Calculi urinary-sendout at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$1,242.77
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.
$1,242.77
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.
$10.81 with United vs $1,242.77 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 |
|---|---|---|---|
| United | CHIP | $10.81 | ↓ -99% |
| Amerigroup | MGMCD | $10.81 | ↓ -99% |
| Amerigroup | CHIP | $10.81 | ↓ -99% |
| Parkland Community Health Plan | MCD | $10.81 | ↓ -99% |
| United | STARPerinate | $10.81 | ↓ -99% |
| United | STARPLUS | $10.81 | ↓ -99% |
| United | STARKids | $10.81 | ↓ -99% |
| United | STAR | $10.81 | ↓ -99% |
| Cigna Healthspring | MGMCD | $11.35 | ↓ -99% |
| Aetna Better Health | MCD | $11.67 | ↓ -99% |
| Aetna Better Health | CHIP | $11.67 | ↓ -99% |
| Molina | STARKIDS | $11.89 | ↓ -99% |
| Molina | CHIP | $11.89 | ↓ -99% |
| Molina | STAR+PLUS | $11.89 | ↓ -99% |
| Molina | MCDSTAR | $11.89 | ↓ -99% |
| WellMed | MGMCR | $12.81 | ↓ -99% |
| United | SmallGroup | $12.87 | ↓ -99% |
| Mutual of Omaha | MGMCR | $12.87 | ↓ -99% |
| Devoted Health | PPO | $12.87 | ↓ -99% |
| BCBS | MGMCRHMO | $12.87 | ↓ -99% |
| Amerigroup | DualEligible | $12.87 | ↓ -99% |
| BCBS | MCRPPO | $12.87 | ↓ -99% |
| Devoted Health | MCR | $12.87 | ↓ -99% |
| TriWest Veterans | FEDERAL | $12.87 | ↓ -99% |
| Devoted Health | MME | $12.87 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $12.87 | ↓ -99% |
| United | AllPayerAppendix | $12.87 | ↓ -99% |
| Humana | MGMCR | $12.87 | ↓ -99% |
| Devoted Health | SNP | $12.87 | ↓ -99% |
| Devoted Health | HMO | $12.87 | ↓ -99% |
| Devoted Health | POS | $12.87 | ↓ -99% |
| United | MGMCR | $12.93 | ↓ -99% |
| Aetna | MCR | $12.98 | ↓ -99% |
| Care N Care | MGMCR | $13.00 | ↓ -99% |
| Cigna Healthspring | MGMCR | $13.13 | ↓ -99% |
| Integranet | MGMCR | $13.26 | ↓ -99% |
| WellCare | MGMCR | $13.26 | ↓ -99% |
| American Health Plan of Texas, Inc. | MGMCR | $13.51 | ↓ -99% |
| Superior Health Plan | MGMCRHMO | $13.51 | ↓ -99% |
| Superior Health Plan | MGMCRPPO | $13.51 | ↓ -99% |
| Superior Health Plan | MGMCRDualEligible | $13.51 | ↓ -99% |
| Superior Health Plan | MGMCRPFFS | $13.51 | ↓ -99% |
| Superior Health Plan | MGMCRPOS | $13.51 | ↓ -99% |
| Superior Health Plan | MGMCRSNP | $13.51 | ↓ -99% |
| Humana | MGMCD | $13.51 | ↓ -99% |
| ProCare Advantge | MCR | $13.51 | ↓ -99% |
| Humana | Tricare | $13.51 | ↓ -99% |
| Texas Independent Health Plan | MGMCR | $13.64 | ↓ -99% |
| Provider Partners Health Plan | MCR | $13.64 | ↓ -99% |
| Molina | MMP | $14.03 | ↓ -99% |
| Cenpatico | BHMGMCR | $14.03 | ↓ -99% |
| Molina | MME | $14.03 | ↓ -99% |
| Molina | MCR | $14.03 | ↓ -99% |
| Imperial Insurance Company | MCR | $14.16 | ↓ -99% |
| Universal Healthcare Group | MCR | $15.44 | ↓ -99% |
| Aetna | QHPHIX | $16.37 | ↓ -99% |
| Verda Health Plan | MGMCR | $16.73 | ↓ -99% |
| Bravo Health | MCRHMO | $19.30 | ↓ -98% |
| Bravo Health | MCRPFFS | $19.30 | ↓ -98% |
| Bravo Health | MCRPPO | $19.30 | ↓ -98% |
| Bravo Health | MCRPOS | $19.30 | ↓ -98% |
| Bravo Health | MCRSNP | $19.30 | ↓ -98% |
| BCBS | BluePremier | $19.95 | ↓ -98% |
| BCBS | MyBlueHealth | $22.52 | ↓ -98% |
| BCBS | BlueAdvantageHMO | $22.52 | ↓ -98% |
| Aetna | NewBusiness | $22.54 | ↓ -98% |
| Superior | ValueHMO | $23.04 | ↓ -98% |
| Aetna | Meritain | $24.01 | ↓ -98% |
| Aetna | COMM | $24.01 | ↓ -98% |
