X-ray spine single view at BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY
5268 W University Dr, McKinney, TX · Baylor Scott & White Health · · NPI 1962504340
$283.12
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.
$471.86
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.
$24.39 with Superior Health Plan vs $353.89 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 | $24.39 | ↓ -91% |
| United Healthcare | Medicaid/CHIP | $26.10 | ↓ -91% |
| Baylor Scott & White Health Plan | Medicare Advantage | $83.05 | ↓ -71% |
| CORVEL | Worker's Compensation | $84.80 | ↓ -70% |
| Humana | Medicare | $87.42 | ↓ -69% |
| TriWest | Community Care Network | $87.42 | ↓ -69% |
| Aetna | Medicare Advantage | $87.42 | ↓ -69% |
| ProCare Advantage | Medicare Advantage | $91.79 | ↓ -68% |
| Blue Cross Blue Shield | Medicare Advantage | $91.79 | ↓ -68% |
| HealthSpring | Medicare Advantage | $91.79 | ↓ -68% |
| Superior Health Plan | Medicare | $91.79 | ↓ -68% |
| American Health Plan | Medicare Advantage | $91.79 | ↓ -68% |
| United Healthcare | Medicare Advantage | $97.91 | ↓ -65% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $104.90 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $109.71 | ↓ -61% |
| Prime Health Services | Worker's Compensation | $110.24 | ↓ -61% |
| Sedgwick | Preferred Network | $130.69 | ↓ -54% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $144.24 | ↓ -49% |
| Blue Cross Blue Shield | Blue Advantage | $159.62 | ↓ -44% |
| Superior Ambetter | Ambetter Exchange | $187.95 | ↓ -34% |
| Employers Health Network | BSWQA Direct/EHN Rental | $221.77 | ↓ -22% |
| Mark Cuban | Commercial | $225.11 | ↓ -20% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $225.86 | ↓ -20% |
| Cigna | Local Plus | $232.63 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $232.63 | ↓ -18% |
| QuikTrip | Employee Benefit Plan | $259.52 | ↓ -8% |
| Aetna | Commercial | $259.52 | ↓ -8% |
| Employers Health Network | EHN Network | $259.52 | ↓ -8% |
| Imagine Health | Commercial | $259.52 | ↓ -8% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $273.68 | ↓ -3% |
| Cigna | HMO/PPO | $273.68 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $273.68 | ↓ -3% |
| United Healthcare | Charter | $293.45 | ↑ +4% |
| United Healthcare | Nexus | $293.45 | ↑ +4% |
| Blue Cross Blue Shield | City of Dallas | $303.28 | ↑ +7% |
| Curative | Commercial | $306.71 | ↑ +8% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $320.04 | ↑ +13% |
| United Healthcare | Commercial Broad | $326.06 | ↑ +15% |
| First Health | PPO | $330.30 | ↑ +17% |
| Humana | Commercial PPO | $330.30 | ↑ +17% |
| HealthSmart | Accel Network | $330.30 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $336.80 | ↑ +19% |
| HealthSmart | Preferred Network | $353.89 | ↑ +25% |
| Private Health Care System | PHCS Network | $353.89 | ↑ +25% |
Visitor-reported prices
Comments
X-ray spine single view at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $283.12 | $24.39 – $353.89 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $283.12 | $24.39 – $353.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $272.99 | $56.19 – $409.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $332.48 | $24.39 – $415.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $283.12 | $24.39 – $353.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $272.99 | $26.10 – $409.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $272.99 | $24.39 – $409.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $332.48 | $24.39 – $498.72 |