Ercp biliary & pancreas 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.
$55.32 with BCBS vs $5,032.66 with Unicare — 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 | $55.32 | — |
| BCBS | MyBlueHealth | $60.90 | — |
| BCBS | BlueAdvantageHMO | $60.90 | — |
| Aetna | QHPHIX | $127.03 | — |
| Aetna | NewBusiness | $174.17 | — |
| BCBS | BlueEssentials | $180.85 | — |
| BCBS | BlueEssentialsAccess | $180.85 | — |
| Aetna | COMM | $186.57 | — |
| Aetna | Meritain | $186.57 | — |
| BCBS | EPOSOA | $189.68 | — |
| BCBS | PPO | $198.51 | — |
| Aetna | OON | $218.82 | — |
| Superior Health Plan | STARPLUS | $352.29 | — |
| Superior Health Plan | CHIP | $352.29 | — |
| Superior Health Plan | STARKids | $352.29 | — |
| Superior Health Plan | MCDSTAR | $352.29 | — |
| Superior Health Plan | STARHealth | $352.29 | — |
| Humana | COMM | $582.80 | — |
| Cigna | IFP | $679.41 | — |
| Cigna | QHP | $704.57 | — |
| United | OptionsPPO | $941.11 | — |
| Imperial Insurance Company | MCR | $956.21 | — |
| Healthcare Highways | NarrowNetwork | $1,233.00 | — |
| Evry Health | COMM | $1,298.43 | — |
| Unicare | CHIP | $1,308.49 | — |
| Cigna | LocalPlus | $1,328.62 | — |
| Cigna | NewBusiness | $1,328.62 | — |
| Cigna | OpenAccessPlus | $1,484.63 | — |
| Cigna | NetworkBenefit | $1,484.63 | — |
| Cigna | HMO | $1,484.63 | — |
| Healthcare Highways | CityofPlano | $1,701.04 | — |
| City of McKinney | COMM | $1,761.43 | — |
| Cigna | AllOther | $1,877.18 | — |
| Curative Administrators | COMM | $2,013.06 | — |
| BCBS | Traditional | $2,234.50 | — |
| Fidelis SecureCare | MGMCR | $2,264.70 | — |
| National ChoiceCare | WCOMP | $2,516.33 | — |
| Aetna | ASA | $2,652.21 | — |
| Rockport Health Group | WORKERSCOMP | $2,767.96 | — |
| PC Texas Partners | WCOMP | $2,767.96 | — |
| Physicians Coop of TX | MGMCR | $2,767.96 | — |
| Aetna | WCOMP | $2,767.96 | — |
| Averde Health, Inc | PPO | $2,918.94 | — |
| Magellan BH | Pinnacle | $3,019.60 | — |
| Value Options Behavioral Health | COMM | $3,019.60 | — |
| Magellan BH | Summit | $3,019.60 | — |
| Humana | BHCOMM | $3,271.23 | — |
| Multiplan PHCS | PrimaryNetwork | $3,522.86 | — |
| Coastal Comp Health Networks | WCOMP | $3,522.86 | — |
| Mega Life | MGMCRPPO | $3,522.86 | — |
| Aetna Coventry First Health | COMM | $3,658.74 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,774.49 | — |
| USA Managed Care | COMM | $4,026.13 | — |
| Cigna Behavioral Health | COMM | $4,026.13 | — |
| ComPsych Corporation | COMM | $4,026.13 | — |
| HealthSmart Preferred Care | PPO | $4,026.13 | — |
| Galaxy Health Network | PPO | $4,277.76 | — |
| Independent Medical Systems | COMM | $5,032.66 | — |
| National Healthcare Solutions | COMM | $5,032.66 | — |
| Unicare | MCD | $5,032.66 | — |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $967.04 | $92.98 – $1,369.97 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $967.04 | $92.98 – $1,369.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $967.04 | $92.98 – $1,369.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,167.85 | $156.21 – $1,751.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,106.24 | $156.21 – $1,382.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $967.04 | $106.46 – $1,369.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,167.85 | $190.14 – $1,751.78 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,167.85 | $603.39 – $1,751.78 |