Ins/rpl pm gen exist sgl lead at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$10,687.75
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.
$17,812.91
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.
$2,763.00 with HealthSmart vs $21,045.99 with Mark Cuban — 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 |
|---|---|---|---|
| HealthSmart | Accel Network | $2,763.00 | ↓ -74% |
| Superior Health Plan | Medicaid | $5,499.92 | ↓ -49% |
| United Healthcare | Medicaid/CHIP | $5,884.91 | ↓ -45% |
| Blue Cross Blue Shield | Blue Advantage | $6,234.52 | ↓ -42% |
| Baylor Scott & White Health Plan | Medicare Advantage | $7,897.44 | ↓ -26% |
| CORVEL | Worker's Compensation | $8,063.71 | ↓ -25% |
| Humana | Medicare | $8,313.10 | ↓ -22% |
| TriWest | Community Care Network | $8,313.10 | ↓ -22% |
| Aetna | Medicare Advantage | $8,313.10 | ↓ -22% |
| Employers Health Network | BSWQA Direct/EHN Rental | $8,372.07 | ↓ -22% |
| Blue Cross Blue Shield | Medicare Advantage | $8,728.75 | ↓ -18% |
| ProCare Advantage | Medicare Advantage | $8,728.75 | ↓ -18% |
| HealthSpring | Medicare Advantage | $8,728.75 | ↓ -18% |
| American Health Plan | Medicare Advantage | $8,728.75 | ↓ -18% |
| Superior Health Plan | Medicare | $8,728.75 | ↓ -18% |
| Cigna | Local Plus | $8,781.76 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $8,781.76 | ↓ -18% |
| United Healthcare | Medicare Advantage | $9,310.67 | ↓ -13% |
| Employers Health Network | EHN Network | $9,797.10 | ↓ -8% |
| Aetna | Commercial | $9,797.10 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $9,797.10 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $9,975.72 | ↓ -7% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $10,331.49 | ↓ -3% |
| Cigna | HMO/PPO | $10,331.49 | ↓ -3% |
| Imagine Health | Commercial | $10,331.49 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $10,331.49 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $10,432.94 | ↓ -2% |
| Prime Health Services | Worker's Compensation | $10,482.82 | ↓ -2% |
| United Healthcare | Nexus | $11,077.85 | ↑ +4% |
| United Healthcare | Charter | $11,077.85 | ↑ +4% |
| Curative | Commercial | $11,578.39 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $11,934.65 | ↑ +12% |
| United Healthcare | Commercial Broad | $12,308.72 | ↑ +15% |
| Sedgwick | Preferred Network | $12,428.08 | ↑ +16% |
| First Health | PPO | $12,469.04 | ↑ +17% |
| Humana | Commercial PPO | $12,469.04 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $12,469.04 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $13,181.55 | ↑ +23% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $13,181.55 | ↑ +23% |
| Private Health Care System | PHCS Network | $13,359.68 | ↑ +25% |
| HealthSmart | Preferred Network | $13,359.68 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $13,716.61 | ↑ +28% |
| Superior Ambetter | Ambetter Exchange | $17,873.17 | ↑ +67% |
| Mark Cuban | Commercial | $21,045.99 | ↑ +97% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,336.78 | $1,510.15 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,030.18 | $5,499.92 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,030.18 | $2,763.00 – $21,045.99 |