Co-treatment - group 15 mins, st 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.
$6.90 with Superior Health Plan vs $179.00 with Aetna — 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 | MCDSTAR | $6.90 | — |
| Superior Health Plan | STARPLUS | $6.90 | — |
| Superior Health Plan | STARHealth | $6.90 | — |
| Superior Health Plan | STARKids | $6.90 | — |
| Superior Health Plan | CHIP | $6.90 | — |
| Cigna | IFP | $13.30 | — |
| Cigna | QHP | $13.80 | — |
| United | OptionsPPO | $18.43 | — |
| Oscar | HIX | $20.50 | — |
| Humana | Tricare | $22.20 | — |
| BCBS | MCRPPO | $22.90 | — |
| BCBS | MGMCRHMO | $22.90 | — |
| WellMed | MGMCR | $23.25 | — |
| Devoted Health | POS | $23.37 | — |
| Devoted Health | MME | $23.37 | — |
| Devoted Health | PPO | $23.37 | — |
| Humana | MGMCR | $23.37 | — |
| Mutual of Omaha | MGMCR | $23.37 | — |
| Amerigroup | DualEligible | $23.37 | — |
| TriWest Veterans | FEDERAL | $23.37 | — |
| Devoted Health | SNP | $23.37 | — |
| Devoted Health | HMO | $23.37 | — |
| Devoted Health | MCR | $23.37 | — |
| United | MGMCR | $23.49 | — |
| Aetna | MCR | $23.57 | — |
| Care N Care | MGMCR | $23.60 | — |
| Cigna Healthspring | MGMCR | $23.84 | — |
| Integranet | MGMCR | $24.07 | — |
| WellCare | MGMCR | $24.07 | — |
| ProCare Advantge | MCR | $24.54 | — |
| Superior Health Plan | MGMCRHMO | $24.54 | — |
| Superior Health Plan | MGMCRPPO | $24.54 | — |
| Superior Health Plan | MGMCRDualEligible | $24.54 | — |
| Superior Health Plan | MGMCRPFFS | $24.54 | — |
| Superior Health Plan | MGMCRPOS | $24.54 | — |
| Superior Health Plan | MGMCRSNP | $24.54 | — |
| American Health Plan of Texas, Inc. | MGMCR | $24.54 | — |
| Provider Partners Health Plan | MCR | $24.77 | — |
| Texas Independent Health Plan | MGMCR | $24.77 | — |
| Molina | MMP | $25.47 | — |
| Molina | MCR | $25.47 | — |
| Cenpatico | BHMGMCR | $25.47 | — |
| Molina | MME | $25.47 | — |
| Unicare | CHIP | $25.62 | — |
| Imperial Insurance Company | MCR | $25.71 | — |
| Universal Healthcare Group | MCR | $28.04 | — |
| Verda Health Plan | MGMCR | $30.38 | — |
| Healthcare Highways | CityofPlano | $33.31 | — |
| City of McKinney | COMM | $34.49 | — |
| Bravo Health | MCRPOS | $35.05 | — |
| Bravo Health | MCRSNP | $35.05 | — |
| Bravo Health | MCRPFFS | $35.05 | — |
| Bravo Health | MCRHMO | $35.05 | — |
| Bravo Health | MCRPPO | $35.05 | — |
| Superior | ValueHMO | $41.83 | — |
| BCBS | Traditional | $43.75 | — |
| Fidelis SecureCare | MGMCR | $44.34 | — |
| USA Managed Care | WORKERSCOMP | $44.40 | — |
| Corvel Corporation | WORKERSCOMP | $46.27 | — |
| National ChoiceCare | WCOMP | $49.27 | — |
| Aetna | ASA | $51.93 | — |
| Superior | HMO | $52.35 | — |
| Superior | EPO | $52.35 | — |
| Aetna | WCOMP | $54.20 | — |
| Rockport Health Group | WORKERSCOMP | $54.20 | — |
| Physicians Coop of TX | MGMCR | $54.20 | — |
| PC Texas Partners | WCOMP | $54.20 | — |
| BCBS | BluePremier | $56.99 | — |
| Averde Health, Inc | PPO | $57.15 | — |
| Magellan BH | Pinnacle | $59.12 | — |
| Magellan BH | Summit | $59.12 | — |
| Value Options Behavioral Health | COMM | $59.12 | — |
| Molina Healthcare | HIX | $61.23 | — |
| Humana | BHCOMM | $64.05 | — |
| BCBS | MyBlueHealth | $66.41 | — |
| BCBS | BlueAdvantageHMO | $66.41 | — |
| Multiplan PHCS | PrimaryNetwork | $68.98 | — |
| Mega Life | MGMCRPPO | $68.98 | — |
| Coastal Comp Health Networks | WCOMP | $68.98 | — |
| Aetna Coventry First Health | COMM | $71.64 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $73.91 | — |
| HealthSmart Preferred Care | PPO | $78.83 | — |
| Cigna Behavioral Health | COMM | $78.83 | — |
| ComPsych Corporation | COMM | $78.83 | — |
| USA Managed Care | COMM | $78.83 | — |
| Galaxy Health Network | PPO | $83.76 | — |
| National Healthcare Solutions | COMM | $98.54 | — |
| Independent Medical Systems | COMM | $98.54 | — |
| Unicare | MCD | $98.54 | — |
| Aetna | QHPHIX | $106.00 | — |
| BCBS | BlueEssentialsAccess | $117.61 | — |
| BCBS | BlueEssentials | $117.61 | — |
| BCBS | EPOSOA | $123.41 | — |
| BCBS | PPO | $129.20 | — |
| Aetna | NewBusiness | $143.00 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| Humana | COMM | $161.89 | — |
| Aetna | OON | $179.00 | — |
Visitor-reported prices
Comments
Co-treatment - group 15 mins, st at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $76.53 | $21.68 – $179.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $76.53 | $16.38 – $179.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $76.53 | $21.68 – $179.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $216.13 | $44.49 – $324.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $178.43 | $35.69 – $223.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $76.53 | $20.41 – $179.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $216.13 | $69.38 – $324.19 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $216.13 | $111.67 – $324.19 |