Dorsi & plantar flex ass/res at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$474.00
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.
$474.00
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.
$33.18 with Superior Health Plan vs $567.22 with Humana — 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 | CHIP | $33.18 | ↓ -93% |
| Superior Health Plan | STARHealth | $33.18 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $33.18 | ↓ -93% |
| Superior Health Plan | STARPLUS | $33.18 | ↓ -93% |
| Superior Health Plan | STARKids | $33.18 | ↓ -93% |
| Cigna | IFP | $63.99 | ↓ -87% |
| Cigna | QHP | $66.36 | ↓ -86% |
| United | OptionsPPO | $88.64 | ↓ -81% |
| Humana | Tricare | $97.39 | ↓ -79% |
| BCBS | MGMCRHMO | $98.43 | ↓ -79% |
| BCBS | MCRPPO | $98.43 | ↓ -79% |
| WellMed | MGMCR | $99.90 | ↓ -79% |
| Amerigroup | DualEligible | $100.40 | ↓ -79% |
| Humana | MGMCR | $100.40 | ↓ -79% |
| Devoted Health | PPO | $100.40 | ↓ -79% |
| Mutual of Omaha | MGMCR | $100.40 | ↓ -79% |
| TriWest Veterans | FEDERAL | $100.40 | ↓ -79% |
| Devoted Health | SNP | $100.40 | ↓ -79% |
| Devoted Health | HMO | $100.40 | ↓ -79% |
| Devoted Health | POS | $100.40 | ↓ -79% |
| Devoted Health | MCR | $100.40 | ↓ -79% |
| Devoted Health | MME | $100.40 | ↓ -79% |
| United | MGMCR | $100.90 | ↓ -79% |
| Aetna | MCR | $101.25 | ↓ -79% |
| Care N Care | MGMCR | $101.40 | ↓ -79% |
| Cigna Healthspring | MGMCR | $102.41 | ↓ -78% |
| WellCare | MGMCR | $103.41 | ↓ -78% |
| Integranet | MGMCR | $103.41 | ↓ -78% |
| American Health Plan of Texas, Inc. | MGMCR | $105.42 | ↓ -78% |
| Superior Health Plan | MGMCRHMO | $105.42 | ↓ -78% |
| Superior Health Plan | MGMCRPPO | $105.42 | ↓ -78% |
| Superior Health Plan | MGMCRDualEligible | $105.42 | ↓ -78% |
| Superior Health Plan | MGMCRPFFS | $105.42 | ↓ -78% |
| Superior Health Plan | MGMCRPOS | $105.42 | ↓ -78% |
| Superior Health Plan | MGMCRSNP | $105.42 | ↓ -78% |
| ProCare Advantge | MCR | $105.42 | ↓ -78% |
| Texas Independent Health Plan | MGMCR | $106.42 | ↓ -78% |
| Provider Partners Health Plan | MCR | $106.42 | ↓ -78% |
| Molina | MME | $109.44 | ↓ -77% |
| Molina | MCR | $109.44 | ↓ -77% |
| Cenpatico | BHMGMCR | $109.44 | ↓ -77% |
| Molina | MMP | $109.44 | ↓ -77% |
| Imperial Insurance Company | MCR | $110.44 | ↓ -77% |
| BCBS | BlueAdvantageHMO | $117.08 | ↓ -75% |
| BCBS | MyBlueHealth | $117.08 | ↓ -75% |
| Universal Healthcare Group | MCR | $120.48 | ↓ -75% |
| Unicare | CHIP | $123.24 | ↓ -74% |
| Cigna | LocalPlus | $125.14 | ↓ -74% |
| Cigna | NewBusiness | $125.14 | ↓ -74% |
| Verda Health Plan | MGMCR | $130.52 | ↓ -72% |
| Cigna | OpenAccessPlus | $139.83 | ↓ -71% |
| Cigna | HMO | $139.83 | ↓ -71% |
| Cigna | NetworkBenefit | $139.83 | ↓ -71% |
| Bravo Health | MCRHMO | $150.60 | ↓ -68% |
| Bravo Health | MCRPOS | $150.60 | ↓ -68% |
| Bravo Health | MCRPPO | $150.60 | ↓ -68% |
| Bravo Health | MCRSNP | $150.60 | ↓ -68% |
| Bravo Health | MCRPFFS | $150.60 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $151.21 | ↓ -68% |
| BCBS | BlueEssentials | $151.21 | ↓ -68% |
| BCBS | EPOSOA | $158.79 | ↓ -67% |
| Healthcare Highways | CityofPlano | $160.21 | ↓ -66% |
| BCBS | PPO | $165.90 | ↓ -65% |
| City of McKinney | COMM | $165.90 | ↓ -65% |
| Cigna | AllOther | $176.80 | ↓ -63% |
| Superior | ValueHMO | $179.72 | ↓ -62% |
| USA Managed Care | WORKERSCOMP | $190.76 | ↓ -60% |
| Corvel Corporation | WORKERSCOMP | $198.79 | ↓ -58% |
| BCBS | Traditional | $210.46 | ↓ -56% |
| Superior | HMO | $224.90 | ↓ -53% |
| Superior | EPO | $224.90 | ↓ -53% |
| National ChoiceCare | WCOMP | $237.00 | ↓ -50% |
| Aetna | ASA | $249.80 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $260.70 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $260.70 | ↓ -45% |
| Aetna | WCOMP | $260.70 | ↓ -45% |
| PC Texas Partners | WCOMP | $260.70 | ↓ -45% |
| Molina Healthcare | HIX | $263.05 | ↓ -45% |
| Averde Health, Inc | PPO | $274.92 | ↓ -42% |
| Magellan BH | Summit | $284.40 | ↓ -40% |
| Magellan BH | Pinnacle | $284.40 | ↓ -40% |
| Value Options Behavioral Health | COMM | $284.40 | ↓ -40% |
| Humana | BHCOMM | $308.10 | ↓ -35% |
| Mega Life | MGMCRPPO | $331.80 | ↓ -30% |
| Aetna Coventry First Health | COMM | $344.60 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $355.50 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $379.20 | ↓ -20% |
| USA Managed Care | COMM | $379.20 | ↓ -20% |
| Cigna Behavioral Health | COMM | $379.20 | ↓ -20% |
| ComPsych Corporation | COMM | $379.20 | ↓ -20% |
| Galaxy Health Network | PPO | $402.90 | ↓ -15% |
| National Healthcare Solutions | COMM | $474.00 | ↑ +0% |
| Independent Medical Systems | COMM | $474.00 | ↑ +0% |
| Unicare | MCD | $474.00 | ↑ +0% |
| Humana | COMM | $567.22 | ↑ +20% |
Visitor-reported prices
Comments
Dorsi & plantar flex ass/res at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $76.80 | $15.81 – $115.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $76.80 | $15.36 – $102.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $76.80 | $24.65 – $115.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $76.80 | $39.68 – $115.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $76.80 | $25.60 – $115.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $76.80 | $15.36 – $102.40 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $76.80 | $19.20 – $115.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $76.80 | $14.08 – $115.20 |