Dornhoffer fixed part w/window 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.
$2,025.13 with Cigna vs $133,869.41 with Humana — 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 |
|---|---|---|---|
| Cigna | IFP | $2,025.13 | — |
| Cigna | QHP | $2,100.14 | — |
| United | OptionsPPO | $2,805.19 | — |
| BCBS | BlueAdvantageHMO | $3,705.25 | — |
| BCBS | MyBlueHealth | $3,705.25 | — |
| Unicare | CHIP | $3,900.26 | — |
| Cigna | NewBusiness | $3,960.26 | — |
| Cigna | LocalPlus | $3,960.26 | — |
| Cigna | HMO | $4,425.30 | — |
| Cigna | NetworkBenefit | $4,425.30 | — |
| Cigna | OpenAccessPlus | $4,425.30 | — |
| BCBS | BlueEssentialsAccess | $4,785.32 | — |
| BCBS | BlueEssentials | $4,785.32 | — |
| BCBS | EPOSOA | $5,025.34 | — |
| Healthcare Highways | CityofPlano | $5,070.34 | — |
| City of McKinney | COMM | $5,250.35 | — |
| BCBS | PPO | $5,250.35 | — |
| Cigna | AllOther | $5,595.37 | — |
| BCBS | Traditional | $6,660.44 | — |
| National ChoiceCare | WCOMP | $7,500.50 | — |
| Aetna | ASA | $7,905.53 | — |
| Rockport Health Group | WORKERSCOMP | $8,250.55 | — |
| Aetna | WCOMP | $8,250.55 | — |
| PC Texas Partners | WCOMP | $8,250.55 | — |
| Physicians Coop of TX | MGMCR | $8,250.55 | — |
| Averde Health, Inc | PPO | $8,700.58 | — |
| Magellan BH | Pinnacle | $9,000.60 | — |
| Magellan BH | Summit | $9,000.60 | — |
| Value Options Behavioral Health | COMM | $9,000.60 | — |
| Humana | BHCOMM | $9,750.65 | — |
| Mega Life | MGMCRPPO | $10,500.70 | — |
| Aetna Coventry First Health | COMM | $10,905.73 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $11,250.75 | — |
| Cigna Behavioral Health | COMM | $12,000.80 | — |
| ComPsych Corporation | COMM | $12,000.80 | — |
| HealthSmart Preferred Care | PPO | $12,000.80 | — |
| USA Managed Care | COMM | $12,000.80 | — |
| Galaxy Health Network | PPO | $12,750.85 | — |
| Independent Medical Systems | COMM | $15,001.00 | — |
| National Healthcare Solutions | COMM | $15,001.00 | — |
| Unicare | MCD | $15,001.00 | — |
| Humana | Tricare | $22,984.63 | — |
| BCBS | MGMCRHMO | $23,230.80 | — |
| BCBS | MCRPPO | $23,230.80 | — |
| WellMed | MGMCR | $23,577.02 | — |
| Devoted Health | PPO | $23,695.50 | — |
| Devoted Health | SNP | $23,695.50 | — |
| Devoted Health | HMO | $23,695.50 | — |
| Devoted Health | POS | $23,695.50 | — |
| Mutual of Omaha | MGMCR | $23,695.50 | — |
| Devoted Health | MCR | $23,695.50 | — |
| Devoted Health | MME | $23,695.50 | — |
| Humana | MGMCR | $23,695.50 | — |
| Amerigroup | DualEligible | $23,695.50 | — |
| TriWest Veterans | FEDERAL | $23,695.50 | — |
| United | MGMCR | $23,813.98 | — |
| Aetna | MCR | $23,896.91 | — |
| Care N Care | MGMCR | $23,932.46 | — |
| Cigna Healthspring | MGMCR | $24,169.41 | — |
| WellCare | MGMCR | $24,406.37 | — |
| Integranet | MGMCR | $24,406.37 | — |
| American Health Plan of Texas, Inc. | MGMCR | $24,880.28 | — |
| ProCare Advantge | MCR | $24,880.28 | — |
| Superior Health Plan | MGMCRHMO | $24,880.28 | — |
| Superior Health Plan | MGMCRPPO | $24,880.28 | — |
| Superior Health Plan | MGMCRDualEligible | $24,880.28 | — |
| Superior Health Plan | MGMCRPFFS | $24,880.28 | — |
| Superior Health Plan | MGMCRPOS | $24,880.28 | — |
| Superior Health Plan | MGMCRSNP | $24,880.28 | — |
| Provider Partners Health Plan | MCR | $25,117.23 | — |
| Texas Independent Health Plan | MGMCR | $25,117.23 | — |
| Cenpatico | BHMGMCR | $25,828.10 | — |
| Molina | MCR | $25,828.10 | — |
| Molina | MME | $25,828.10 | — |
| Molina | MMP | $25,828.10 | — |
| Imperial Insurance Company | MCR | $26,065.05 | — |
| Universal Healthcare Group | MCR | $28,434.60 | — |
| Verda Health Plan | MGMCR | $30,804.15 | — |
| Bravo Health | MCRSNP | $35,543.25 | — |
| Bravo Health | MCRHMO | $35,543.25 | — |
| Bravo Health | MCRPPO | $35,543.25 | — |
| Bravo Health | MCRPOS | $35,543.25 | — |
| Bravo Health | MCRPFFS | $35,543.25 | — |
| Superior | ValueHMO | $42,414.94 | — |
| USA Managed Care | WORKERSCOMP | $45,021.45 | — |
| Corvel Corporation | WORKERSCOMP | $46,917.09 | — |
| Superior | EPO | $53,077.92 | — |
| Superior | HMO | $53,077.92 | — |
| Molina Healthcare | HIX | $62,082.21 | — |
| Humana | COMM | $133,869.41 | — |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $50,985.00 | $93.35 – $439.30 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $50,985.00 | $70.51 – $439.30 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $50,985.00 | $93.35 – $439.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $50,985.00 | $67.82 – $494.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $50,985.00 | $65.90 – $439.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $50,985.00 | $87.86 – $439.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $50,985.00 | $105.76 – $494.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $50,985.00 | $170.23 – $494.22 |