Unlisted procedure esophagus at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$442.53
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.
$737.55
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.
$184.39 with United Healthcare vs $8,280.00 with Cigna — 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 | $184.39 | ↓ -58% |
| Employers Health Network | BSWQA Direct/EHN Rental | $346.65 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $376.15 | ↓ -15% |
| QuikTrip | Employee Benefit Plan | $405.65 | ↓ -8% |
| Aetna | Commercial | $405.65 | ↓ -8% |
| Employers Health Network | EHN Network | $405.65 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $442.53 | ↑ +0% |
| Curative | Commercial | $479.41 | ↑ +8% |
| Humana | Commercial PPO | $516.28 | ↑ +17% |
| First Health | PPO | $516.28 | ↑ +17% |
| HealthSmart | Accel Network | $516.28 | ↑ +17% |
| Private Health Care System | PHCS Network | $553.16 | ↑ +25% |
| HealthSmart | Preferred Network | $553.16 | ↑ +25% |
| Baylor Scott & White Health Plan | Medicare Advantage | $865.56 | ↑ +96% |
| CORVEL | Worker's Compensation | $883.79 | ↑ +100% |
| Humana | Medicare | $911.12 | ↑ +106% |
| TriWest | Community Care Network | $911.12 | ↑ +106% |
| Aetna | Medicare Advantage | $911.12 | ↑ +106% |
| American Health Plan | Medicare Advantage | $956.68 | ↑ +116% |
| Blue Cross Blue Shield | Medicare Advantage | $956.68 | ↑ +116% |
| Superior Health Plan | Medicare | $956.68 | ↑ +116% |
| HealthSpring | Medicare Advantage | $956.68 | ↑ +116% |
| ProCare Advantage | Medicare Advantage | $956.68 | ↑ +116% |
| United Healthcare | Medicare Advantage | $1,020.45 | ↑ +131% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,093.34 | ↑ +147% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,143.46 | ↑ +158% |
| Prime Health Services | Worker's Compensation | $1,148.92 | ↑ +160% |
| Blue Cross Blue Shield | Blue Advantage | $1,328.20 | ↑ +200% |
| Sedgwick | Preferred Network | $1,362.12 | ↑ +208% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,503.35 | ↑ +240% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,878.35 | ↑ +324% |
| Superior Ambetter | Ambetter Exchange | $1,958.91 | ↑ +343% |
| Mark Cuban | Commercial | $2,245.59 | ↑ +407% |
| Blue Cross Blue Shield | City of Dallas | $2,522.80 | ↑ +470% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,664.27 | ↑ +502% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,805.73 | ↑ +534% |
| United Healthcare | Nexus | $2,850.00 | ↑ +544% |
| United Healthcare | Charter | $2,850.00 | ↑ +544% |
| United Healthcare | Commercial Broad | $3,167.00 | ↑ +616% |
| Cigna | Local Plus | $7,038.00 | ↑ +1490% |
| Cigna | HMO/PPO | $8,280.00 | ↑ +1771% |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted procedure esophagus at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $442.53 | $184.39 – $7,038.00 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney | not published | $915.67 – $1,045.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $442.53 | $184.39 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,348.20 | $71.00 – $7,103.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,817.32 | $71.00 – $5,623.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $442.53 | $184.39 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,348.20 | $85.00 – $7,103.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,348.20 | $355.20 – $2,501.00 |