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Drainage of kidney lesion at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$1,719.93
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.
$2,866.55
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.
$257.60 with Superior Health Plan vs $2,177.74 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $257.60 | ↓ -85% |
| United Healthcare | Medicaid/CHIP | $275.63 | ↓ -84% |
| Baylor Scott & White Health Plan | Medicare Advantage | $675.79 | ↓ -61% |
| CORVEL | Worker's Compensation | $690.02 | ↓ -60% |
| Humana | Medicare | $711.36 | ↓ -59% |
| TriWest | Community Care Network | $711.36 | ↓ -59% |
| Aetna | Medicare Advantage | $711.36 | ↓ -59% |
| American Health Plan | Medicare Advantage | $746.93 | ↓ -57% |
| Superior Health Plan | Medicare | $746.93 | ↓ -57% |
| ProCare Advantage | Medicare Advantage | $746.93 | ↓ -57% |
| Blue Cross Blue Shield | Medicare Advantage | $746.93 | ↓ -57% |
| HealthSpring | Medicare Advantage | $746.93 | ↓ -57% |
| United Healthcare | Medicare Advantage | $796.72 | ↓ -54% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $853.63 | ↓ -50% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $892.76 | ↓ -48% |
| Prime Health Services | Worker's Compensation | $897.02 | ↓ -48% |
| Blue Cross Blue Shield | Blue Advantage | $1,030.92 | ↓ -40% |
| Sedgwick | Preferred Network | $1,063.48 | ↓ -38% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,173.74 | ↓ -32% |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,347.28 | ↓ -22% |
| Cigna | Local Plus | $1,413.21 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,413.21 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,457.92 | ↓ -15% |
| Superior Ambetter | Ambetter Exchange | $1,529.42 | ↓ -11% |
| QuikTrip | Employee Benefit Plan | $1,576.60 | ↓ -8% |
| Employers Health Network | EHN Network | $1,576.60 | ↓ -8% |
| Aetna | Commercial | $1,576.60 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $1,662.60 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,662.60 | ↓ -3% |
| Cigna | HMO/PPO | $1,662.60 | ↓ -3% |
| Imagine Health | Commercial | $1,662.60 | ↓ -3% |
| Mark Cuban | Commercial | $1,742.94 | ↑ +1% |
| United Healthcare | Nexus | $1,782.71 | ↑ +4% |
| United Healthcare | Charter | $1,782.71 | ↑ +4% |
| HealthSmart | Accel Network | $1,804.00 | ↑ +5% |
| Curative | Commercial | $1,863.26 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $1,958.13 | ↑ +14% |
| United Healthcare | Commercial Broad | $1,980.79 | ↑ +15% |
| First Health | PPO | $2,006.59 | ↑ +17% |
| Humana | Commercial PPO | $2,006.59 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,067.93 | ↑ +20% |
| Private Health Care System | PHCS Network | $2,149.91 | ↑ +25% |
| HealthSmart | Preferred Network | $2,149.91 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,177.74 | ↑ +27% |
Visitor-reported prices
Comments
Drainage of kidney lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,719.93 | $257.60 – $2,149.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,719.93 | $257.60 – $2,149.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,841.58 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,783.27 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,719.93 | $257.60 – $2,149.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,841.58 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,841.58 | $257.60 – $2,762.37 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,783.27 | $71.00 – $2,975.00 |