Factor ix complex at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$4,498.18
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.
$4,498.18
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.
$1.61 with Humana vs $4,498.18 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Humana | Tricare | $1.61 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $2.81 | ↓ -100% |
| United | AllPayerAppendix | $2.81 | ↓ -100% |
| United | SmallGroup | $2.81 | ↓ -100% |
| BCBS | MyBlueHealth | $3.24 | ↓ -100% |
| BCBS | BlueAdvantageHMO | $3.24 | ↓ -100% |
| BCBS | BlueEssentialsAccess | $4.75 | ↓ -100% |
| BCBS | BlueEssentials | $4.75 | ↓ -100% |
| BCBS | EPOSOA | $4.98 | ↓ -100% |
| BCBS | PPO | $5.22 | ↓ -100% |
| BCBS | BluePremier | $6.16 | ↓ -100% |
| Humana | COMM | $10.16 | ↓ -100% |
| Cigna | LocalPlus | $10.29 | ↓ -100% |
| Cigna | NewBusiness | $10.30 | ↓ -100% |
| Cigna | NetworkBenefit | $11.49 | ↓ -100% |
| Cigna | OpenAccessPlus | $11.49 | ↓ -100% |
| Cigna | HMO | $11.49 | ↓ -100% |
| Cigna | AllOther | $14.54 | ↓ -100% |
| Superior Health Plan | MCDSTAR | $314.87 | ↓ -93% |
| Superior Health Plan | CHIP | $314.87 | ↓ -93% |
| Superior Health Plan | STARKids | $314.87 | ↓ -93% |
| Superior Health Plan | STARPLUS | $314.87 | ↓ -93% |
| Superior Health Plan | STARHealth | $314.87 | ↓ -93% |
| Aetna | QHPHIX | $607.25 | ↓ -87% |
| Cigna | IFP | $607.25 | ↓ -87% |
| Cigna | QHP | $629.75 | ↓ -86% |
| United | OptionsPPO | $841.16 | ↓ -81% |
| Aetna | NewBusiness | $895.14 | ↓ -80% |
| Aetna | Meritain | $958.11 | ↓ -79% |
| Aetna | COMM | $958.11 | ↓ -79% |
| Aetna | OON | $1,129.04 | ↓ -75% |
| Unicare | CHIP | $1,169.53 | ↓ -74% |
| Healthcare Highways | CityofPlano | $1,520.38 | ↓ -66% |
| City of McKinney | COMM | $1,574.36 | ↓ -65% |
| BCBS | Traditional | $1,997.19 | ↓ -56% |
| National ChoiceCare | WCOMP | $2,249.09 | ↓ -50% |
| Aetna | ASA | $2,370.54 | ↓ -47% |
| Aetna | WCOMP | $2,474.00 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,474.00 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,474.00 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,474.00 | ↓ -45% |
| Averde Health, Inc | PPO | $2,608.94 | ↓ -42% |
| Value Options Behavioral Health | COMM | $2,698.91 | ↓ -40% |
| Magellan BH | Pinnacle | $2,698.91 | ↓ -40% |
| Magellan BH | Summit | $2,698.91 | ↓ -40% |
| Humana | BHCOMM | $2,923.82 | ↓ -35% |
| Mega Life | MGMCRPPO | $3,148.73 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3,148.73 | ↓ -30% |
| Aetna Coventry First Health | COMM | $3,270.18 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,373.64 | ↓ -25% |
| Cigna Behavioral Health | COMM | $3,598.54 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $3,598.54 | ↓ -20% |
| USA Managed Care | COMM | $3,598.54 | ↓ -20% |
| Galaxy Health Network | PPO | $3,823.45 | ↓ -15% |
| Unicare | MCD | $4,498.18 | ↑ +0% |
| Independent Medical Systems | COMM | $4,498.18 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,498.18 | ↑ +0% |
Visitor-reported prices
Comments
Factor ix complex at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $22.13 | $1.44 – $27.07 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $22.13 | $1.44 – $27.07 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22.13 | $1.44 – $27.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $22.13 | $1.46 – $32.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22.13 | $1.46 – $27.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22.13 | $1.44 – $27.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $22.13 | $1.46 – $32.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $22.13 | $1.87 – $32.49 |