Allograft dermis 20x25x1mm decell w/matracell arthroflex 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.
$209.78 with United vs $2,125.00 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 |
|---|---|---|---|
| United | SmallGroup | $209.78 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| Cigna | IFP | $286.88 | — |
| Cigna | QHP | $297.50 | — |
| United | OptionsPPO | $397.38 | — |
| BCBS | MyBlueHealth | $524.88 | — |
| BCBS | BlueAdvantageHMO | $524.88 | — |
| Unicare | CHIP | $552.50 | — |
| Cigna | NewBusiness | $561.00 | — |
| Cigna | LocalPlus | $561.00 | — |
| Cigna | NetworkBenefit | $626.88 | — |
| Cigna | HMO | $626.88 | — |
| Cigna | OpenAccessPlus | $626.88 | — |
| BCBS | BlueEssentials | $677.88 | — |
| BCBS | BlueEssentialsAccess | $677.88 | — |
| BCBS | EPOSOA | $711.88 | — |
| Healthcare Highways | CityofPlano | $718.25 | — |
| BCBS | PPO | $743.75 | — |
| City of McKinney | COMM | $743.75 | — |
| Cigna | AllOther | $792.63 | — |
| BCBS | Traditional | $943.50 | — |
| National ChoiceCare | WCOMP | $1,062.50 | — |
| Aetna | ASA | $1,119.88 | — |
| Aetna | WCOMP | $1,168.75 | — |
| Rockport Health Group | WORKERSCOMP | $1,168.75 | — |
| Physicians Coop of TX | MGMCR | $1,168.75 | — |
| PC Texas Partners | WCOMP | $1,168.75 | — |
| Averde Health, Inc | PPO | $1,232.50 | — |
| Value Options Behavioral Health | COMM | $1,275.00 | — |
| Magellan BH | Pinnacle | $1,275.00 | — |
| Magellan BH | Summit | $1,275.00 | — |
| Humana | BHCOMM | $1,381.25 | — |
| Mega Life | MGMCRPPO | $1,487.50 | — |
| Aetna Coventry First Health | COMM | $1,544.88 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,593.75 | — |
| Cigna Behavioral Health | COMM | $1,700.00 | — |
| HealthSmart Preferred Care | PPO | $1,700.00 | — |
| USA Managed Care | COMM | $1,700.00 | — |
| ComPsych Corporation | COMM | $1,700.00 | — |
| Galaxy Health Network | PPO | $1,806.25 | — |
| National Healthcare Solutions | COMM | $2,125.00 | — |
| Independent Medical Systems | COMM | $2,125.00 | — |
| Unicare | MCD | $2,125.00 | — |
Visitor-reported prices
Comments
Allograft dermis 20x25x1mm decell w/matracell arthroflex at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,002.56 | $58.38 – $268.77 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,002.56 | $44.10 – $268.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,002.56 | $58.38 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,002.56 | $42.41 – $309.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,002.56 | $41.21 – $257.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,002.56 | $54.95 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,002.56 | $66.15 – $309.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,002.56 | $106.47 – $309.10 |