Brace back pinnacle tlso 464 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.
$530.88 with Superior Health Plan vs $10,375.37 with Humana — 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 | $530.88 | — |
| Superior Health Plan | MCDSTAR | $530.88 | — |
| Superior Health Plan | STARPLUS | $530.88 | — |
| Superior Health Plan | STARKids | $530.88 | — |
| Superior Health Plan | CHIP | $530.88 | — |
| Cigna | IFP | $1,023.84 | — |
| Cigna | QHP | $1,061.76 | — |
| United | OptionsPPO | $1,418.21 | — |
| Humana | Tricare | $1,781.39 | — |
| BCBS | MGMCRHMO | $1,800.47 | — |
| BCBS | MCRPPO | $1,800.47 | — |
| WellMed | MGMCR | $1,827.30 | — |
| Devoted Health | MME | $1,836.48 | — |
| Devoted Health | MCR | $1,836.48 | — |
| Devoted Health | POS | $1,836.48 | — |
| Mutual of Omaha | MGMCR | $1,836.48 | — |
| Devoted Health | HMO | $1,836.48 | — |
| Amerigroup | DualEligible | $1,836.48 | — |
| Humana | MGMCR | $1,836.48 | — |
| TriWest Veterans | FEDERAL | $1,836.48 | — |
| Devoted Health | PPO | $1,836.48 | — |
| Devoted Health | SNP | $1,836.48 | — |
| United | MGMCR | $1,845.66 | — |
| Aetna | MCR | $1,852.09 | — |
| Care N Care | MGMCR | $1,854.84 | — |
| Cigna Healthspring | MGMCR | $1,873.21 | — |
| BCBS | MyBlueHealth | $1,873.25 | — |
| BCBS | BlueAdvantageHMO | $1,873.25 | — |
| WellCare | MGMCR | $1,891.57 | — |
| Integranet | MGMCR | $1,891.57 | — |
| Superior Health Plan | MGMCRPPO | $1,928.30 | — |
| American Health Plan of Texas, Inc. | MGMCR | $1,928.30 | — |
| Superior Health Plan | MGMCRDualEligible | $1,928.30 | — |
| ProCare Advantge | MCR | $1,928.30 | — |
| Superior Health Plan | MGMCRHMO | $1,928.30 | — |
| Superior Health Plan | MGMCRSNP | $1,928.30 | — |
| Superior Health Plan | MGMCRPOS | $1,928.30 | — |
| Superior Health Plan | MGMCRPFFS | $1,928.30 | — |
| Provider Partners Health Plan | MCR | $1,946.67 | — |
| Texas Independent Health Plan | MGMCR | $1,946.67 | — |
| Unicare | CHIP | $1,971.84 | — |
| Molina | MME | $2,001.76 | — |
| Molina | MMP | $2,001.76 | — |
| Molina | MCR | $2,001.76 | — |
| Cenpatico | BHMGMCR | $2,001.76 | — |
| Cigna | NewBusiness | $2,002.18 | — |
| Cigna | LocalPlus | $2,002.18 | — |
| Imperial Insurance Company | MCR | $2,020.13 | — |
| Universal Healthcare Group | MCR | $2,203.78 | — |
| Cigna | NetworkBenefit | $2,237.28 | — |
| Cigna | OpenAccessPlus | $2,237.28 | — |
| Cigna | HMO | $2,237.28 | — |
| Verda Health Plan | MGMCR | $2,387.42 | — |
| BCBS | BlueEssentialsAccess | $2,419.30 | — |
| BCBS | BlueEssentials | $2,419.30 | — |
| BCBS | EPOSOA | $2,540.64 | — |
| Healthcare Highways | CityofPlano | $2,563.39 | — |
| BCBS | PPO | $2,654.40 | — |
| City of McKinney | COMM | $2,654.40 | — |
| Bravo Health | MCRHMO | $2,754.72 | — |
| Bravo Health | MCRPOS | $2,754.72 | — |
| Bravo Health | MCRPPO | $2,754.72 | — |
| Bravo Health | MCRSNP | $2,754.72 | — |
| Bravo Health | MCRPFFS | $2,754.72 | — |
| Cigna | AllOther | $2,828.83 | — |
| Superior | ValueHMO | $3,287.30 | — |
| BCBS | Traditional | $3,367.30 | — |
| USA Managed Care | WORKERSCOMP | $3,489.31 | — |
| Corvel Corporation | WORKERSCOMP | $3,636.23 | — |
| National ChoiceCare | WCOMP | $3,792.00 | — |
| Aetna | ASA | $3,996.77 | — |
| Superior | HMO | $4,113.72 | — |
| Superior | EPO | $4,113.72 | — |
| Physicians Coop of TX | MGMCR | $4,171.20 | — |
| Rockport Health Group | WORKERSCOMP | $4,171.20 | — |
| Aetna | WCOMP | $4,171.20 | — |
| PC Texas Partners | WCOMP | $4,171.20 | — |
| Averde Health, Inc | PPO | $4,398.72 | — |
| Magellan BH | Summit | $4,550.40 | — |
| Value Options Behavioral Health | COMM | $4,550.40 | — |
| Magellan BH | Pinnacle | $4,550.40 | — |
| Molina Healthcare | HIX | $4,811.58 | — |
| Humana | BHCOMM | $4,929.60 | — |
| Mega Life | MGMCRPPO | $5,308.80 | — |
| Aetna Coventry First Health | COMM | $5,513.57 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $5,688.00 | — |
| Cigna Behavioral Health | COMM | $6,067.20 | — |
| ComPsych Corporation | COMM | $6,067.20 | — |
| USA Managed Care | COMM | $6,067.20 | — |
| HealthSmart Preferred Care | PPO | $6,067.20 | — |
| Galaxy Health Network | PPO | $6,446.40 | — |
| Independent Medical Systems | COMM | $7,584.00 | — |
| National Healthcare Solutions | COMM | $7,584.00 | — |
| Unicare | MCD | $7,584.00 | — |
| Humana | COMM | $10,375.37 | — |
Visitor-reported prices
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Brace back pinnacle tlso 464 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,632.87 | $196.83 – $926.26 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $2,632.87 | $148.66 – $926.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,632.87 | $196.83 – $926.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,652.99 | $142.99 – $1,042.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,652.99 | $138.94 – $926.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,632.87 | $185.25 – $926.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,652.99 | $223.00 – $1,042.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,652.99 | $358.92 – $1,042.04 |