Inj proc elbow arthro at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$768.85
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.
$1,281.41
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.
$85.17 with United Healthcare vs $999.50 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 | $85.17 | ↓ -89% |
| Superior Health Plan | Medicaid | $99.50 | ↓ -87% |
| Employers Health Network | BSWQA Direct/EHN Rental | $311.77 | ↓ -59% |
| Cigna | Local Plus | $327.03 | ↓ -57% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $338.31 | ↓ -56% |
| QuikTrip | Employee Benefit Plan | $364.84 | ↓ -53% |
| Aetna | Commercial | $364.84 | ↓ -53% |
| Employers Health Network | EHN Network | $364.84 | ↓ -53% |
| Cigna | HMO/PPO | $384.74 | ↓ -50% |
| Aetna | Medicare Advantage | $398.01 | ↓ -48% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $398.01 | ↓ -48% |
| Curative | Commercial | $431.18 | ↓ -44% |
| Superior Ambetter | Ambetter Exchange | $431.18 | ↓ -44% |
| First Health | PPO | $464.35 | ↓ -40% |
| HealthSmart | Accel Network | $464.35 | ↓ -40% |
| Humana | Commercial PPO | $464.35 | ↓ -40% |
| Blue Cross Blue Shield | Blue Advantage | $474.12 | ↓ -38% |
| HealthSmart | Preferred Network | $497.51 | ↓ -35% |
| TriWest | Community Care Network | $497.51 | ↓ -35% |
| Private Health Care System | PHCS Network | $497.51 | ↓ -35% |
| CORVEL | Worker's Compensation | $563.85 | ↓ -27% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $666.33 | ↓ -13% |
| Imagine Health | Commercial | $743.22 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $743.22 | ↓ -3% |
| United Healthcare | Nexus | $796.91 | ↑ +4% |
| United Healthcare | Charter | $796.91 | ↑ +4% |
| United Healthcare | Commercial Broad | $885.45 | ↑ +15% |
| Blue Cross Blue Shield | City of Dallas | $896.99 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $948.24 | ↑ +23% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $999.50 | ↑ +30% |
Visitor-reported prices
Comments
Inj proc elbow arthro at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $768.85 | $112.77 – $743.22 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $768.85 | $112.77 – $743.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $331.58 | $68.25 – $497.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $279.11 | $55.82 – $348.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $768.85 | $106.14 – $743.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $331.58 | $85.00 – $497.37 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $331.58 | $171.32 – $497.37 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $279.11 | $71.00 – $418.66 |