plan | Medicare | $3,419.53 | ↓ -79% |
| Blue Cross Blue Shield | Medicare Advantage | $3,419.53 | ↓ -79% |
| ProCare Advantage | Medicare Advantage | $3,419.53 | ↓ -79% |
| American Health Plan | Medicare Advantage | $3,419.53 | ↓ -79% |
| United Healthcare | Medicaid/CHIP | $3,502.65 | ↓ -79% |
| United Healthcare | Medicare Advantage | $3,647.50 | ↓ -78% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,908.04 | ↓ -76% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $4,087.16 | ↓ -75% |
| Superior Health Plan | Medicaid | $4,091.88 | ↓ -75% |
| Prime Health Services | Worker's Compensation | $4,106.70 | ↓ -75% |
| Sedgwick | Preferred Network | $4,868.77 | ↓ -70% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $5,373.56 | ↓ -67% |
| Superior Ambetter | Ambetter Exchange | $7,001.90 | ↓ -57% |
| Mark Cuban | Commercial | $8,072.30 | ↓ -51% |
| Blue Cross Blue Shield | Blue Advantage | $10,544.82 | ↓ -36% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $11,279.92 | ↓ -31% |
| Employers Health Network | BSWQA Direct/EHN Rental | $12,821.23 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $13,269.32 | ↓ -19% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $14,933.74 | ↓ -9% |
| QuikTrip | Employee Benefit Plan | $15,003.57 | ↓ -8% |
| Employers Health Network | EHN Network | $15,003.57 | ↓ -8% |
| Cigna | Local Plus | $16,180.00 | ↓ -1% |
| University of Mary Hardin-Baylor | Commercial | $17,647.00 | ↑ +8% |
| Curative | Commercial | $17,731.49 | ↑ +8% |
| Cigna | HMO/PPO | $19,035.00 | ↑ +16% |
| HealthSmart | Accel Network | $19,095.45 | ↑ +17% |
| First Health | PPO | $19,095.45 | ↑ +17% |
| Humana | Commercial PPO | $19,095.45 | ↑ +17% |
| Blue Cross Blue Shield | City of Dallas | $20,063.65 | ↑ +23% |
| Private Health Care System | PHCS Network | $20,459.42 | ↑ +25% |
| HealthSmart | Preferred Network | $20,459.42 | ↑ +25% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $21,175.13 | ↑ +29% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $22,286.61 | ↑ +36% |
| Aetna | Commercial | $22,906.00 | ↑ +40% |
| United Healthcare | Charter | $27,244.00 | ↑ +66% |
| United Healthcare | Nexus | $27,244.00 | ↑ +66% |
| United Healthcare | Commercial Broad | $30,271.00 | ↑ +85% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Cath combo lt&rt heart w/inj/s at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $16,367.53 | $3,093.86 – $20,459.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,367.53 | $3,093.86 – $20,459.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16,367.14 | $3,368.90 – $24,550.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,032.14 | $2,406.43 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,367.53 | $3,093.86 – $20,459.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $16,367.14 | $3,093.86 – $24,550.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $16,367.14 | $8,072.30 – $24,550.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $12,032.14 | $3,093.86 – $18,048.20 |