Cath lt/rt pulm art 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.
$233.12 with Superior Health Plan vs $4,389.22 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 | CHIP | $233.12 | — |
| Superior Health Plan | STARHealth | $233.12 | — |
| Superior Health Plan | MCDSTAR | $233.12 | — |
| Superior Health Plan | STARPLUS | $233.12 | — |
| Superior Health Plan | STARKids | $233.12 | — |
| Cigna | IFP | $449.60 | — |
| Cigna | QHP | $466.25 | — |
| United | OptionsPPO | $622.78 | — |
| Imperial Insurance Company | MCR | $632.77 | — |
| BCBS | MyBlueHealth | $822.60 | — |
| BCBS | BlueAdvantageHMO | $822.60 | — |
| Unicare | CHIP | $865.89 | — |
| Cigna | LocalPlus | $967.13 | — |
| Cigna | NewBusiness | $967.13 | — |
| BCBS | BluePremier | $972.46 | — |
| BCBS | BlueEssentials | $1,062.38 | — |
| BCBS | BlueEssentialsAccess | $1,062.38 | — |
| Cigna | OpenAccessPlus | $1,080.70 | — |
| Cigna | HMO | $1,080.70 | — |
| Cigna | NetworkBenefit | $1,080.70 | — |
| BCBS | EPOSOA | $1,115.67 | — |
| Healthcare Highways | CityofPlano | $1,125.66 | — |
| City of McKinney | COMM | $1,165.62 | — |
| BCBS | PPO | $1,165.62 | — |
| Cigna | AllOther | $1,366.44 | — |
| BCBS | Traditional | $1,478.68 | — |
| Fidelis SecureCare | MGMCR | $1,498.66 | — |
| United | SmallGroup | $1,580.00 | — |
| National ChoiceCare | WCOMP | $1,665.17 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| Aetna | ASA | $1,755.09 | — |
| Rockport Health Group | WORKERSCOMP | $1,831.69 | — |
| Physicians Coop of TX | MGMCR | $1,831.69 | — |
| PC Texas Partners | WCOMP | $1,831.69 | — |
| Aetna | WCOMP | $1,831.69 | — |
| Averde Health, Inc | PPO | $1,931.60 | — |
| Magellan BH | Pinnacle | $1,998.21 | — |
| Value Options Behavioral Health | COMM | $1,998.21 | — |
| Magellan BH | Summit | $1,998.21 | — |
| United | NarrowNetworkIndivExchange | $2,000.00 | — |
| Healthcare Highways | NarrowNetwork | $2,152.00 | — |
| Humana | BHCOMM | $2,164.73 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Multiplan PHCS | PrimaryNetwork | $2,331.24 | — |
| Coastal Comp Health Networks | WCOMP | $2,331.24 | — |
| Mega Life | MGMCRPPO | $2,331.24 | — |
| Aetna Coventry First Health | COMM | $2,421.16 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,497.76 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Oscar | HIX | $2,636.00 | — |
| HealthSmart Preferred Care | PPO | $2,664.28 | — |
| Cigna Behavioral Health | COMM | $2,664.28 | — |
| USA Managed Care | COMM | $2,664.28 | — |
| ComPsych Corporation | COMM | $2,664.28 | — |
| Galaxy Health Network | PPO | $2,830.80 | — |
| National Healthcare Solutions | COMM | $3,330.35 | — |
| Independent Medical Systems | COMM | $3,330.35 | — |
| Unicare | MCD | $3,330.35 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Humana | COMM | $4,389.22 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Cath lt/rt pulm art at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,082.23 | $589.97 – $2,949.83 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $2,082.23 | $445.60 – $2,949.83 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,082.23 | $589.97 – $2,949.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,153.27 | $71.00 – $3,229.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,970.57 | $71.00 – $2,463.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,082.23 | $555.26 – $2,949.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,153.27 | $85.00 – $3,229.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,153.27 | $1,112.52 – $3,229.90 |