CT uppr extremity w/o&w/dye 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$175.06 with Amerigroup vs $12,587.82 with Unicare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $175.06 | — |
| United | STARPerinate | $175.06 | — |
| United | STARPLUS | $175.06 | — |
| Parkland Community Health Plan | MCD | $175.06 | — |
| United | STARKids | $175.06 | — |
| United | STAR | $175.06 | — |
| Amerigroup | CHIP | $175.06 | — |
| United | CHIP | $175.06 | — |
| Cigna Healthspring | MGMCD | $183.81 | — |
| Aetna Better Health | CHIP | $189.06 | — |
| Aetna Better Health | MCD | $189.06 | — |
| Molina | CHIP | $192.57 | — |
| Molina | MCDSTAR | $192.57 | — |
| Molina | STARKIDS | $192.57 | — |
| Molina | STAR+PLUS | $192.57 | — |
| Humana | MGMCD | $218.82 | — |
| BCBS | MyBlueHealth | $229.60 | — |
| BCBS | BlueAdvantageHMO | $229.60 | — |
| BCBS | BluePremier | $253.29 | — |
| United | NarrowNetworkIndivExchange | $341.20 | — |
| United | SmallGroup | $341.20 | — |
| Imaging Providers of Texas | HMOBlue | $350.00 | — |
| United | AllPayerAppendix | $401.74 | — |
| Aetna | QHPHIX | $584.00 | — |
| BCBS | BlueEssentials | $708.84 | — |
| BCBS | BlueEssentialsAccess | $708.84 | — |
| BCBS | EPOSOA | $743.46 | — |
| BCBS | PPO | $778.08 | — |
| Aetna | NewBusiness | $800.00 | — |
| Aetna | COMM | $856.00 | — |
| Aetna | Meritain | $856.00 | — |
| Humana | COMM | $871.48 | — |
| Superior Health Plan | STARKids | $881.15 | — |
| Superior Health Plan | STARHealth | $881.15 | — |
| Superior Health Plan | CHIP | $881.15 | — |
| Superior Health Plan | MCDSTAR | $881.15 | — |
| Superior Health Plan | STARPLUS | $881.15 | — |
| Aetna | OON | $1,006.00 | — |
| Cigna | IFP | $1,699.36 | — |
| Cigna | QHP | $1,762.29 | — |
| United | OptionsPPO | $2,353.92 | — |
| Unicare | CHIP | $3,272.83 | — |
| Healthcare Highways | CityofPlano | $4,254.68 | — |
| BCBS | Traditional | $5,588.99 | — |
| Fidelis SecureCare | MGMCR | $5,664.52 | — |
| National ChoiceCare | WCOMP | $6,293.91 | — |
| Aetna | ASA | $6,633.78 | — |
| PC Texas Partners | WCOMP | $6,923.30 | — |
| Rockport Health Group | WORKERSCOMP | $6,923.30 | — |
| Aetna | WCOMP | $6,923.30 | — |
| Physicians Coop of TX | MGMCR | $6,923.30 | — |
| Averde Health, Inc | PPO | $7,300.94 | — |
| Magellan BH | Summit | $7,552.69 | — |
| Magellan BH | Pinnacle | $7,552.69 | — |
| Value Options Behavioral Health | COMM | $7,552.69 | — |
| Humana | BHCOMM | $8,182.08 | — |
| Mega Life | MGMCRPPO | $8,811.47 | — |
| Coastal Comp Health Networks | WCOMP | $8,811.47 | — |
| Aetna Coventry First Health | COMM | $9,151.35 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $9,440.86 | — |
| Cigna Behavioral Health | COMM | $10,070.26 | — |
| HealthSmart Preferred Care | PPO | $10,070.26 | — |
| USA Managed Care | COMM | $10,070.26 | — |
| ComPsych Corporation | COMM | $10,070.26 | — |
| Galaxy Health Network | PPO | $10,699.65 | — |
| National Healthcare Solutions | COMM | $12,587.82 | — |
| Independent Medical Systems | COMM | $12,587.82 | — |
| Unicare | MCD | $12,587.82 | — |
Visitor-reported prices
Comments
CT uppr extremity w/o&w/dye at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,845.36 | $167.39 – $2,306.70 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,845.36 | $167.39 – $2,306.70 |
| Adventhealth Rollins Brook | Lampasas | $5,732.50 | $849.15 – $849.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,845.36 | $167.39 – $2,306.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,688.20 | $236.02 – $2,532.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,841.10 | $167.39 – $2,301.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,845.36 | $167.39 – $2,306.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,688.20 | $167.39 – $2,532.30 |