Removal cerumen impacted (both sides) at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$196.31
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.
$327.18
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.
$42.01 with United Healthcare vs $245.38 with HealthSmart — 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 | $42.01 | ↓ -79% |
| Superior Health Plan | Medicaid | $49.08 | ↓ -75% |
| Baylor Scott & White Health Plan | Medicare Advantage | $56.30 | ↓ -71% |
| CORVEL | Worker's Compensation | $57.48 | ↓ -71% |
| Humana | Medicare | $59.26 | ↓ -70% |
| TriWest | Community Care Network | $59.26 | ↓ -70% |
| Aetna | Medicare Advantage | $59.26 | ↓ -70% |
| HealthSpring | Medicare Advantage | $62.22 | ↓ -68% |
| Blue Cross Blue Shield | Medicare Advantage | $62.22 | ↓ -68% |
| Superior Health Plan | Medicare | $62.22 | ↓ -68% |
| American Health Plan | Medicare Advantage | $62.22 | ↓ -68% |
| ProCare Advantage | Medicare Advantage | $62.22 | ↓ -68% |
| United Healthcare | Medicare Advantage | $66.37 | ↓ -66% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $71.11 | ↓ -64% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $74.37 | ↓ -62% |
| Prime Health Services | Worker's Compensation | $74.73 | ↓ -62% |
| Sedgwick | Preferred Network | $88.59 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $97.78 | ↓ -50% |
| Blue Cross Blue Shield | Blue Advantage | $114.51 | ↓ -42% |
| Superior Ambetter | Ambetter Exchange | $127.41 | ↓ -35% |
| Mark Cuban | Commercial | $151.53 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $153.77 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $161.30 | ↓ -18% |
| Cigna | Local Plus | $161.30 | ↓ -18% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $170.13 | ↓ -13% |
| QuikTrip | Employee Benefit Plan | $179.95 | ↓ -8% |
| Employers Health Network | EHN Network | $179.95 | ↓ -8% |
| Aetna | Commercial | $179.95 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $189.76 | ↓ -3% |
| Cigna | HMO/PPO | $189.76 | ↓ -3% |
| Imagine Health | Commercial | $189.76 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $189.76 | ↓ -3% |
| United Healthcare | Nexus | $203.47 | ↑ +4% |
| United Healthcare | Charter | $203.47 | ↑ +4% |
| Curative | Commercial | $212.67 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $219.21 | ↑ +12% |
| United Healthcare | Commercial Broad | $226.08 | ↑ +15% |
| First Health | PPO | $229.03 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $229.03 | ↑ +17% |
| Humana | Commercial PPO | $229.03 | ↑ +17% |
| HealthSmart | Accel Network | $229.03 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $242.11 | ↑ +23% |
| Private Health Care System | PHCS Network | $245.38 | ↑ +25% |
| HealthSmart | Preferred Network | $245.38 | ↑ +25% |
Visitor-reported prices
Comments
Removal cerumen impacted (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $196.31 | $55.62 – $245.38 |
| Adventhealth Rollins Brook | Lampasas | $296.48 | $68.76 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $196.31 | $55.62 – $245.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $124.01 | $25.53 – $186.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $210.65 | $42.13 – $263.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $196.31 | $52.35 – $245.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $124.01 | $39.81 – $186.02 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $124.01 | $64.07 – $186.02 |