ER Visit (level 5, high severity) 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.
$77.04 with Aetna Better Health vs $7,957.00 with Cigna — 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 |
|---|---|---|---|
| Aetna Better Health | MCD | $77.04 | — |
| Aetna Better Health | CHIP | $77.04 | — |
| Amerigroup | MGMCD | $363.00 | — |
| Amerigroup | CHIP | $363.00 | — |
| Molina | CHIP | $400.00 | — |
| Molina | MCDSTAR | $400.00 | — |
| Molina | STARKIDS | $400.00 | — |
| Molina | STAR+PLUS | $400.00 | — |
| Superior Health Plan | MGMCRHMO | $777.72 | — |
| Superior Health Plan | MGMCRSNP | $777.72 | — |
| Superior Health Plan | MGMCRPOS | $777.72 | — |
| Superior Health Plan | MGMCRPFFS | $777.72 | — |
| Superior Health Plan | MGMCRDualEligible | $777.72 | — |
| Superior Health Plan | MGMCRPPO | $777.72 | — |
| Cigna Healthspring | MGMCD | $800.00 | — |
| Cigna | IFP | $842.59 | — |
| Cigna | QHP | $873.80 | — |
| United | OptionsPPO | $1,167.14 | — |
| Cigna Behavioral Health | COMM | $1,453.00 | — |
| Unicare | CHIP | $1,622.76 | — |
| Healthcare Highways | CityofPlano | $2,109.59 | — |
| City of McKinney | COMM | $2,184.49 | — |
| Oscar | HIX | $2,433.00 | — |
| BCBS | Traditional | $2,771.18 | — |
| National ChoiceCare | WCOMP | $3,120.70 | — |
| Aetna | ASA | $3,289.22 | — |
| PC Texas Partners | WCOMP | $3,432.77 | — |
| Physicians Coop of TX | MGMCR | $3,432.77 | — |
| Rockport Health Group | WORKERSCOMP | $3,432.77 | — |
| Aetna | WCOMP | $3,432.77 | — |
| United | NarrowNetworkIndivExchange | $3,448.00 | — |
| United | SmallGroup | $3,568.00 | — |
| Averde Health, Inc | PPO | $3,620.01 | — |
| Magellan BH | Pinnacle | $3,744.84 | — |
| Magellan BH | Summit | $3,744.84 | — |
| Aetna | QHPHIX | $3,959.00 | — |
| Humana | BHCOMM | $4,056.91 | — |
| Mega Life | MGMCRPPO | $4,368.98 | — |
| Coastal Comp Health Networks | WCOMP | $4,368.98 | — |
| BCBS | BluePremier | $4,400.00 | — |
| Aetna Coventry First Health | COMM | $4,537.50 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,681.05 | — |
| Healthcare Highways | NarrowNetwork | $4,871.00 | — |
| United | AllPayerAppendix | $4,900.00 | — |
| ComPsych Corporation | COMM | $4,993.12 | — |
| USA Managed Care | COMM | $4,993.12 | — |
| HealthSmart Preferred Care | PPO | $4,993.12 | — |
| Evry Health | COMM | $5,030.00 | — |
| Galaxy Health Network | PPO | $5,305.19 | — |
| Aetna | NewBusiness | $5,424.00 | — |
| Curative Administrators | COMM | $5,622.00 | — |
| Cigna | LocalPlus | $5,630.00 | — |
| Cigna | NewBusiness | $5,635.00 | — |
| Aetna | COMM | $5,796.00 | — |
| Aetna | Meritain | $5,796.00 | — |
| BCBS | MyBlueHealth | $6,000.00 | — |
| BCBS | BlueAdvantageHMO | $6,000.00 | — |
| Independent Medical Systems | COMM | $6,241.40 | — |
| National Healthcare Solutions | COMM | $6,241.40 | — |
| Unicare | MCD | $6,241.40 | — |
| Cigna | NetworkBenefit | $6,290.00 | — |
| Cigna | OpenAccessPlus | $6,290.00 | — |
| Cigna | HMO | $6,290.00 | — |
| Aetna | OON | $6,819.00 | — |
| BCBS | BlueEssentials | $7,000.00 | — |
| BCBS | BlueEssentialsAccess | $7,000.00 | — |
| BCBS | EPOSOA | $7,360.00 | — |
| BCBS | PPO | $7,720.00 | — |
| Cigna | AllOther | $7,957.00 | — |
| Humana | COMM | not published by hospital | — |
| Multiplan PHCS | PrimaryNetwork | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,327.80 | $568.33 – $5,475.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $2,327.80 | $498.15 – $5,475.00 |
| Adventhealth Rollins Brook | Lampasas | $3,127.54 | $1,942.36 – $1,942.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,327.80 | $568.33 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,377.55 | $489.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,377.55 | $475.51 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,327.80 | $568.33 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,377.55 | $568.33 – $6,643.00 |