Epilepsy gen seq alys panel 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.
$39.76 with BCBS vs $13,189.84 with Cigna — 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 |
|---|---|---|---|
| BCBS | BluePremier | $39.76 | — |
| BCBS | MyBlueHealth | $44.89 | — |
| BCBS | BlueAdvantageHMO | $44.89 | — |
| BCBS | BlueEssentialsAccess | $63.36 | — |
| BCBS | BlueEssentials | $63.36 | — |
| BCBS | EPOSOA | $66.43 | — |
| BCBS | PPO | $69.51 | — |
| WellMed | MGMCR | $2,436.32 | — |
| Devoted Health | POS | $2,448.56 | — |
| BCBS | MGMCRHMO | $2,448.56 | — |
| Devoted Health | MCR | $2,448.56 | — |
| Devoted Health | MME | $2,448.56 | — |
| Devoted Health | PPO | $2,448.56 | — |
| Humana | MGMCR | $2,448.56 | — |
| TriWest Veterans | FEDERAL | $2,448.56 | — |
| Devoted Health | SNP | $2,448.56 | — |
| Devoted Health | HMO | $2,448.56 | — |
| BCBS | MCRPPO | $2,448.56 | — |
| United | AllPayerAppendix | $2,448.56 | — |
| United | NarrowNetworkIndivExchange | $2,448.56 | — |
| United | SmallGroup | $2,448.56 | — |
| Amerigroup | DualEligible | $2,448.56 | — |
| Mutual of Omaha | MGMCR | $2,448.56 | — |
| United | MGMCR | $2,460.80 | — |
| Aetna | MCR | $2,469.37 | — |
| Care N Care | MGMCR | $2,473.05 | — |
| Cigna Healthspring | MGMCR | $2,497.53 | — |
| WellCare | MGMCR | $2,522.02 | — |
| Integranet | MGMCR | $2,522.02 | — |
| Superior Health Plan | MGMCRDualEligible | $2,570.99 | — |
| Superior Health Plan | MGMCRPPO | $2,570.99 | — |
| Superior Health Plan | MGMCRPFFS | $2,570.99 | — |
| ProCare Advantge | MCR | $2,570.99 | — |
| Superior Health Plan | MGMCRPOS | $2,570.99 | — |
| Superior Health Plan | MGMCRSNP | $2,570.99 | — |
| American Health Plan of Texas, Inc. | MGMCR | $2,570.99 | — |
| Superior Health Plan | MGMCRHMO | $2,570.99 | — |
| Texas Independent Health Plan | MGMCR | $2,595.47 | — |
| Provider Partners Health Plan | MCR | $2,595.47 | — |
| Cenpatico | BHMGMCR | $2,668.93 | — |
| Molina | MCR | $2,668.93 | — |
| Molina | MMP | $2,668.93 | — |
| Molina | MME | $2,668.93 | — |
| Imperial Insurance Company | MCR | $2,693.42 | — |
| Universal Healthcare Group | MCR | $2,938.27 | — |
| Verda Health Plan | MGMCR | $3,183.13 | — |
| Bravo Health | MCRSNP | $3,672.84 | — |
| Bravo Health | MCRPPO | $3,672.84 | — |
| Bravo Health | MCRPFFS | $3,672.84 | — |
| Bravo Health | MCRPOS | $3,672.84 | — |
| Bravo Health | MCRHMO | $3,672.84 | — |
| Superior | ValueHMO | $4,382.92 | — |
| USA Managed Care | WORKERSCOMP | $4,652.26 | — |
| Corvel Corporation | WORKERSCOMP | $4,848.15 | — |
| Superior | HMO | $5,484.77 | — |
| Superior | EPO | $5,484.77 | — |
| Oscar | HIX | $6,366.26 | — |
| Molina Healthcare | HIX | $6,415.23 | — |
| Cigna | LocalPlus | $9,330.59 | — |
| Cigna | NewBusiness | $9,339.89 | — |
| Cigna | HMO | $10,421.60 | — |
| Cigna | NetworkBenefit | $10,421.60 | — |
| Cigna | OpenAccessPlus | $10,421.60 | — |
| Cigna | AllOther | $13,189.84 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Epilepsy gen seq alys panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $4,315.50 | $35.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $4,315.50 | $35.00 – $5,876.54 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,315.50 | $35.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,315.50 | $36.00 – $6,473.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,315.50 | $36.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,315.50 | $35.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,315.50 | $36.00 – $6,473.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,315.50 | $26.00 – $6,473.25 |