Valvuloplasty aortic at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$16,030.65
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.
$26,717.75
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.
$3,430.56 with United Healthcare vs $38,739.58 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 | $3,430.56 | ↓ -79% |
| Superior Health Plan | Medicaid | $4,007.66 | ↓ -75% |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,431.62 | ↓ -66% |
| CORVEL | Worker's Compensation | $5,545.98 | ↓ -65% |
| Humana | Medicare | $5,717.50 | ↓ -64% |
| TriWest | Community Care Network | $5,717.50 | ↓ -64% |
| Aetna | Medicare Advantage | $5,717.50 | ↓ -64% |
| American Health Plan | Medicare Advantage | $6,003.38 | ↓ -63% |
| Blue Cross Blue Shield | Medicare Advantage | $6,003.38 | ↓ -63% |
| HealthSpring | Medicare Advantage | $6,003.38 | ↓ -63% |
| ProCare Advantage | Medicare Advantage | $6,003.38 | ↓ -63% |
| Superior Health Plan | Medicare | $6,003.38 | ↓ -63% |
| United Healthcare | Medicare Advantage | $6,403.60 | ↓ -60% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $6,861.00 | ↓ -57% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $7,175.46 | ↓ -55% |
| Prime Health Services | Worker's Compensation | $7,209.77 | ↓ -55% |
| Sedgwick | Preferred Network | $8,547.66 | ↓ -47% |
| United Healthcare | Charter | $9,126.00 | ↓ -43% |
| United Healthcare | Nexus | $9,126.00 | ↓ -43% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $9,433.88 | ↓ -41% |
| United Healthcare | Commercial Broad | $10,140.00 | ↓ -37% |
| Superior Ambetter | Ambetter Exchange | $12,292.62 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $12,557.34 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $13,171.85 | ↓ -18% |
| Mark Cuban | Commercial | $14,159.18 | ↓ -12% |
| QuikTrip | Employee Benefit Plan | $14,694.76 | ↓ -8% |
| Aetna | Commercial | $14,694.76 | ↓ -8% |
| Employers Health Network | EHN Network | $14,694.76 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $15,496.30 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $15,496.30 | ↓ -3% |
| Cigna | Local Plus | $16,180.00 | ↑ +1% |
| Curative | Commercial | $17,366.54 | ↑ +8% |
| Blue Cross Blue Shield | Blue Advantage | $18,329.47 | ↑ +14% |
| First Health | PPO | $18,702.42 | ↑ +17% |
| HealthSmart | Accel Network | $18,702.42 | ↑ +17% |
| Humana | Commercial PPO | $18,702.42 | ↑ +17% |
| Cigna | HMO/PPO | $19,035.00 | ↑ +19% |
| Private Health Care System | PHCS Network | $20,038.31 | ↑ +25% |
| HealthSmart | Preferred Network | $20,038.31 | ↑ +25% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $25,958.49 | ↑ +62% |
| Blue Cross Blue Shield | City of Dallas | $34,875.53 | ↑ +118% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $36,807.55 | ↑ +130% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $38,739.58 | ↑ +142% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
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Valvuloplasty aortic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $16,030.65 | $4,542.02 – $20,038.31 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,030.65 | $4,542.02 – $20,038.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $13,324.96 | $2,742.72 – $19,987.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,551.60 | $1,910.32 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,030.65 | $4,274.84 – $20,038.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $13,324.96 | $4,277.31 – $19,987.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $13,324.96 | $6,884.56 – $19,987.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $9,551.60 | $3,183.87 – $14,327.41 |