Clotting assay whole blood 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.
$19.89 with United vs $287.71 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 |
|---|---|---|---|
| United | SmallGroup | $19.89 | — |
| United | AllPayerAppendix | $19.89 | — |
| United | NarrowNetworkIndivExchange | $19.89 | — |
| Superior Health Plan | MCDSTAR | $20.14 | — |
| Superior Health Plan | CHIP | $20.14 | — |
| Superior Health Plan | STARKids | $20.14 | — |
| Superior Health Plan | STARPLUS | $20.14 | — |
| Superior Health Plan | STARHealth | $20.14 | — |
| Aetna | QHPHIX | $25.27 | — |
| BCBS | BluePremier | $32.39 | — |
| Aetna | NewBusiness | $34.81 | — |
| BCBS | BlueAdvantageHMO | $36.57 | — |
| BCBS | MyBlueHealth | $36.57 | — |
| Aetna | Meritain | $37.07 | — |
| Aetna | COMM | $37.07 | — |
| Cigna | IFP | $38.84 | — |
| Cigna | QHP | $40.28 | — |
| Aetna | OON | $43.63 | — |
| Cigna | LocalPlus | $50.38 | — |
| Cigna | NewBusiness | $50.43 | — |
| BCBS | BlueEssentialsAccess | $51.62 | — |
| BCBS | BlueEssentials | $51.62 | — |
| United | OptionsPPO | $53.80 | — |
| BCBS | EPOSOA | $54.13 | — |
| Imperial Insurance Company | MCR | $54.66 | — |
| Cigna | HMO | $56.27 | — |
| Cigna | OpenAccessPlus | $56.27 | — |
| Cigna | NetworkBenefit | $56.27 | — |
| BCBS | PPO | $56.64 | — |
| Oscar | HIX | $59.84 | — |
| Healthcare Highways | NarrowNetwork | $70.49 | — |
| Cigna | AllOther | $71.22 | — |
| Evry Health | COMM | $74.23 | — |
| Unicare | CHIP | $74.80 | — |
| Healthcare Highways | CityofPlano | $97.25 | — |
| City of McKinney | COMM | $100.70 | — |
| BCBS | Traditional | $127.74 | — |
| Fidelis SecureCare | MGMCR | $129.47 | — |
| National ChoiceCare | WCOMP | $143.85 | — |
| Aetna | ASA | $151.62 | — |
| Aetna | WCOMP | $158.24 | — |
| Rockport Health Group | WORKERSCOMP | $158.24 | — |
| Physicians Coop of TX | MGMCR | $158.24 | — |
| PC Texas Partners | WCOMP | $158.24 | — |
| Averde Health, Inc | PPO | $166.87 | — |
| Value Options Behavioral Health | COMM | $172.63 | — |
| Magellan BH | Summit | $172.63 | — |
| Magellan BH | Pinnacle | $172.63 | — |
| Humana | COMM | $185.81 | — |
| Humana | BHCOMM | $187.01 | — |
| Multiplan PHCS | PrimaryNetwork | $201.40 | — |
| Mega Life | MGMCRPPO | $201.40 | — |
| Coastal Comp Health Networks | WCOMP | $201.40 | — |
| Aetna Coventry First Health | COMM | $209.17 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $215.78 | — |
| HealthSmart Preferred Care | PPO | $230.17 | — |
| Cigna Behavioral Health | COMM | $230.17 | — |
| USA Managed Care | COMM | $230.17 | — |
| ComPsych Corporation | COMM | $230.17 | — |
| Galaxy Health Network | PPO | $244.55 | — |
| Unicare | MCD | $287.71 | — |
| Independent Medical Systems | COMM | $287.71 | — |
| National Healthcare Solutions | COMM | $287.71 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Clotting assay whole blood at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $101.52 | $12.00 – $152.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $101.52 | $12.00 – $126.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $101.52 | $12.00 – $152.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $101.52 | $8.00 – $152.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $101.52 | $12.00 – $152.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $101.52 | $20.30 – $143.82 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $101.52 | $12.00 – $152.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $101.52 | $12.00 – $152.28 |