Coombs direct 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.
$4.53 with Amerigroup vs $1,091.25 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 | $4.53 | — |
| United | CHIP | $4.53 | — |
| United | STAR | $4.53 | — |
| United | STARKids | $4.53 | — |
| Parkland Community Health Plan | MCD | $4.53 | — |
| United | STARPLUS | $4.53 | — |
| United | STARPerinate | $4.53 | — |
| Amerigroup | CHIP | $4.53 | — |
| Cigna Healthspring | MGMCD | $4.76 | — |
| Aetna Better Health | MCD | $4.89 | — |
| Aetna Better Health | CHIP | $4.89 | — |
| Molina | STARKIDS | $4.98 | — |
| Molina | MCDSTAR | $4.98 | — |
| Molina | CHIP | $4.98 | — |
| Molina | STAR+PLUS | $4.98 | — |
| WellMed | MGMCR | $5.36 | — |
| BCBS | MGMCRHMO | $5.39 | — |
| Devoted Health | SNP | $5.39 | — |
| Devoted Health | HMO | $5.39 | — |
| Devoted Health | POS | $5.39 | — |
| Devoted Health | MCR | $5.39 | — |
| Devoted Health | MME | $5.39 | — |
| Humana | MGMCR | $5.39 | — |
| TriWest Veterans | FEDERAL | $5.39 | — |
| United | AllPayerAppendix | $5.39 | — |
| United | NarrowNetworkIndivExchange | $5.39 | — |
| United | SmallGroup | $5.39 | — |
| Amerigroup | DualEligible | $5.39 | — |
| Mutual of Omaha | MGMCR | $5.39 | — |
| BCBS | MCRPPO | $5.39 | — |
| Devoted Health | PPO | $5.39 | — |
| United | MGMCR | $5.42 | — |
| Aetna | MCR | $5.44 | — |
| Care N Care | MGMCR | $5.44 | — |
| Cigna Healthspring | MGMCR | $5.50 | — |
| WellCare | MGMCR | $5.55 | — |
| Integranet | MGMCR | $5.55 | — |
| Humana | MGMCD | $5.66 | — |
| American Health Plan of Texas, Inc. | MGMCR | $5.66 | — |
| Superior Health Plan | MGMCRPOS | $5.66 | — |
| Superior Health Plan | MGMCRPPO | $5.66 | — |
| Superior Health Plan | MGMCRHMO | $5.66 | — |
| Superior Health Plan | MGMCRPFFS | $5.66 | — |
| Superior Health Plan | MGMCRSNP | $5.66 | — |
| Superior Health Plan | MGMCRDualEligible | $5.66 | — |
| ProCare Advantge | MCR | $5.66 | — |
| Texas Independent Health Plan | MGMCR | $5.71 | — |
| Provider Partners Health Plan | MCR | $5.71 | — |
| Molina | MCR | $5.88 | — |
| Cenpatico | BHMGMCR | $5.88 | — |
| Molina | MME | $5.88 | — |
| Molina | MMP | $5.88 | — |
| Imperial Insurance Company | MCR | $5.93 | — |
| Universal Healthcare Group | MCR | $6.47 | — |
| Aetna | QHPHIX | $6.85 | — |
| Verda Health Plan | MGMCR | $7.01 | — |
| Bravo Health | MCRHMO | $8.08 | — |
| Bravo Health | MCRPOS | $8.08 | — |
| Bravo Health | MCRPPO | $8.08 | — |
| Bravo Health | MCRSNP | $8.08 | — |
| Bravo Health | MCRPFFS | $8.08 | — |
| Aetna | NewBusiness | $9.43 | — |
| Superior | ValueHMO | $9.65 | — |
| Aetna | Meritain | $10.05 | — |
| Aetna | COMM | $10.05 | — |
| USA Managed Care | WORKERSCOMP | $10.24 | — |
| Corvel Corporation | WORKERSCOMP | $10.67 | — |
| Aetna | OON | $11.82 | — |
| Superior | HMO | $12.07 | — |
| Superior | EPO | $12.07 | — |
| Oscar | HIX | $14.01 | — |
| Molina Healthcare | HIX | $14.12 | — |
| Cigna | LocalPlus | $20.66 | — |
| Cigna | NewBusiness | $20.68 | — |
| Cigna | HMO | $23.07 | — |
| Cigna | OpenAccessPlus | $23.07 | — |
| Cigna | NetworkBenefit | $23.07 | — |
| Cigna | AllOther | $29.20 | — |
| BCBS | BluePremier | $51.82 | — |
| BCBS | MyBlueHealth | $58.50 | — |
| BCBS | BlueAdvantageHMO | $58.50 | — |
| Humana | COMM | $59.84 | — |
| Superior Health Plan | STARKids | $76.39 | — |
| Superior Health Plan | CHIP | $76.39 | — |
| Superior Health Plan | STARHealth | $76.39 | — |
| Superior Health Plan | MCDSTAR | $76.39 | — |
| Superior Health Plan | STARPLUS | $76.39 | — |
| BCBS | BlueEssentialsAccess | $82.57 | — |
| BCBS | BlueEssentials | $82.57 | — |
| BCBS | EPOSOA | $86.58 | — |
| BCBS | PPO | $90.60 | — |
| Cigna | IFP | $147.32 | — |
| Cigna | QHP | $152.78 | — |
| United | OptionsPPO | $204.06 | — |
| Healthcare Highways | NarrowNetwork | $267.36 | — |
| Evry Health | COMM | $281.54 | — |
| Unicare | CHIP | $283.73 | — |
| Healthcare Highways | CityofPlano | $368.84 | — |
| City of McKinney | COMM | $381.94 | — |
| BCBS | Traditional | $484.51 | — |
| Fidelis SecureCare | MGMCR | $491.06 | — |
| National ChoiceCare | WCOMP | $545.63 | — |
| Aetna | ASA | $575.09 | — |
| Rockport Health Group | WORKERSCOMP | $600.19 | — |
| Physicians Coop of TX | MGMCR | $600.19 | — |
| Aetna | WCOMP | $600.19 | — |
| PC Texas Partners | WCOMP | $600.19 | — |
| Averde Health, Inc | PPO | $632.92 | — |
| Value Options Behavioral Health | COMM | $654.75 | — |
| Magellan BH | Pinnacle | $654.75 | — |
| Magellan BH | Summit | $654.75 | — |
| Humana | BHCOMM | $709.31 | — |
| Multiplan PHCS | PrimaryNetwork | $763.88 | — |
| Coastal Comp Health Networks | WCOMP | $763.88 | — |
| Mega Life | MGMCRPPO | $763.88 | — |
| Aetna Coventry First Health | COMM | $793.34 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $818.44 | — |
| HealthSmart Preferred Care | PPO | $873.00 | — |
| USA Managed Care | COMM | $873.00 | — |
| Cigna Behavioral Health | COMM | $873.00 | — |
| ComPsych Corporation | COMM | $873.00 | — |
| Galaxy Health Network | PPO | $927.56 | — |
| Unicare | MCD | $1,091.25 | — |
| National Healthcare Solutions | COMM | $1,091.25 | — |
| Independent Medical Systems | COMM | $1,091.25 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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Coombs direct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $98.01 | $4.53 – $151.53 |
| Adventhealth Rollins Brook | Lampasas | $153.56 | $4.85 – $128.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $71.74 | $3.76 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $77.75 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $71.74 | $4.85 – $151.53 |