Cell function assay w/stim at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$438.90
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.
$731.50
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 $701.04 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 | Charter | $10.00 | ↓ -98% |
| United Healthcare | Nexus | $10.00 | ↓ -98% |
| United Healthcare | Commercial Broad | $11.00 | ↓ -97% |
| Superior Health Plan | Medicaid | $114.12 | ↓ -74% |
| United Healthcare | Medicaid/CHIP | $122.11 | ↓ -72% |
| Baylor Scott & White Health Plan | Medicare Advantage | $129.07 | ↓ -71% |
| CORVEL | Worker's Compensation | $131.78 | ↓ -70% |
| TriWest | Community Care Network | $135.86 | ↓ -69% |
| Aetna | Medicare Advantage | $135.86 | ↓ -69% |
| Humana | Medicare | $135.86 | ↓ -69% |
| HealthSpring | Medicare Advantage | $142.65 | ↓ -67% |
| American Health Plan | Medicare Advantage | $142.65 | ↓ -67% |
| Blue Cross Blue Shield | Medicare Advantage | $142.65 | ↓ -67% |
| Superior Health Plan | Medicare | $142.65 | ↓ -67% |
| ProCare Advantage | Medicare Advantage | $142.65 | ↓ -67% |
| United Healthcare | Medicare Advantage | $152.16 | ↓ -65% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $163.03 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $170.50 | ↓ -61% |
| Prime Health Services | Worker's Compensation | $171.32 | ↓ -61% |
| Sedgwick | Preferred Network | $203.11 | ↓ -54% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $208.08 | ↓ -53% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $224.17 | ↓ -49% |
| Employers Health Network | BSWQA Direct/EHN Rental | $235.00 | ↓ -46% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $244.80 | ↓ -44% |
| Cigna | Local Plus | $246.50 | ↓ -44% |
| Aetna | Commercial | $275.00 | ↓ -37% |
| Employers Health Network | EHN Network | $275.00 | ↓ -37% |
| QuikTrip | Employee Benefit Plan | $275.00 | ↓ -37% |
| University of Mary Hardin-Baylor | Commercial | $290.00 | ↓ -34% |
| Imagine Health | Commercial | $290.00 | ↓ -34% |
| Cigna | HMO/PPO | $290.00 | ↓ -34% |
| Superior Ambetter | Ambetter Exchange | $292.10 | ↓ -33% |
| Curative | Commercial | $325.00 | ↓ -26% |
| Mark Cuban | Commercial | $326.06 | ↓ -26% |
| Blue Cross Blue Shield | Blue Advantage | $331.50 | ↓ -24% |
| HealthSmart | Accel Network | $350.00 | ↓ -20% |
| First Health | PPO | $350.00 | ↓ -20% |
| Humana | Commercial PPO | $350.00 | ↓ -20% |
| HealthSmart | Preferred Network | $375.00 | ↓ -15% |
| Private Health Care System | PHCS Network | $375.00 | ↓ -15% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $470.08 | ↑ +7% |
| Blue Cross Blue Shield | City of Dallas | $630.39 | ↑ +44% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $665.71 | ↑ +52% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $701.04 | ↑ +60% |
Visitor-reported prices
Comments
Cell function assay w/stim at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $438.90 | $10.00 – $375.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $438.90 | $10.00 – $375.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $492.41 | $12.00 – $450.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $448.39 | $12.00 – $375.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $438.90 | $10.00 – $375.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $492.41 | $12.00 – $450.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $492.41 | $8.00 – $450.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $448.39 | $12.00 – $450.00 |