Consultation pathology during surgery frozen section first tissue block at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$517.54
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.
$517.54
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.
$36.23 with Superior Health Plan vs $517.54 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 | STARHealth | $36.23 | ↓ -93% |
| Superior Health Plan | CHIP | $36.23 | ↓ -93% |
| Superior Health Plan | STARKids | $36.23 | ↓ -93% |
| Superior Health Plan | STARPLUS | $36.23 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $36.23 | ↓ -93% |
| Aetna | QHPHIX | $53.98 | ↓ -90% |
| Cigna | IFP | $69.87 | ↓ -86% |
| Cigna | QHP | $72.46 | ↓ -86% |
| Aetna | NewBusiness | $74.34 | ↓ -86% |
| Aetna | COMM | $79.18 | ↓ -85% |
| Aetna | Meritain | $79.18 | ↓ -85% |
| Aetna | OON | $93.18 | ↓ -82% |
| United | OptionsPPO | $96.78 | ↓ -81% |
| Oscar | HIX | $107.65 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $126.80 | ↓ -75% |
| Evry Health | COMM | $133.53 | ↓ -74% |
| Unicare | CHIP | $134.56 | ↓ -74% |
| United | AllPayerAppendix | $149.16 | ↓ -71% |
| United | NarrowNetworkIndivExchange | $149.16 | ↓ -71% |
| United | SmallGroup | $149.16 | ↓ -71% |
| Cigna | LocalPlus | $158.55 | ↓ -69% |
| Cigna | NewBusiness | $158.71 | ↓ -69% |
| Healthcare Highways | CityofPlano | $174.93 | ↓ -66% |
| Cigna | HMO | $177.09 | ↓ -66% |
| Cigna | OpenAccessPlus | $177.09 | ↓ -66% |
| Cigna | NetworkBenefit | $177.09 | ↓ -66% |
| City of McKinney | COMM | $181.14 | ↓ -65% |
| BCBS | BluePremier | $222.43 | ↓ -57% |
| Cigna | AllOther | $224.14 | ↓ -57% |
| BCBS | Traditional | $229.79 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $232.89 | ↓ -55% |
| BCBS | MyBlueHealth | $251.13 | ↓ -51% |
| BCBS | BlueAdvantageHMO | $251.13 | ↓ -51% |
| National ChoiceCare | WCOMP | $258.77 | ↓ -50% |
| Aetna | ASA | $272.74 | ↓ -47% |
| Humana | COMM | $279.13 | ↓ -46% |
| Rockport Health Group | WORKERSCOMP | $284.65 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $284.65 | ↓ -45% |
| PC Texas Partners | WCOMP | $284.65 | ↓ -45% |
| Aetna | WCOMP | $284.65 | ↓ -45% |
| Averde Health, Inc | PPO | $300.17 | ↓ -42% |
| Value Options Behavioral Health | COMM | $310.52 | ↓ -40% |
| Magellan BH | Pinnacle | $310.52 | ↓ -40% |
| Magellan BH | Summit | $310.52 | ↓ -40% |
| Humana | BHCOMM | $336.40 | ↓ -35% |
| BCBS | BlueEssentialsAccess | $354.45 | ↓ -32% |
| BCBS | BlueEssentials | $354.45 | ↓ -32% |
| Mega Life | MGMCRPPO | $362.28 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $362.28 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $362.28 | ↓ -30% |
| BCBS | EPOSOA | $371.66 | ↓ -28% |
| Aetna Coventry First Health | COMM | $376.25 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $388.15 | ↓ -25% |
| BCBS | PPO | $388.88 | ↓ -25% |
| Cigna Behavioral Health | COMM | $414.03 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $414.03 | ↓ -20% |
| USA Managed Care | COMM | $414.03 | ↓ -20% |
| ComPsych Corporation | COMM | $414.03 | ↓ -20% |
| Galaxy Health Network | PPO | $439.91 | ↓ -15% |
| Unicare | MCD | $517.54 | ↑ +0% |
| Independent Medical Systems | COMM | $517.54 | ↑ +0% |
| National Healthcare Solutions | COMM | $517.54 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section first tissue block at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $297.87 | $35.00 – $423.12 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $297.87 | $35.00 – $423.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $297.87 | $35.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $282.52 | $36.00 – $423.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $210.80 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $297.87 | $35.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $282.52 | $36.00 – $423.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $282.52 | $26.00 – $423.77 |