Concentration infection agents any type 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.
$5.61 with Amerigroup vs $268.98 with Independent Medical Systems — 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 |
|---|---|---|---|
| Amerigroup | MGMCD | $5.61 | — |
| United | STARPLUS | $5.61 | — |
| United | STARKids | $5.61 | — |
| United | STAR | $5.61 | — |
| Amerigroup | CHIP | $5.61 | — |
| Parkland Community Health Plan | MCD | $5.61 | — |
| United | CHIP | $5.61 | — |
| United | STARPerinate | $5.61 | — |
| Cigna Healthspring | MGMCD | $5.89 | — |
| Aetna Better Health | MCD | $6.06 | — |
| Aetna Better Health | CHIP | $6.06 | — |
| Molina | STAR+PLUS | $6.17 | — |
| Molina | CHIP | $6.17 | — |
| Molina | MCDSTAR | $6.17 | — |
| Molina | STARKIDS | $6.17 | — |
| WellMed | MGMCR | $6.65 | — |
| BCBS | MGMCRHMO | $6.68 | — |
| Devoted Health | MME | $6.68 | — |
| Humana | MGMCR | $6.68 | — |
| Devoted Health | SNP | $6.68 | — |
| Devoted Health | HMO | $6.68 | — |
| Devoted Health | POS | $6.68 | — |
| Devoted Health | PPO | $6.68 | — |
| Devoted Health | MCR | $6.68 | — |
| United | AllPayerAppendix | $6.68 | — |
| United | NarrowNetworkIndivExchange | $6.68 | — |
| United | SmallGroup | $6.68 | — |
| TriWest Veterans | FEDERAL | $6.68 | — |
| Amerigroup | DualEligible | $6.68 | — |
| Mutual of Omaha | MGMCR | $6.68 | — |
| BCBS | MCRPPO | $6.68 | — |
| United | MGMCR | $6.71 | — |
| Aetna | MCR | $6.74 | — |
| Care N Care | MGMCR | $6.75 | — |
| Cigna Healthspring | MGMCR | $6.81 | — |
| Integranet | MGMCR | $6.88 | — |
| WellCare | MGMCR | $6.88 | — |
| American Health Plan of Texas, Inc. | MGMCR | $7.01 | — |
| ProCare Advantge | MCR | $7.01 | — |
| Superior Health Plan | MGMCRDualEligible | $7.01 | — |
| Humana | MGMCD | $7.01 | — |
| Humana | Tricare | $7.01 | — |
| Superior Health Plan | MGMCRPFFS | $7.01 | — |
| Superior Health Plan | MGMCRPOS | $7.01 | — |
| Superior Health Plan | MGMCRSNP | $7.01 | — |
| Superior Health Plan | MGMCRPPO | $7.01 | — |
| Superior Health Plan | MGMCRHMO | $7.01 | — |
| Texas Independent Health Plan | MGMCR | $7.08 | — |
| Provider Partners Health Plan | MCR | $7.08 | — |
| Molina | MCR | $7.28 | — |
| Molina | MME | $7.28 | — |
| Molina | MMP | $7.28 | — |
| Cenpatico | BHMGMCR | $7.28 | — |
| Imperial Insurance Company | MCR | $7.35 | — |
| Universal Healthcare Group | MCR | $8.02 | — |
| Aetna | QHPHIX | $8.50 | — |
| Verda Health Plan | MGMCR | $8.68 | — |
| Bravo Health | MCRPFFS | $10.02 | — |
| Bravo Health | MCRHMO | $10.02 | — |
| Bravo Health | MCRSNP | $10.02 | — |
| Bravo Health | MCRPPO | $10.02 | — |
| Bravo Health | MCRPOS | $10.02 | — |
| BCBS | BluePremier | $10.35 | — |
| BCBS | BlueAdvantageHMO | $11.69 | — |
| BCBS | MyBlueHealth | $11.69 | — |
| Aetna | NewBusiness | $11.71 | — |
| Superior | ValueHMO | $11.96 | — |
| Aetna | COMM | $12.47 | — |
| Aetna | Meritain | $12.47 | — |
| USA Managed Care | WORKERSCOMP | $12.69 | — |
| Corvel Corporation | WORKERSCOMP | $13.23 | — |
