Aco med nutria tx/group, ea 30 min 97804aco at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$192.11
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.
$192.11
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.
$4.79 with Humana vs $192.11 with Unicare — 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 | $4.79 | ↓ -98% |
| Superior Health Plan | STARPLUS | $13.45 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $13.45 | ↓ -93% |
| Superior Health Plan | STARHealth | $13.45 | ↓ -93% |
| Superior Health Plan | CHIP | $13.45 | ↓ -93% |
| Superior Health Plan | STARKids | $13.45 | ↓ -93% |
| BCBS | MCRPPO | $13.63 | ↓ -93% |
| BCBS | MGMCRHMO | $13.63 | ↓ -93% |
| WellMed | MGMCR | $14.02 | ↓ -93% |
| Devoted Health | SNP | $14.09 | ↓ -93% |
| Devoted Health | MCR | $14.09 | ↓ -93% |
| Devoted Health | MME | $14.09 | ↓ -93% |
| Amerigroup | DualEligible | $14.09 | ↓ -93% |
| Humana | MGMCR | $14.09 | ↓ -93% |
| TriWest Veterans | FEDERAL | $14.09 | ↓ -93% |
| Mutual of Omaha | MGMCR | $14.09 | ↓ -93% |
| Devoted Health | POS | $14.09 | ↓ -93% |
| Devoted Health | HMO | $14.09 | ↓ -93% |
| Devoted Health | PPO | $14.09 | ↓ -93% |
| United | MGMCR | $14.16 | ↓ -93% |
| Aetna | MCR | $14.21 | ↓ -93% |
| Care N Care | MGMCR | $14.23 | ↓ -93% |
| Cigna Healthspring | MGMCR | $14.37 | ↓ -93% |
| Integranet | MGMCR | $14.51 | ↓ -92% |
| WellCare | MGMCR | $14.51 | ↓ -92% |
| Superior Health Plan | MGMCRPOS | $14.79 | ↓ -92% |
| ProCare Advantge | MCR | $14.79 | ↓ -92% |
| American Health Plan of Texas, Inc. | MGMCR | $14.79 | ↓ -92% |
| Superior Health Plan | MGMCRHMO | $14.79 | ↓ -92% |
| Superior Health Plan | MGMCRPPO | $14.79 | ↓ -92% |
| Superior Health Plan | MGMCRDualEligible | $14.79 | ↓ -92% |
| Superior Health Plan | MGMCRPFFS | $14.79 | ↓ -92% |
| Superior Health Plan | MGMCRSNP | $14.79 | ↓ -92% |
| Provider Partners Health Plan | MCR | $14.94 | ↓ -92% |
| Texas Independent Health Plan | MGMCR | $14.94 | ↓ -92% |
| Molina | MME | $15.36 | ↓ -92% |
| Molina | MCR | $15.36 | ↓ -92% |
| Molina | MMP | $15.36 | ↓ -92% |
| Cenpatico | BHMGMCR | $15.36 | ↓ -92% |
| Imperial Insurance Company | MCR | $15.50 | ↓ -92% |
| Humana | Tricare | $15.55 | ↓ -92% |
| Universal Healthcare Group | MCR | $16.91 | ↓ -91% |
| Verda Health Plan | MGMCR | $18.32 | ↓ -90% |
| Bravo Health | MCRPOS | $21.13 | ↓ -89% |
| Bravo Health | MCRPFFS | $21.13 | ↓ -89% |
| Bravo Health | MCRPPO | $21.13 | ↓ -89% |
| Bravo Health | MCRHMO | $21.13 | ↓ -89% |
| Bravo Health | MCRSNP | $21.13 | ↓ -89% |
| Superior | ValueHMO | $25.22 | ↓ -87% |
| Cigna | IFP | $25.93 | ↓ -87% |
| Aetna | QHPHIX | $25.93 | ↓ -87% |
| USA Managed Care | WORKERSCOMP | $26.77 | ↓ -86% |
| Cigna | QHP | $26.90 | ↓ -86% |
| Corvel Corporation | WORKERSCOMP | $27.90 | ↓ -85% |
| Superior | HMO | $31.56 | ↓ -84% |
| Superior | EPO | $31.56 | ↓ -84% |
| United | OptionsPPO | $35.92 | ↓ -81% |
| Molina Healthcare | HIX | $36.92 | ↓ -81% |
