Rmv&rplcmt phrnc nrv stim ld at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$35,305.79
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.
$58,842.99
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.
$8,775.47 with Superior Health Plan vs $44,132.24 with Private Health Care System — 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $8,775.47 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $9,389.75 | ↓ -73% |
| Baylor Scott & White Health Plan | Medicare Advantage | $10,633.80 | ↓ -70% |
| CORVEL | Worker's Compensation | $10,857.67 | ↓ -69% |
| Humana | Medicare | $11,193.47 | ↓ -68% |
| TriWest | Community Care Network | $11,193.47 | ↓ -68% |
| Aetna | Medicare Advantage | $11,193.47 | ↓ -68% |
| HealthSpring | Medicare Advantage | $11,753.14 | ↓ -67% |
| Blue Cross Blue Shield | Medicare Advantage | $11,753.14 | ↓ -67% |
| Superior Health Plan | Medicare | $11,753.14 | ↓ -67% |
| American Health Plan | Medicare Advantage | $11,753.14 | ↓ -67% |
| ProCare Advantage | Medicare Advantage | $11,753.14 | ↓ -67% |
| United Healthcare | Medicare Advantage | $12,536.69 | ↓ -64% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $13,432.16 | ↓ -62% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $14,047.80 | ↓ -60% |
| Prime Health Services | Worker's Compensation | $14,114.97 | ↓ -60% |
| United Healthcare | Charter | $16,062.00 | ↓ -55% |
| United Healthcare | Nexus | $16,062.00 | ↓ -55% |
| Sedgwick | Preferred Network | $16,734.24 | ↓ -53% |
| United Healthcare | Commercial Broad | $17,847.00 | ↓ -49% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $18,469.23 | ↓ -48% |
| Blue Cross Blue Shield | Blue Advantage | $20,595.05 | ↓ -42% |
| Superior Ambetter | Ambetter Exchange | $24,065.96 | ↓ -32% |
| Employers Health Network | BSWQA Direct/EHN Rental | $27,656.21 | ↓ -22% |
| Cigna | Local Plus | $29,009.59 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $30,009.92 | ↓ -15% |
| Aetna | Commercial | $32,363.64 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $32,363.64 | ↓ -8% |
| Employers Health Network | EHN Network | $32,363.64 | ↓ -8% |
| Mark Cuban | Commercial | $33,745.27 | ↓ -4% |
| Cigna | HMO/PPO | $34,128.93 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $35,305.79 | ↑ +0% |
| Curative | Commercial | $38,247.94 | ↑ +8% |
| Blue Cross Blue Shield | City of Dallas | $39,424.80 | ↑ +12% |
| HealthSmart | Accel Network | $41,190.09 | ↑ +17% |
| Humana | Commercial PPO | $41,190.09 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $41,190.09 | ↑ +17% |
| First Health | PPO | $41,190.09 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $43,543.81 | ↑ +23% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $43,543.81 | ↑ +23% |
| HealthSmart | Preferred Network | $44,132.24 | ↑ +25% |
| Private Health Care System | PHCS Network | $44,132.24 | ↑ +25% |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
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Rmv&rplcmt phrnc nrv stim ld at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $35,305.79 | $8,775.47 – $44,132.24 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $35,305.79 | $6,299.00 – $44,132.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $35,305.79 | $8,775.47 – $44,132.24 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $35,305.79 | $8,775.47 – $44,132.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $35,305.79 | $8,775.47 – $44,132.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $35,305.79 | $8,775.47 – $44,132.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $35,305.79 | $8,775.47 – $44,132.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $35,305.79 | $8,775.47 – $44,132.24 |