Cholesterol body fluid 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.
$52.43 with Superior Health Plan vs $749.07 with National Healthcare Solutions — 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 | $52.43 | — |
| Superior Health Plan | STARHealth | $52.43 | — |
| Superior Health Plan | MCDSTAR | $52.43 | — |
| Superior Health Plan | STARPLUS | $52.43 | — |
| Superior Health Plan | STARKids | $52.43 | — |
| Cigna | LocalPlus | $92.21 | — |
| Cigna | NewBusiness | $92.30 | — |
| Aetna | QHPHIX | $101.12 | — |
| Cigna | IFP | $101.12 | — |
| Cigna | HMO | $103.00 | — |
| Cigna | NetworkBenefit | $103.00 | — |
| Cigna | OpenAccessPlus | $103.00 | — |
| Cigna | QHP | $104.87 | — |
| Cigna | AllOther | $130.35 | — |
| United | OptionsPPO | $140.08 | — |
| Imperial Insurance Company | MCR | $142.32 | — |
| Aetna | NewBusiness | $149.06 | — |
| Oscar | HIX | $155.81 | — |
| Aetna | COMM | $159.55 | — |
| Aetna | Meritain | $159.55 | — |
| Healthcare Highways | NarrowNetwork | $183.52 | — |
| BCBS | BlueAdvantageHMO | $185.02 | — |
| BCBS | MyBlueHealth | $185.02 | — |
| Aetna | OON | $188.02 | — |
| Evry Health | COMM | $193.26 | — |
| Unicare | CHIP | $194.76 | — |
| BCBS | BluePremier | $218.73 | — |
| Humana | COMM | $232.14 | — |
| BCBS | BlueEssentials | $238.95 | — |
| BCBS | BlueEssentialsAccess | $238.95 | — |
| BCBS | EPOSOA | $250.94 | — |
| Healthcare Highways | CityofPlano | $253.19 | — |
| BCBS | PPO | $262.17 | — |
| City of McKinney | COMM | $262.17 | — |
| BCBS | Traditional | $332.59 | — |
| Fidelis SecureCare | MGMCR | $337.08 | — |
| National ChoiceCare | WCOMP | $374.54 | — |
| Aetna | ASA | $394.76 | — |
| Rockport Health Group | WORKERSCOMP | $411.99 | — |
| Aetna | WCOMP | $411.99 | — |
| Physicians Coop of TX | MGMCR | $411.99 | — |
| PC Texas Partners | WCOMP | $411.99 | — |
| Averde Health, Inc | PPO | $434.46 | — |
| Magellan BH | Pinnacle | $449.44 | — |
| Magellan BH | Summit | $449.44 | — |
| Value Options Behavioral Health | COMM | $449.44 | — |
| Humana | BHCOMM | $486.90 | — |
| Multiplan PHCS | PrimaryNetwork | $524.35 | — |
| Coastal Comp Health Networks | WCOMP | $524.35 | — |
| Mega Life | MGMCRPPO | $524.35 | — |
| Aetna Coventry First Health | COMM | $544.57 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $561.80 | — |
| ComPsych Corporation | COMM | $599.26 | — |
| HealthSmart Preferred Care | PPO | $599.26 | — |
| Cigna Behavioral Health | COMM | $599.26 | — |
| USA Managed Care | COMM | $599.26 | — |
| Galaxy Health Network | PPO | $636.71 | — |
| Unicare | MCD | $749.07 | — |
| Independent Medical Systems | COMM | $749.07 | — |
| National Healthcare Solutions | COMM | $749.07 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cholesterol body fluid at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $716.44 | $99.55 – $99.55 |
| HCA HOUSTON NORTHWEST | SPRING | $462.06 | $99.55 – $99.55 |
| St. Luke's Health - Patients Medical Center | Pasadena | $136.71 | $53.34 – $275.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $24.90 | $14.50 – $96.56 |
| HCA HOUSTON PEARLAND | Pearland | $523.04 | $99.55 – $99.55 |
| Texas Health Presbyterian Hospital Allen | Allen | $100.35 | $7.11 – $10.28 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $100.35 | $7.11 – $10.28 |
| HCA HOUSTON WEST | HOUSTON | $228.00 | $99.55 – $99.55 |