Bld prd mix 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.
$30.24 with Superior Health Plan vs $431.98 with Independent Medical Systems — 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 | STARHealth | $30.24 | — |
| Superior Health Plan | MCDSTAR | $30.24 | — |
| Superior Health Plan | STARPLUS | $30.24 | — |
| Superior Health Plan | STARKids | $30.24 | — |
| Superior Health Plan | CHIP | $30.24 | — |
| Aetna | QHPHIX | $42.91 | — |
| Cigna | IFP | $58.32 | — |
| Aetna | NewBusiness | $59.10 | — |
| Cigna | QHP | $60.48 | — |
| Aetna | Meritain | $62.95 | — |
| Aetna | COMM | $62.95 | — |
| Aetna | OON | $74.08 | — |
| United | OptionsPPO | $80.78 | — |
| Oscar | HIX | $89.85 | — |
| Healthcare Highways | NarrowNetwork | $105.84 | — |
| Evry Health | COMM | $111.45 | — |
| Unicare | CHIP | $112.31 | — |
| Cigna | LocalPlus | $121.37 | — |
| Cigna | NewBusiness | $121.49 | — |
| Humana | COMM | $133.87 | — |
| Cigna | NetworkBenefit | $135.56 | — |
| Cigna | HMO | $135.56 | — |
| Cigna | OpenAccessPlus | $135.56 | — |
| Healthcare Highways | CityofPlano | $146.01 | — |
| United | AllPayerAppendix | $149.16 | — |
| United | NarrowNetworkIndivExchange | $149.16 | — |
| United | SmallGroup | $149.16 | — |
| City of McKinney | COMM | $151.19 | — |
| Cigna | AllOther | $171.57 | — |
| BCBS | Traditional | $191.80 | — |
| Fidelis SecureCare | MGMCR | $194.39 | — |
| National ChoiceCare | WCOMP | $215.99 | — |
| BCBS | BluePremier | $222.43 | — |
| Aetna | ASA | $227.65 | — |
| Physicians Coop of TX | MGMCR | $237.59 | — |
| Rockport Health Group | WORKERSCOMP | $237.59 | — |
| Aetna | WCOMP | $237.59 | — |
| PC Texas Partners | WCOMP | $237.59 | — |
| Averde Health, Inc | PPO | $250.55 | — |
| BCBS | MyBlueHealth | $251.13 | — |
| BCBS | BlueAdvantageHMO | $251.13 | — |
| Magellan BH | Pinnacle | $259.19 | — |
| Magellan BH | Summit | $259.19 | — |
| Value Options Behavioral Health | COMM | $259.19 | — |
| Humana | BHCOMM | $280.79 | — |
| Coastal Comp Health Networks | WCOMP | $302.39 | — |
| Multiplan PHCS | PrimaryNetwork | $302.39 | — |
| Mega Life | MGMCRPPO | $302.39 | — |
| Aetna Coventry First Health | COMM | $314.05 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $323.99 | — |
| ComPsych Corporation | COMM | $345.58 | — |
| Cigna Behavioral Health | COMM | $345.58 | — |
| HealthSmart Preferred Care | PPO | $345.58 | — |
| USA Managed Care | COMM | $345.58 | — |
| BCBS | BlueEssentials | $354.45 | — |
| BCBS | BlueEssentialsAccess | $354.45 | — |
| Galaxy Health Network | PPO | $367.18 | — |
| BCBS | EPOSOA | $371.66 | — |
| BCBS | PPO | $388.88 | — |
| Unicare | MCD | $431.98 | — |
| National Healthcare Solutions | COMM | $431.98 | — |
| Independent Medical Systems | COMM | $431.98 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $139.21 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $139.21 | $10.00 – $423.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $139.21 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $139.21 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $117.37 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $117.37 | $8.00 – $423.12 |