Antibody id rbc panel 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.
$56.90 with Aetna vs $2,306.79 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 |
|---|---|---|---|
| Aetna | QHPHIX | $56.90 | — |
| Aetna | NewBusiness | $78.37 | — |
| Aetna | Meritain | $83.47 | — |
| Aetna | COMM | $83.47 | — |
| Aetna | OON | $98.23 | — |
| Cigna | LocalPlus | $161.40 | — |
| Superior Health Plan | CHIP | $161.48 | — |
| Superior Health Plan | STARPLUS | $161.48 | — |
| Superior Health Plan | STARHealth | $161.48 | — |
| Superior Health Plan | MCDSTAR | $161.48 | — |
| Superior Health Plan | STARKids | $161.48 | — |
| Cigna | NewBusiness | $161.56 | — |
| Cigna | HMO | $180.28 | — |
| Cigna | NetworkBenefit | $180.28 | — |
| Cigna | OpenAccessPlus | $180.28 | — |
| Cigna | AllOther | $228.16 | — |
| United | AllPayerAppendix | $291.26 | — |
| United | NarrowNetworkIndivExchange | $291.26 | — |
| United | SmallGroup | $291.26 | — |
| Cigna | IFP | $311.42 | — |
| Cigna | QHP | $322.95 | — |
| Humana | COMM | $385.85 | — |
| United | OptionsPPO | $431.37 | — |
| BCBS | BluePremier | $439.29 | — |
| Oscar | HIX | $479.81 | — |
| BCBS | BlueAdvantageHMO | $495.97 | — |
| BCBS | MyBlueHealth | $495.97 | — |
| Healthcare Highways | NarrowNetwork | $565.16 | — |
| Evry Health | COMM | $595.15 | — |
| Unicare | CHIP | $599.77 | — |
| BCBS | BlueEssentialsAccess | $700.02 | — |
| BCBS | BlueEssentials | $700.02 | — |
| BCBS | EPOSOA | $734.03 | — |
| BCBS | PPO | $768.04 | — |
| Healthcare Highways | CityofPlano | $779.70 | — |
| City of McKinney | COMM | $807.38 | — |
| BCBS | Traditional | $1,024.21 | — |
| Fidelis SecureCare | MGMCR | $1,038.06 | — |
| National ChoiceCare | WCOMP | $1,153.39 | — |
| Aetna | ASA | $1,215.68 | — |
| Rockport Health Group | WORKERSCOMP | $1,268.73 | — |
| Aetna | WCOMP | $1,268.73 | — |
| Physicians Coop of TX | MGMCR | $1,268.73 | — |
| PC Texas Partners | WCOMP | $1,268.73 | — |
| Averde Health, Inc | PPO | $1,337.94 | — |
| Magellan BH | Pinnacle | $1,384.07 | — |
| Value Options Behavioral Health | COMM | $1,384.07 | — |
| Magellan BH | Summit | $1,384.07 | — |
| Humana | BHCOMM | $1,499.41 | — |
| Coastal Comp Health Networks | WCOMP | $1,614.75 | — |
| Multiplan PHCS | PrimaryNetwork | $1,614.75 | — |
| Mega Life | MGMCRPPO | $1,614.75 | — |
| Aetna Coventry First Health | COMM | $1,677.04 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,730.09 | — |
| Cigna Behavioral Health | COMM | $1,845.43 | — |
| USA Managed Care | COMM | $1,845.43 | — |
| ComPsych Corporation | COMM | $1,845.43 | — |
| HealthSmart Preferred Care | PPO | $1,845.43 | — |
| Galaxy Health Network | PPO | $1,960.77 | — |
| Unicare | MCD | $2,306.79 | — |
| Independent Medical Systems | COMM | $2,306.79 | — |
| National Healthcare Solutions | COMM | $2,306.79 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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Antibody id rbc panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $237.80 | $10.00 – $890.45 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $237.80 | $10.00 – $890.45 |
| Adventhealth Rollins Brook | Lampasas | $338.66 | $1,091.13 – $1,091.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $237.80 | $10.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $265.05 | $12.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $265.05 | $12.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $237.80 | $10.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $265.05 | $12.00 – $890.45 |