Dlyd plmt xtn prosth ea addl 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.
$415.09 with BCBS vs $28,286.00 with Cigna — 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 |
|---|---|---|---|
| BCBS | BluePremier | $415.09 | — |
| Cigna | IFP | $543.96 | — |
| Cigna | QHP | $564.10 | — |
| United | OptionsPPO | $753.48 | — |
| Imperial Insurance Company | MCR | $765.57 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Unicare | CHIP | $1,047.62 | — |
| Healthcare Highways | CityofPlano | $1,361.90 | — |
| City of McKinney | COMM | $1,410.26 | — |
| BCBS | Traditional | $1,789.01 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| National ChoiceCare | WCOMP | $2,014.65 | — |
| Aetna | ASA | $2,123.44 | — |
| Humana | COMM | $2,140.60 | — |
| Healthcare Highways | NarrowNetwork | $2,152.00 | — |
| Rockport Health Group | WORKERSCOMP | $2,216.11 | — |
| Aetna | WCOMP | $2,216.11 | — |
| Physicians Coop of TX | MGMCR | $2,216.11 | — |
| PC Texas Partners | WCOMP | $2,216.11 | — |
| Evry Health | COMM | $2,287.00 | — |
| Averde Health, Inc | PPO | $2,336.99 | — |
| Magellan BH | Pinnacle | $2,417.58 | — |
| Value Options Behavioral Health | COMM | $2,417.58 | — |
| Magellan BH | Summit | $2,417.58 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Humana | BHCOMM | $2,619.05 | — |
| Mega Life | MGMCRPPO | $2,820.51 | — |
| Coastal Comp Health Networks | WCOMP | $2,820.51 | — |
| Multiplan PHCS | PrimaryNetwork | $2,820.51 | — |
| Aetna Coventry First Health | COMM | $2,929.30 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,021.97 | — |
| Cigna Behavioral Health | COMM | $3,223.44 | — |
| HealthSmart Preferred Care | PPO | $3,223.44 | — |
| USA Managed Care | COMM | $3,223.44 | — |
| ComPsych Corporation | COMM | $3,223.44 | — |
| Galaxy Health Network | PPO | $3,424.91 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Unicare | MCD | $4,029.30 | — |
| National Healthcare Solutions | COMM | $4,029.30 | — |
| Independent Medical Systems | COMM | $4,029.30 | — |
| Aetna | OON | $4,332.00 | — |
| Oscar | HIX | $6,587.00 | — |
| BCBS | BlueEssentialsAccess | $6,844.35 | — |
| BCBS | BlueEssentials | $6,844.35 | — |
| BCBS | EPOSOA | $7,184.54 | — |
| BCBS | BlueAdvantageHMO | $7,378.04 | — |
| BCBS | MyBlueHealth | $7,378.04 | — |
| BCBS | PPO | $7,521.61 | — |
| United | SmallGroup | $8,954.00 | — |
| United | NarrowNetworkIndivExchange | $9,360.00 | — |
| United | AllPayerAppendix | $10,868.00 | — |
| Curative Administrators | COMM | $12,018.00 | — |
| Cigna | LocalPlus | $20,013.00 | — |
| Cigna | NewBusiness | $20,033.00 | — |
| Cigna | OpenAccessPlus | $22,360.00 | — |
| Cigna | HMO | $22,360.00 | — |
| Cigna | NetworkBenefit | $22,360.00 | — |
| Cigna | AllOther | $28,286.00 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Dlyd plmt xtn prosth ea addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,380.35 | $391.10 – $7,038.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,380.35 | $295.40 – $7,038.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,380.35 | $391.10 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,380.35 | $345.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,380.35 | $253.06 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,380.35 | $253.06 – $7,038.00 |