Angioplasty fem/pop unilat 37224 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.
$2,369.00 with Superior Health Plan vs $57,975.86 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| United | STAR | $2,512.98 | — |
| United | CHIP | $2,512.98 | — |
| United | STARPerinate | $2,512.98 | — |
| Parkland Community Health Plan | MCD | $2,512.98 | — |
| United | STARPLUS | $2,512.98 | — |
| United | STARKids | $2,512.98 | — |
| Amerigroup | CHIP | $2,638.63 | — |
| Cigna Healthspring | MGMCD | $2,638.63 | — |
| Amerigroup | MGMCD | $2,638.63 | — |
| Molina | STAR+PLUS | $2,764.28 | — |
| Molina | MCDSTAR | $2,764.28 | — |
| Molina | STARKIDS | $2,764.28 | — |
| Molina | CHIP | $2,764.28 | — |
| Aetna Better Health | CHIP | $3,015.58 | — |
| Aetna Better Health | MCD | $3,015.58 | — |
| Humana | MGMCD | $3,141.22 | — |
| BCBS | BluePremier | $6,588.70 | — |
| Humana | COMM | $7,113.00 | — |
| Aetna | QHPHIX | $7,826.74 | — |
| Cigna | IFP | $7,826.74 | — |
| Oscar | HIX | $8,024.00 | — |
| Cigna | QHP | $8,116.62 | — |
| Evry Health | COMM | $9,417.00 | — |
| United | OptionsPPO | $10,841.49 | — |
| Aetna | NewBusiness | $11,537.20 | — |
| Aetna | COMM | $12,348.86 | — |
| Aetna | Meritain | $12,348.86 | — |
| BCBS | BlueAdvantageHMO | $14,320.04 | — |
| BCBS | MyBlueHealth | $14,320.04 | — |
| Aetna | OON | $14,551.94 | — |
| Unicare | CHIP | $15,073.72 | — |
| Cigna | NewBusiness | $15,305.63 | — |
| Cigna | LocalPlus | $15,305.63 | — |
| Cigna | HMO | $17,102.88 | — |
| Cigna | NetworkBenefit | $17,102.88 | — |
| Cigna | OpenAccessPlus | $17,102.88 | — |
| BCBS | BlueEssentialsAccess | $18,494.30 | — |
| BCBS | BlueEssentials | $18,494.30 | — |
| BCBS | EPOSOA | $19,421.91 | — |
| Healthcare Highways | CityofPlano | $19,595.84 | — |
| City of McKinney | COMM | $20,291.55 | — |
| BCBS | PPO | $20,291.55 | — |
| Cigna | AllOther | $21,625.00 | — |
| Curative Administrators | COMM | $23,190.34 | — |
| BCBS | Traditional | $25,741.28 | — |
| Fidelis SecureCare | MGMCR | $26,089.14 | — |
| National ChoiceCare | WCOMP | $28,987.93 | — |
| Aetna | ASA | $30,553.28 | — |
| Physicians Coop of TX | MGMCR | $31,886.72 | — |
| Rockport Health Group | WORKERSCOMP | $31,886.72 | — |
| Aetna | WCOMP | $31,886.72 | — |
| PC Texas Partners | WCOMP | $31,886.72 | — |
| Averde Health, Inc | PPO | $33,626.00 | — |
| Magellan BH | Summit | $34,785.52 | — |
| Value Options Behavioral Health | COMM | $34,785.52 | — |
| Magellan BH | Pinnacle | $34,785.52 | — |
| Humana | BHCOMM | $37,684.31 | — |
| Coastal Comp Health Networks | WCOMP | $40,583.10 | — |
| Mega Life | MGMCRPPO | $40,583.10 | — |
| Multiplan PHCS | PrimaryNetwork | $40,583.10 | — |
| Aetna Coventry First Health | COMM | $42,148.45 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $43,481.89 | — |
| USA Managed Care | COMM | $46,380.69 | — |
| HealthSmart Preferred Care | PPO | $46,380.69 | — |
| Cigna Behavioral Health | COMM | $46,380.69 | — |
| ComPsych Corporation | COMM | $46,380.69 | — |
| Galaxy Health Network | PPO | $49,279.48 | — |
| National Healthcare Solutions | COMM | $57,975.86 | — |
| Independent Medical Systems | COMM | $57,975.86 | — |
| Unicare | MCD | $57,975.86 | — |
Visitor-reported prices
Comments
Angioplasty fem/pop unilat 37224 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $16,874.52 | $4,781.11 – $23,905.57 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $16,874.52 | $3,611.15 – $23,905.57 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,874.52 | $4,781.11 – $23,905.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,517.60 | $71.00 – $17,276.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,419.17 | $71.00 – $16,773.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,874.52 | $4,499.87 – $23,905.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $11,517.60 | $85.00 – $17,276.40 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $11,517.60 | $5,950.76 – $17,276.40 |