Prq trluml revsc ch occ ant at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$17,474.24
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.
$29,123.73
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.
$3,739.49 with United Healthcare vs $77,484.31 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 | $3,739.49 | ↓ -79% |
| Superior Health Plan | Medicaid | $4,368.56 | ↓ -75% |
| Baylor Scott & White Health Plan | Medicare Advantage | $11,016.95 | ↓ -37% |
| CORVEL | Worker's Compensation | $11,248.89 | ↓ -36% |
| Humana | Medicare | $11,596.79 | ↓ -34% |
| TriWest | Community Care Network | $11,596.79 | ↓ -34% |
| Aetna | Medicare Advantage | $11,596.79 | ↓ -34% |
| ProCare Advantage | Medicare Advantage | $12,176.63 | ↓ -30% |
| American Health Plan | Medicare Advantage | $12,176.63 | ↓ -30% |
| HealthSpring | Medicare Advantage | $12,176.63 | ↓ -30% |
| Superior Health Plan | Medicare | $12,176.63 | ↓ -30% |
| Blue Cross Blue Shield | Medicare Advantage | $12,176.63 | ↓ -30% |
| United Healthcare | Medicare Advantage | $12,988.40 | ↓ -26% |
| Employers Health Network | BSWQA Direct/EHN Rental | $13,688.15 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $13,916.15 | ↓ -20% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $14,358.00 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $14,553.97 | ↓ -17% |
| Prime Health Services | Worker's Compensation | $14,623.55 | ↓ -16% |
| Employers Health Network | EHN Network | $16,018.05 | ↓ -8% |
| Aetna | Commercial | $16,018.05 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $16,018.05 | ↓ -8% |
| Cigna | Local Plus | $16,180.00 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $16,891.76 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $16,891.76 | ↓ -3% |
| Sedgwick | Preferred Network | $17,337.20 | ↓ -1% |
| Superior Ambetter | Ambetter Exchange | $18,930.42 | ↑ +8% |
| Curative | Commercial | $18,930.42 | ↑ +8% |
| Cigna | HMO/PPO | $19,035.00 | ↑ +9% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $19,134.70 | ↑ +10% |
| HealthSmart | Accel Network | $20,386.61 | ↑ +17% |
| Humana | Commercial PPO | $20,386.61 | ↑ +17% |
| First Health | PPO | $20,386.61 | ↑ +17% |
| Private Health Care System | PHCS Network | $21,842.80 | ↑ +25% |
| HealthSmart | Preferred Network | $21,842.80 | ↑ +25% |
| United Healthcare | Charter | $27,244.00 | ↑ +56% |
| United Healthcare | Nexus | $27,244.00 | ↑ +56% |
| Mark Cuban | Commercial | $27,252.71 | ↑ +56% |
| United Healthcare | Commercial Broad | $30,271.00 | ↑ +73% |
| Blue Cross Blue Shield | Blue Advantage | $36,661.38 | ↑ +110% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $51,920.44 | ↑ +197% |
| Blue Cross Blue Shield | City of Dallas | $69,755.70 | ↑ +299% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $73,620.01 | ↑ +321% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $77,484.31 | ↑ +343% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Prq trluml revsc ch occ ant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $17,474.24 | $4,951.03 – $27,252.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $17,474.24 | $4,951.03 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16,678.62 | $3,433.02 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $18,978.50 | $3,795.70 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $17,474.24 | $4,659.80 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $16,678.62 | $5,353.84 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $16,678.62 | $8,617.29 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $18,978.50 | $6,326.17 – $28,467.76 |