| Aetna | OON | $14.68 | — |
| Superior | EPO | $14.96 | — |
| Superior | HMO | $14.96 | — |
| BCBS | BlueEssentials | $16.50 | — |
| BCBS | BlueEssentialsAccess | $16.50 | — |
| BCBS | EPOSOA | $17.30 | — |
| Oscar | HIX | $17.37 | — |
| Molina Healthcare | HIX | $17.50 | — |
| BCBS | PPO | $18.10 | — |
| Superior Health Plan | MCDSTAR | $18.83 | — |
| Superior Health Plan | CHIP | $18.83 | — |
| Superior Health Plan | STARKids | $18.83 | — |
| Superior Health Plan | STARPLUS | $18.83 | — |
| Superior Health Plan | STARHealth | $18.83 | — |
| Cigna | LocalPlus | $25.83 | — |
| Cigna | NewBusiness | $25.86 | — |
| Cigna | OpenAccessPlus | $28.85 | — |
| Cigna | NetworkBenefit | $28.85 | — |
| Cigna | HMO | $28.85 | — |
| Cigna | IFP | $36.31 | — |
| Cigna | AllOther | $36.51 | — |
| Cigna | QHP | $37.66 | — |
| United | OptionsPPO | $50.30 | — |
| Healthcare Highways | NarrowNetwork | $65.90 | — |
| Evry Health | COMM | $69.40 | — |
| Unicare | CHIP | $69.93 | — |
| Humana | COMM | $74.15 | — |
| Healthcare Highways | CityofPlano | $90.92 | — |
| City of McKinney | COMM | $94.14 | — |
| BCBS | Traditional | $119.43 | — |
| Fidelis SecureCare | MGMCR | $121.04 | — |
| National ChoiceCare | WCOMP | $134.49 | — |
| Aetna | ASA | $141.75 | — |
| Aetna | WCOMP | $147.94 | — |
| PC Texas Partners | WCOMP | $147.94 | — |
| Physicians Coop of TX | MGMCR | $147.94 | — |
| Rockport Health Group | WORKERSCOMP | $147.94 | — |
| Averde Health, Inc | PPO | $156.01 | — |
| Magellan BH | Summit | $161.39 | — |
| Magellan BH | Pinnacle | $161.39 | — |
| Value Options Behavioral Health | COMM | $161.39 | — |
| Humana | BHCOMM | $174.84 | — |
| Multiplan PHCS | PrimaryNetwork | $188.29 | — |
| Coastal Comp Health Networks | WCOMP | $188.29 | — |
| Mega Life | MGMCRPPO | $188.29 | — |
| Aetna Coventry First Health | COMM | $195.55 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $201.74 | — |
| USA Managed Care | COMM | $215.18 | — |
| ComPsych Corporation | COMM | $215.18 | — |
| HealthSmart Preferred Care | PPO | $215.18 | — |
| Cigna Behavioral Health | COMM | $215.18 | — |
| Galaxy Health Network | PPO | $228.63 | — |
| Unicare | MCD | $268.98 | — |
| National Healthcare Solutions | COMM | $268.98 | — |
| Independent Medical Systems | COMM | $268.98 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Concentration infection agents any type at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $51.32 | $5.61 – $22.05 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $51.32 | $5.61 – $22.05 |
| Adventhealth Rollins Brook | Lampasas | $110.38 | $6.01 – $25.72 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $51.32 | $5.61 – $22.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $65.48 | $3.63 – $26.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $55.30 | $5.61 – $22.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $51.32 | $5.61 – $22.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $65.48 | $6.00 – $26.46 |