| Aetna | NewBusiness | $38.23 | ↓ -80% |
| BCBS | BluePremier | $38.28 | ↓ -80% |
| Oscar | HIX | $39.96 | ↓ -79% |
| Aetna | Meritain | $40.92 | ↓ -79% |
| Aetna | COMM | $40.92 | ↓ -79% |
| BCBS | MyBlueHealth | $44.60 | ↓ -77% |
| BCBS | BlueAdvantageHMO | $44.60 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $47.07 | ↓ -75% |
| Aetna | OON | $48.22 | ↓ -75% |
| Evry Health | COMM | $49.56 | ↓ -74% |
| Unicare | CHIP | $49.95 | ↓ -74% |
| Cigna | LocalPlus | $50.72 | ↓ -74% |
| Cigna | NewBusiness | $50.72 | ↓ -74% |
| Cigna | NetworkBenefit | $56.67 | ↓ -71% |
| Cigna | HMO | $56.67 | ↓ -71% |
| Cigna | OpenAccessPlus | $56.67 | ↓ -71% |
| Healthcare Highways | CityofPlano | $64.93 | ↓ -66% |
| City of McKinney | COMM | $67.24 | ↓ -65% |
| Cigna | AllOther | $71.66 | ↓ -63% |
| Curative Administrators | COMM | $76.84 | ↓ -60% |
| BCBS | BlueEssentials | $78.99 | ↓ -59% |
| BCBS | BlueEssentialsAccess | $78.99 | ↓ -59% |
| BCBS | EPOSOA | $82.88 | ↓ -57% |
| BCBS | Traditional | $85.30 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $86.45 | ↓ -55% |
| BCBS | PPO | $86.78 | ↓ -55% |
| National ChoiceCare | WCOMP | $96.06 | ↓ -50% |
| Aetna | ASA | $101.24 | ↓ -47% |
| Aetna | WCOMP | $105.66 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $105.66 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $105.66 | ↓ -45% |
| PC Texas Partners | WCOMP | $105.66 | ↓ -45% |
| Averde Health, Inc | PPO | $111.42 | ↓ -42% |
| Value Options Behavioral Health | COMM | $115.27 | ↓ -40% |
| Magellan BH | Pinnacle | $115.27 | ↓ -40% |
| Magellan BH | Summit | $115.27 | ↓ -40% |
| Humana | BHCOMM | $124.87 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $134.48 | ↓ -30% |
| Mega Life | MGMCRPPO | $134.48 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $134.48 | ↓ -30% |
| Aetna Coventry First Health | COMM | $139.66 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $144.08 | ↓ -25% |
| USA Managed Care | COMM | $153.69 | ↓ -20% |
| Cigna Behavioral Health | COMM | $153.69 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $153.69 | ↓ -20% |
| ComPsych Corporation | COMM | $153.69 | ↓ -20% |
| Galaxy Health Network | PPO | $163.29 | ↓ -15% |
| National Healthcare Solutions | COMM | $192.11 | ↑ +0% |
| Independent Medical Systems | COMM | $192.11 | ↑ +0% |
| Unicare | MCD | $192.11 | ↑ +0% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $52.33 | $14.83 – $74.13 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $52.33 | $11.20 – $74.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $52.33 | $14.83 – $74.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $46.14 | $9.50 – $69.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.28 | $8.46 – $52.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $52.33 | $13.95 – $74.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $46.14 | $14.81 – $69.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $46.14 | $23.84 – $69.21 |