| USA Managed Care | WORKERSCOMP | $24.45 | ↓ -98% |
| Corvel Corporation | WORKERSCOMP | $25.48 | ↓ -98% |
| Aetna | OON | $28.26 | ↓ -98% |
| Superior | EPO | $28.83 | ↓ -98% |
| Superior | HMO | $28.83 | ↓ -98% |
| BCBS | BlueEssentials | $31.79 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $31.79 | ↓ -97% |
| BCBS | EPOSOA | $33.33 | ↓ -97% |
| Oscar | HIX | $33.46 | ↓ -97% |
| Molina Healthcare | HIX | $33.72 | ↓ -97% |
| BCBS | PPO | $34.88 | ↓ -97% |
| Cigna | LocalPlus | $49.05 | ↓ -96% |
| Cigna | NewBusiness | $49.10 | ↓ -96% |
| Cigna | OpenAccessPlus | $54.79 | ↓ -96% |
| Cigna | NetworkBenefit | $54.79 | ↓ -96% |
| Cigna | HMO | $54.79 | ↓ -96% |
| Cigna | AllOther | $69.34 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $86.99 | ↓ -93% |
| Superior Health Plan | CHIP | $86.99 | ↓ -93% |
| Superior Health Plan | STARKids | $86.99 | ↓ -93% |
| Superior Health Plan | STARPLUS | $86.99 | ↓ -93% |
| Superior Health Plan | STARHealth | $86.99 | ↓ -93% |
| Humana | COMM | $142.98 | ↓ -88% |
| Cigna | IFP | $167.77 | ↓ -87% |
| Cigna | QHP | $173.99 | ↓ -86% |
| United | OptionsPPO | $232.40 | ↓ -81% |
| Healthcare Highways | NarrowNetwork | $304.48 | ↓ -75% |
| Evry Health | COMM | $320.63 | ↓ -74% |
| Unicare | CHIP | $323.12 | ↓ -74% |
| Healthcare Highways | CityofPlano | $420.06 | ↓ -66% |
| City of McKinney | COMM | $434.97 | ↓ -65% |
| BCBS | Traditional | $551.79 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $559.25 | ↓ -55% |
| National ChoiceCare | WCOMP | $621.38 | ↓ -50% |
| Aetna | ASA | $654.94 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $683.52 | ↓ -45% |
| Aetna | WCOMP | $683.52 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $683.52 | ↓ -45% |
| PC Texas Partners | WCOMP | $683.52 | ↓ -45% |
| Averde Health, Inc | PPO | $720.81 | ↓ -42% |
| Value Options Behavioral Health | COMM | $745.66 | ↓ -40% |
| Magellan BH | Summit | $745.66 | ↓ -40% |
| Magellan BH | Pinnacle | $745.66 | ↓ -40% |
| Humana | BHCOMM | $807.80 | ↓ -35% |
| Mega Life | MGMCRPPO | $869.94 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $869.94 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $869.94 | ↓ -30% |
| Aetna Coventry First Health | COMM | $903.49 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $932.08 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $994.22 | ↓ -20% |
| Cigna Behavioral Health | COMM | $994.22 | ↓ -20% |
| USA Managed Care | COMM | $994.22 | ↓ -20% |
| ComPsych Corporation | COMM | $994.22 | ↓ -20% |
| Galaxy Health Network | PPO | $1,056.35 | ↓ -15% |
| Independent Medical Systems | COMM | $1,242.77 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,242.77 | ↑ +0% |
| Unicare | MCD | $1,242.77 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Calculi urinary-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $132.60 | $10.00 – $165.75 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $132.60 | $10.00 – $165.75 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $132.60 | $10.00 – $165.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $68.05 | $12.00 – $102.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $68.05 | $10.81 – $85.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $132.60 | $10.00 – $165.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $68.05 | $11.57 – $102.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $68.05 | $8.00 – $102.08 |