External newborn metabolic screening panel at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$728.96
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.
$728.96
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.
$51.03 with Superior Health Plan vs $728.96 with Independent Medical Systems — 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 |
|---|---|---|---|
| Superior Health Plan | MCDSTAR | $51.03 | ↓ -93% |
| Superior Health Plan | STARHealth | $51.03 | ↓ -93% |
| Superior Health Plan | CHIP | $51.03 | ↓ -93% |
| Superior Health Plan | STARKids | $51.03 | ↓ -93% |
| Superior Health Plan | STARPLUS | $51.03 | ↓ -93% |
| Cigna | IFP | $98.41 | ↓ -86% |
| Cigna | QHP | $102.05 | ↓ -86% |
| United | OptionsPPO | $136.32 | ↓ -81% |
| Imperial Insurance Company | MCR | $138.50 | ↓ -81% |
| Aetna | QHPHIX | $145.50 | ↓ -80% |
| Superior | HMO | $145.79 | ↓ -80% |
| Superior | EPO | $145.79 | ↓ -80% |
| Superior | ValueHMO | $145.79 | ↓ -80% |
| Oscar | HIX | $151.62 | ↓ -79% |
| Humana | Tricare | $173.22 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $178.60 | ↓ -75% |
| BCBS | MyBlueHealth | $180.05 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $180.05 | ↓ -75% |
| Molina Healthcare | HIX | $182.24 | ↓ -75% |
| Evry Health | COMM | $188.07 | ↓ -74% |
| Unicare | CHIP | $189.53 | ↓ -74% |
| Cigna | LocalPlus | $192.45 | ↓ -74% |
| Cigna | NewBusiness | $192.45 | ↓ -74% |
| Aetna | NewBusiness | $200.40 | ↓ -73% |
| BCBS | BluePremier | $212.86 | ↓ -71% |
| Aetna | Meritain | $213.44 | ↓ -71% |
| Aetna | COMM | $213.44 | ↓ -71% |
| Cigna | NetworkBenefit | $215.04 | ↓ -71% |
| Cigna | OpenAccessPlus | $215.04 | ↓ -71% |
| Cigna | HMO | $215.04 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $232.54 | ↓ -68% |
| BCBS | BlueEssentials | $232.54 | ↓ -68% |
| BCBS | EPOSOA | $244.20 | ↓ -67% |
| Healthcare Highways | CityofPlano | $246.39 | ↓ -66% |
| Aetna | OON | $251.19 | ↓ -66% |
| BCBS | PPO | $255.14 | ↓ -65% |
| City of McKinney | COMM | $255.14 | ↓ -65% |
| Cigna | AllOther | $271.90 | ↓ -63% |
| Curative Administrators | COMM | $291.58 | ↓ -60% |
| BCBS | Traditional | $323.66 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $328.03 | ↓ -55% |
| National ChoiceCare | WCOMP | $364.48 | ↓ -50% |
| Aetna | ASA | $384.16 | ↓ -47% |
| Humana | COMM | $395.17 | ↓ -46% |
| PC Texas Partners | WCOMP | $400.93 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $400.93 | ↓ -45% |
| Aetna | WCOMP | $400.93 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $400.93 | ↓ -45% |
| Averde Health, Inc | PPO | $422.80 | ↓ -42% |
| Value Options Behavioral Health | COMM | $437.38 | ↓ -40% |
| Magellan BH | Pinnacle | $437.38 | ↓ -40% |
| Magellan BH | Summit | $437.38 | ↓ -40% |
| Humana | BHCOMM | $473.82 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $510.27 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $510.27 | ↓ -30% |
| Mega Life | MGMCRPPO | $510.27 | ↓ -30% |
| Aetna Coventry First Health | COMM | $529.95 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $546.72 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $583.17 | ↓ -20% |
| Cigna Behavioral Health | COMM | $583.17 | ↓ -20% |
| USA Managed Care | COMM | $583.17 | ↓ -20% |
| ComPsych Corporation | COMM | $583.17 | ↓ -20% |
| Galaxy Health Network | PPO | $619.62 | ↓ -15% |
| Unicare | MCD | $728.96 | ↑ +0% |
| National Healthcare Solutions | COMM | $728.96 | ↑ +0% |
| Independent Medical Systems | COMM | $728.96 | ↑ +0% |
Visitor-reported prices
Comments
External newborn metabolic screening panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $83.43 | $10.00 – $118.19 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $83.43 | $10.00 – $118.19 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $83.43 | $10.00 – $118.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $59.29 | $12.00 – $88.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $59.29 | $11.86 – $74.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $83.43 | $10.00 – $118.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $59.29 | $12.00 – $88.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $59.29 | $8.00 – $88.94 |