Mitochondrial gene at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$1,010.00
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.
$1,683.33
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.
$35.00 with United Healthcare vs $17,151.84 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 | $35.00 | ↓ -97% |
| United Healthcare | Nexus | $35.00 | ↓ -97% |
| United Healthcare | Commercial Broad | $39.00 | ↓ -96% |
| United Healthcare | Medicaid/CHIP | $216.14 | ↓ -79% |
| Superior Health Plan | Medicaid | $252.50 | ↓ -75% |
| Employers Health Network | BSWQA Direct/EHN Rental | $791.17 | ↓ -22% |
| Cigna | Local Plus | $829.88 | ↓ -18% |
| Aetna | Commercial | $925.83 | ↓ -8% |
| Employers Health Network | EHN Network | $925.83 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $925.83 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $976.33 | ↓ -3% |
| Imagine Health | Commercial | $976.33 | ↓ -3% |
| Cigna | HMO/PPO | $976.33 | ↓ -3% |
| Curative | Commercial | $1,094.16 | ↑ +8% |
| HealthSmart | Accel Network | $1,178.33 | ↑ +17% |
| First Health | PPO | $1,178.33 | ↑ +17% |
| Humana | Commercial PPO | $1,178.33 | ↑ +17% |
| Private Health Care System | PHCS Network | $1,262.50 | ↑ +25% |
| HealthSmart | Preferred Network | $1,262.50 | ↑ +25% |
| Baylor Scott & White Health Plan | Medicare Advantage | $3,157.80 | ↑ +213% |
| CORVEL | Worker's Compensation | $3,224.28 | ↑ +219% |
| Aetna | Medicare Advantage | $3,324.00 | ↑ +229% |
| TriWest | Community Care Network | $3,324.00 | ↑ +229% |
| Humana | Medicare | $3,324.00 | ↑ +229% |
| Blue Cross Blue Shield | Medicare Advantage | $3,490.20 | ↑ +246% |
| Superior Health Plan | Medicare | $3,490.20 | ↑ +246% |
| ProCare Advantage | Medicare Advantage | $3,490.20 | ↑ +246% |
| HealthSpring | Medicare Advantage | $3,490.20 | ↑ +246% |
| American Health Plan | Medicare Advantage | $3,490.20 | ↑ +246% |
| United Healthcare | Medicare Advantage | $3,722.88 | ↑ +269% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,988.80 | ↑ +295% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $4,171.62 | ↑ +313% |
| Prime Health Services | Worker's Compensation | $4,191.56 | ↑ +315% |
| Sedgwick | Preferred Network | $4,969.38 | ↑ +392% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $5,085.72 | ↑ +404% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $5,484.60 | ↑ +443% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $5,983.20 | ↑ +492% |
| Superior Ambetter | Ambetter Exchange | $7,146.60 | ↑ +608% |
| Mark Cuban | Commercial | $7,977.60 | ↑ +690% |
| Blue Cross Blue Shield | Blue Advantage | $8,110.56 | ↑ +703% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $11,501.04 | ↑ +1039% |
| Blue Cross Blue Shield | City of Dallas | $15,423.36 | ↑ +1427% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $16,287.60 | ↑ +1513% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $17,151.84 | ↑ +1598% |
Visitor-reported prices
Comments
Mitochondrial gene at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,010.00 | $35.00 – $7,977.60 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,010.00 | $35.00 – $7,977.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,112.00 | $36.00 – $7,977.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,112.00 | $36.00 – $7,977.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,010.00 | $35.00 – $7,977.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,112.00 | $36.00 – $7,977.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,112.00 | $26.00 – $7,977.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,112.00 | $36.00 – $7,977.60 |