Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$48.71
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.
$81.19
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.
$10.42 with United Healthcare vs $81.71 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 | $10.42 | ↓ -79% |
| Superior Health Plan | Medicaid | $12.18 | ↓ -75% |
| Baylor Scott & White Health Plan | Medicare Advantage | $35.76 | ↓ -27% |
| CORVEL | Worker's Compensation | $36.51 | ↓ -25% |
| Humana | Medicare | $37.64 | ↓ -23% |
| TriWest | Community Care Network | $37.64 | ↓ -23% |
| Aetna | Medicare Advantage | $37.64 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $38.16 | ↓ -22% |
| Blue Cross Blue Shield | Blue Advantage | $38.71 | ↓ -21% |
| Superior Health Plan | Medicare | $39.52 | ↓ -19% |
| ProCare Advantage | Medicare Advantage | $39.52 | ↓ -19% |
| HealthSpring | Medicare Advantage | $39.52 | ↓ -19% |
| Blue Cross Blue Shield | Medicare Advantage | $39.52 | ↓ -19% |
| American Health Plan | Medicare Advantage | $39.52 | ↓ -19% |
| Cigna | Local Plus | $40.03 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $40.03 | ↓ -18% |
| United Healthcare | Medicare Advantage | $42.16 | ↓ -13% |
| Aetna | Commercial | $44.65 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $44.65 | ↓ -8% |
| Employers Health Network | EHN Network | $44.65 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $45.17 | ↓ -7% |
| Cigna | HMO/PPO | $47.09 | ↓ -3% |
| Imagine Health | Commercial | $47.09 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $47.09 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $47.09 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $47.24 | ↓ -3% |
| Prime Health Services | Worker's Compensation | $47.46 | ↓ -3% |
| United Healthcare | Charter | $50.49 | ↑ +4% |
| United Healthcare | Nexus | $50.49 | ↑ +4% |
| Curative | Commercial | $52.77 | ↑ +8% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $54.73 | ↑ +12% |
| United Healthcare | Commercial Broad | $56.10 | ↑ +15% |
| Sedgwick | Preferred Network | $56.27 | ↑ +16% |
| Humana | Commercial PPO | $56.83 | ↑ +17% |
| HealthSmart | Accel Network | $56.83 | ↑ +17% |
| First Health | PPO | $56.83 | ↑ +17% |
| Private Health Care System | PHCS Network | $60.89 | ↑ +25% |
| HealthSmart | Preferred Network | $60.89 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $62.11 | ↑ +28% |
| Mark Cuban | Commercial | $71.08 | ↑ +46% |
| Blue Cross Blue Shield | City of Dallas | $73.52 | ↑ +51% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $77.68 | ↑ +59% |
| Superior Ambetter | Ambetter Exchange | $80.93 | ↑ +66% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $81.71 | ↑ +68% |
Visitor-reported prices
Comments
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $48.71 | $13.80 – $80.93 |
| Adventhealth Rollins Brook | Lampasas | $126.18 | $48.55 – $48.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $48.71 | $13.80 – $80.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48.71 | $10.03 – $73.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $48.71 | $9.74 – $71.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $48.71 | $12.99 – $80.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $48.71 | $15.64 – $73.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $48.71 | $25.17 – $73.07 |