Artery x-rays arms/legs 75716-26 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.
$120.63 with Aetna vs $11,833.37 with BCBS — 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 | $120.63 | — |
| United | STAR | $163.05 | — |
| Parkland Community Health Plan | MCD | $163.05 | — |
| United | STARKids | $163.05 | — |
| Amerigroup | MGMCD | $163.05 | — |
| United | CHIP | $163.05 | — |
| United | STARPerinate | $163.05 | — |
| Amerigroup | CHIP | $163.05 | — |
| United | STARPLUS | $163.05 | — |
| Aetna | NewBusiness | $165.39 | — |
| Cigna Healthspring | MGMCD | $171.20 | — |
| Aetna Better Health | CHIP | $176.09 | — |
| Aetna Better Health | MCD | $176.09 | — |
| Aetna | COMM | $177.17 | — |
| Aetna | Meritain | $177.17 | — |
| Molina | MCDSTAR | $179.36 | — |
| Molina | CHIP | $179.36 | — |
| Molina | STAR+PLUS | $179.36 | — |
| Molina | STARKIDS | $179.36 | — |
| Humana | MGMCD | $203.81 | — |
| Aetna | OON | $207.80 | — |
| Cigna | LocalPlus | $277.12 | — |
| Cigna | NewBusiness | $277.40 | — |
| Cigna | OpenAccessPlus | $309.52 | — |
| Cigna | NetworkBenefit | $309.52 | — |
| Cigna | HMO | $309.52 | — |
| Superior Health Plan | STARHealth | $369.95 | — |
| Superior Health Plan | MCDSTAR | $369.95 | — |
| Superior Health Plan | STARPLUS | $369.95 | — |
| Superior Health Plan | CHIP | $369.95 | — |
| Superior Health Plan | STARKids | $369.95 | — |
| Cigna | AllOther | $391.74 | — |
| Humana | COMM | $397.17 | — |
| Cigna | IFP | $713.48 | — |
| Cigna | QHP | $739.90 | — |
| United | OptionsPPO | $988.29 | — |
| Healthcare Highways | NarrowNetwork | $1,294.83 | — |
| Evry Health | COMM | $1,363.53 | — |
| Unicare | CHIP | $1,374.10 | — |
| Healthcare Highways | CityofPlano | $1,786.33 | — |
| City of McKinney | COMM | $1,849.75 | — |
| Curative Administrators | COMM | $2,114.00 | — |
| BCBS | Traditional | $2,346.54 | — |
| Fidelis SecureCare | MGMCR | $2,378.25 | — |
| National ChoiceCare | WCOMP | $2,642.50 | — |
| Aetna | ASA | $2,785.20 | — |
| PC Texas Partners | WCOMP | $2,906.75 | — |
| Aetna | WCOMP | $2,906.75 | — |
| Rockport Health Group | WORKERSCOMP | $2,906.75 | — |
| Physicians Coop of TX | MGMCR | $2,906.75 | — |
| Averde Health, Inc | PPO | $3,065.30 | — |
| Magellan BH | Pinnacle | $3,171.00 | — |
| Value Options Behavioral Health | COMM | $3,171.00 | — |
| Magellan BH | Summit | $3,171.00 | — |
| BCBS | BluePremier | $3,297.82 | — |
| United | SmallGroup | $3,365.20 | — |
| United | NarrowNetworkIndivExchange | $3,365.20 | — |
| Humana | BHCOMM | $3,435.25 | — |
| BCBS | MyBlueHealth | $3,630.38 | — |
| BCBS | BlueAdvantageHMO | $3,630.38 | — |
| Coastal Comp Health Networks | WCOMP | $3,699.50 | — |
| Multiplan PHCS | PrimaryNetwork | $3,699.50 | — |
| Mega Life | MGMCRPPO | $3,699.50 | — |
| Aetna Coventry First Health | COMM | $3,842.20 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,963.75 | — |
| ComPsych Corporation | COMM | $4,228.00 | — |
| USA Managed Care | COMM | $4,228.00 | — |
| HealthSmart Preferred Care | PPO | $4,228.00 | — |
| Cigna Behavioral Health | COMM | $4,228.00 | — |
| Galaxy Health Network | PPO | $4,492.25 | — |
| Unicare | MCD | $5,285.00 | — |
| National Healthcare Solutions | COMM | $5,285.00 | — |
| Independent Medical Systems | COMM | $5,285.00 | — |
| United | AllPayerAppendix | $6,438.74 | — |
| BCBS | BlueEssentialsAccess | $10,780.28 | — |
| BCBS | BlueEssentials | $10,780.28 | — |
| BCBS | EPOSOA | $11,306.82 | — |
| BCBS | PPO | $11,833.37 | — |
Visitor-reported prices
Comments
Artery x-rays arms/legs 75716-26 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $3,570.38 | $163.05 – $7,896.23 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $3,570.38 | $163.05 – $7,896.23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,570.38 | $163.05 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,442.19 | $914.35 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,479.80 | $163.05 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,570.38 | $163.05 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,442.19 | $174.46 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,442.19 | $163.05 – $7,896.23 |