ER Visit (level 3) 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.
$51.36 with Parkland Community Health Plan vs $2,931.00 with United — 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 |
|---|---|---|---|
| Parkland Community Health Plan | MCD | $51.36 | — |
| Humana | MGMCD | $64.20 | — |
| Aetna Better Health | CHIP | $77.04 | — |
| Aetna Better Health | MCD | $77.04 | — |
| Molina | STARKIDS | $200.00 | — |
| Molina | STAR+PLUS | $200.00 | — |
| Molina | CHIP | $200.00 | — |
| Molina | MCDSTAR | $200.00 | — |
| Cigna Healthspring | MGMCD | $350.00 | — |
| Superior Health Plan | MGMCRDualEligible | $356.49 | — |
| Superior Health Plan | MGMCRHMO | $356.49 | — |
| Superior Health Plan | MGMCRPPO | $356.49 | — |
| Superior Health Plan | MGMCRPFFS | $356.49 | — |
| Superior Health Plan | MGMCRPOS | $356.49 | — |
| Superior Health Plan | MGMCRSNP | $356.49 | — |
| Amerigroup | MGMCD | $363.00 | — |
| Amerigroup | CHIP | $363.00 | — |
| Cigna | IFP | $378.09 | — |
| Cigna | QHP | $392.09 | — |
| United | OptionsPPO | $523.72 | — |
| Aetna | QHPHIX | $703.00 | — |
| Unicare | CHIP | $728.16 | — |
| Oscar | HIX | $855.00 | — |
| BCBS | BluePremier | $931.00 | — |
| Healthcare Highways | CityofPlano | $946.61 | — |
| Aetna | NewBusiness | $966.00 | — |
| City of McKinney | COMM | $980.22 | — |
| Aetna | Meritain | $1,032.00 | — |
| Aetna | COMM | $1,032.00 | — |
| Healthcare Highways | NarrowNetwork | $1,032.00 | — |
| BCBS | MyBlueHealth | $1,057.00 | — |
| BCBS | BlueAdvantageHMO | $1,057.00 | — |
| Evry Health | COMM | $1,064.00 | — |
| Aetna | OON | $1,214.00 | — |
| BCBS | Traditional | $1,243.48 | — |
| Curative Administrators | COMM | $1,359.00 | — |
| BCBS | BlueEssentialsAccess | $1,365.00 | — |
| BCBS | BlueEssentials | $1,365.00 | — |
| National ChoiceCare | WCOMP | $1,400.32 | — |
| BCBS | EPOSOA | $1,435.00 | — |
| Cigna Behavioral Health | COMM | $1,453.00 | — |
| Aetna | ASA | $1,475.93 | — |
| BCBS | PPO | $1,498.00 | — |
| PC Texas Partners | WCOMP | $1,540.35 | — |
| Aetna | WCOMP | $1,540.35 | — |
| Rockport Health Group | WORKERSCOMP | $1,540.35 | — |
| Physicians Coop of TX | MGMCR | $1,540.35 | — |
| United | NarrowNetworkIndivExchange | $1,545.00 | — |
| Averde Health, Inc | PPO | $1,624.37 | — |
| Magellan BH | Summit | $1,680.38 | — |
| Magellan BH | Pinnacle | $1,680.38 | — |
| Humana | BHCOMM | $1,820.41 | — |
| Humana | COMM | $1,929.00 | — |
| United | SmallGroup | $1,937.00 | — |
| Cigna | LocalPlus | $1,955.00 | — |
| Cigna | NewBusiness | $1,957.00 | — |
| Mega Life | MGMCRPPO | $1,960.44 | — |
| Coastal Comp Health Networks | WCOMP | $1,960.44 | — |
| Aetna Coventry First Health | COMM | $2,036.06 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,100.47 | — |
| Cigna | OpenAccessPlus | $2,184.00 | — |
| Cigna | HMO | $2,184.00 | — |
| Cigna | NetworkBenefit | $2,184.00 | — |
| HealthSmart Preferred Care | PPO | $2,240.50 | — |
| USA Managed Care | COMM | $2,240.50 | — |
| ComPsych Corporation | COMM | $2,240.50 | — |
| Galaxy Health Network | PPO | $2,380.54 | — |
| Cigna | AllOther | $2,763.00 | — |
| Independent Medical Systems | COMM | $2,800.63 | — |
| Unicare | MCD | $2,800.63 | — |
| National Healthcare Solutions | COMM | $2,800.63 | — |
| United | AllPayerAppendix | $2,931.00 | — |
| United | CHIP | not published by hospital | — |
| Multiplan PHCS | PrimaryNetwork | not published by hospital | — |
| United | STARPerinate | not published by hospital | — |
| United | STARPLUS | not published by hospital | — |
| United | STARKids | not published by hospital | — |
| United | STAR | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $770.04 | $218.18 – $2,410.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $770.04 | $164.79 – $2,410.00 |
| Adventhealth Rollins Brook | Lampasas | $1,470.35 | $859.86 – $859.86 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $770.04 | $218.18 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $886.75 | $182.52 – $2,805.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,006.17 | $201.23 – $2,805.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $770.04 | $205.34 – $2,691.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $886.75 | $260.51 – $2,805.00 |