Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$1,315.71
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.
$2,192.85
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.
$65.07 with United Healthcare vs $442.18 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 | Medicaid/CHIP | $65.07 | ↓ -95% |
| Superior Health Plan | Medicaid | $76.02 | ↓ -94% |
| Baylor Scott & White Health Plan | Medicare Advantage | $118.76 | ↓ -91% |
| CORVEL | Worker's Compensation | $121.26 | ↓ -91% |
| Humana | Medicare | $125.01 | ↓ -90% |
| TriWest | Community Care Network | $125.01 | ↓ -90% |
| Aetna | Medicare Advantage | $125.01 | ↓ -90% |
| HealthSpring | Medicare Advantage | $131.26 | ↓ -90% |
| ProCare Advantage | Medicare Advantage | $131.26 | ↓ -90% |
| American Health Plan | Medicare Advantage | $131.26 | ↓ -90% |
| Superior Health Plan | Medicare | $131.26 | ↓ -90% |
| Blue Cross Blue Shield | Medicare Advantage | $131.26 | ↓ -90% |
| United Healthcare | Medicare Advantage | $140.01 | ↓ -89% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $150.01 | ↓ -89% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $156.89 | ↓ -88% |
| Prime Health Services | Worker's Compensation | $157.64 | ↓ -88% |
| Sedgwick | Preferred Network | $186.89 | ↓ -86% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $206.27 | ↓ -84% |
| Blue Cross Blue Shield | Blue Advantage | $209.66 | ↓ -84% |
| Employers Health Network | BSWQA Direct/EHN Rental | $238.19 | ↓ -82% |
| Cigna | Local Plus | $249.85 | ↓ -81% |
| Superior Ambetter | Ambetter Exchange | $268.77 | ↓ -80% |
| Employers Health Network | EHN Network | $278.73 | ↓ -79% |
| QuikTrip | Employee Benefit Plan | $278.73 | ↓ -79% |
| Aetna | Commercial | $278.73 | ↓ -79% |
| Imagine Health | Commercial | $293.94 | ↓ -78% |
| Cigna | HMO/PPO | $293.94 | ↓ -78% |
| University of Mary Hardin-Baylor | Commercial | $293.94 | ↓ -78% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $295.68 | ↓ -78% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $301.54 | ↓ -77% |
| United Healthcare | Charter | $315.17 | ↓ -76% |
| United Healthcare | Nexus | $315.17 | ↓ -76% |
| Curative | Commercial | $329.41 | ↓ -75% |
| United Healthcare | Commercial Broad | $350.19 | ↓ -73% |
| First Health | PPO | $354.75 | ↓ -73% |
| Humana | Commercial PPO | $354.75 | ↓ -73% |
| HealthSmart | Accel Network | $354.75 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $354.75 | ↓ -73% |
| Private Health Care System | PHCS Network | $380.09 | ↓ -71% |
| HealthSmart | Preferred Network | $380.09 | ↓ -71% |
| Blue Cross Blue Shield | City of Dallas | $397.82 | ↓ -70% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $420.67 | ↓ -68% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $442.18 | ↓ -66% |
Visitor-reported prices
Comments
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,315.71 | $86.15 – $380.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,315.71 | $101.36 – $456.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,315.71 | $81.09 – $380.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,315.71 | $76.02 – $380.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,315.71 | $60.81 – $380.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,315.71 | $55.75 – $380.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,315.71 | $55.75 – $380.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,315.71 | $118.76 – $380.09 |