Access & clsr pq fem art endogft dlvry w/img uni at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
not published by hospital
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.
not published by hospital
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.
$924.69 with Humana vs $46,534.71 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Humana | COMM | $924.69 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| United | SmallGroup | $1,580.00 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| United | NarrowNetworkIndivExchange | $2,000.00 | — |
| Healthcare Highways | NarrowNetwork | $2,152.00 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Cigna | IFP | $6,282.19 | — |
| Cigna | QHP | $6,514.86 | — |
| Oscar | HIX | $6,587.00 | — |
| United | OptionsPPO | $8,701.99 | — |
| Imperial Insurance Company | MCR | $8,841.59 | — |
| BCBS | BlueAdvantageHMO | $11,494.07 | — |
| BCBS | MyBlueHealth | $11,494.07 | — |
| Unicare | CHIP | $12,099.02 | — |
| Cigna | LocalPlus | $12,285.16 | — |
| Cigna | NewBusiness | $12,285.16 | — |
| BCBS | BluePremier | $13,588.14 | — |
| Cigna | OpenAccessPlus | $13,727.74 | — |
| Cigna | HMO | $13,727.74 | — |
| Cigna | NetworkBenefit | $13,727.74 | — |
| BCBS | BlueEssentialsAccess | $14,844.57 | — |
| BCBS | BlueEssentials | $14,844.57 | — |
| BCBS | EPOSOA | $15,589.13 | — |
| Healthcare Highways | CityofPlano | $15,728.73 | — |
| City of McKinney | COMM | $16,287.15 | — |
| BCBS | PPO | $16,287.15 | — |
| Cigna | AllOther | $17,357.45 | — |
| BCBS | Traditional | $20,661.41 | — |
| National ChoiceCare | WCOMP | $23,267.35 | — |
| Aetna | ASA | $24,523.79 | — |
| PC Texas Partners | WCOMP | $25,594.09 | — |
| Aetna | WCOMP | $25,594.09 | — |
| Physicians Coop of TX | MGMCR | $25,594.09 | — |
| Rockport Health Group | WORKERSCOMP | $25,594.09 | — |
| Averde Health, Inc | PPO | $26,990.13 | — |
| Magellan BH | Pinnacle | $27,920.83 | — |
| Magellan BH | Summit | $27,920.83 | — |
| Value Options Behavioral Health | COMM | $27,920.83 | — |
| Humana | BHCOMM | $30,247.56 | — |
| Multiplan PHCS | PrimaryNetwork | $32,574.30 | — |
| Coastal Comp Health Networks | WCOMP | $32,574.30 | — |
| Mega Life | MGMCRPPO | $32,574.30 | — |
| Aetna Coventry First Health | COMM | $33,830.73 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $34,901.03 | — |
| ComPsych Corporation | COMM | $37,227.77 | — |
| HealthSmart Preferred Care | PPO | $37,227.77 | — |
| USA Managed Care | COMM | $37,227.77 | — |
| Cigna Behavioral Health | COMM | $37,227.77 | — |
| Galaxy Health Network | PPO | $39,554.50 | — |
| Unicare | MCD | $46,534.71 | — |
| Independent Medical Systems | COMM | $46,534.71 | — |
| National Healthcare Solutions | COMM | $46,534.71 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
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Access & clsr pq fem art endogft dlvry w/img uni at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $3,386.54 | $959.52 – $4,797.60 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $3,386.54 | $724.72 – $4,797.60 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,386.54 | $959.52 – $4,797.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,287.87 | $676.75 – $4,931.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,287.87 | $657.57 – $4,109.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,386.54 | $903.08 – $4,797.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,287.87 | $1,055.41 – $4,931.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,287.87 | $1,667.00 – $4,931.80 |