Electrophysiology evaluation at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$6,513.86
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.
$6,513.86
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.
$773.99 with BCBS vs $43,890.00 with Curative Administrators — 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 | $773.99 | ↓ -88% |
| Cigna | IFP | $879.37 | ↓ -87% |
| Aetna | QHPHIX | $879.37 | ↓ -87% |
| BCBS | MyBlueHealth | $901.89 | ↓ -86% |
| BCBS | BlueAdvantageHMO | $901.89 | ↓ -86% |
| Cigna | QHP | $911.94 | ↓ -86% |
| United | OptionsPPO | $1,218.09 | ↓ -81% |
| Imperial Insurance Company | MCR | $1,237.63 | ↓ -81% |
| Aetna | NewBusiness | $1,296.26 | ↓ -80% |
| Oscar | HIX | $1,354.88 | ↓ -79% |
| Aetna | Meritain | $1,387.45 | ↓ -79% |
| Aetna | COMM | $1,387.45 | ↓ -79% |
| United | SmallGroup | $1,580.00 | ↓ -76% |
| BCBS | BlueEssentials | $1,597.17 | ↓ -75% |
| BCBS | BlueEssentialsAccess | $1,597.17 | ↓ -75% |
| Aetna | OON | $1,634.98 | ↓ -75% |
| BCBS | EPOSOA | $1,675.88 | ↓ -74% |
| Unicare | CHIP | $1,693.60 | ↓ -74% |
| Cigna | LocalPlus | $1,719.66 | ↓ -74% |
| Cigna | NewBusiness | $1,719.66 | ↓ -74% |
| BCBS | PPO | $1,754.59 | ↓ -73% |
| Cigna | NetworkBenefit | $1,921.59 | ↓ -70% |
| Cigna | HMO | $1,921.59 | ↓ -70% |
| Cigna | OpenAccessPlus | $1,921.59 | ↓ -70% |
| United | NarrowNetworkIndivExchange | $2,000.00 | ↓ -69% |
| United | AllPayerAppendix | $2,174.00 | ↓ -67% |
| Healthcare Highways | CityofPlano | $2,201.68 | ↓ -66% |
| City of McKinney | COMM | $2,279.85 | ↓ -65% |
| Cigna | AllOther | $2,429.67 | ↓ -63% |
| BCBS | Traditional | $2,892.15 | ↓ -56% |
| National ChoiceCare | WCOMP | $3,256.93 | ↓ -50% |
| Aetna | ASA | $3,432.80 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $3,582.62 | ↓ -45% |
| Aetna | WCOMP | $3,582.62 | ↓ -45% |
| PC Texas Partners | WCOMP | $3,582.62 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $3,582.62 | ↓ -45% |
| Averde Health, Inc | PPO | $3,778.04 | ↓ -42% |
| Value Options Behavioral Health | COMM | $3,908.32 | ↓ -40% |
| Magellan BH | Pinnacle | $3,908.32 | ↓ -40% |
| Magellan BH | Summit | $3,908.32 | ↓ -40% |
| Humana | BHCOMM | $4,234.01 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $4,559.70 | ↓ -30% |
| Mega Life | MGMCRPPO | $4,559.70 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $4,559.70 | ↓ -30% |
| Aetna Coventry First Health | COMM | $4,735.58 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,885.40 | ↓ -25% |
| USA Managed Care | COMM | $5,211.09 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $5,211.09 | ↓ -20% |
| ComPsych Corporation | COMM | $5,211.09 | ↓ -20% |
| Cigna Behavioral Health | COMM | $5,211.09 | ↓ -20% |
| Galaxy Health Network | PPO | $5,536.78 | ↓ -15% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -14% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -14% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -14% |
| Superior Health Plan | MCDSTAR | $5,591.00 | ↓ -14% |
| Superior Health Plan | STARHealth | $5,591.00 | ↓ -14% |
| Independent Medical Systems | COMM | $6,513.86 | ↑ +0% |
| Unicare | MCD | $6,513.86 | ↑ +0% |
| National Healthcare Solutions | COMM | $6,513.86 | ↑ +0% |
| Fidelis SecureCare | MGMCR | $8,300.00 | ↑ +27% |
| Humana | COMM | $27,514.00 | ↑ +322% |
| Healthcare Highways | NarrowNetwork | $27,837.00 | ↑ +327% |
| Evry Health | COMM | $29,597.00 | ↑ +354% |
| Curative Administrators | COMM | $43,890.00 | ↑ +574% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $3,726.39 | $1,006.84 – $5,279.05 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $3,726.39 | $797.45 – $5,279.05 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,726.39 | $1,006.84 – $5,279.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,799.82 | $782.13 – $5,699.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,285.96 | $990.44 – $6,607.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,726.39 | $767.43 – $5,279.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,799.82 | $1,210.17 – $5,699.74 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,799.82 | $1,963.24 – $5,699.74 |