Fem/popl revasc w/stent 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.
$2,369.00 with Superior Health Plan vs $79,847.67 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| United | STAR | $5,338.09 | — |
| United | CHIP | $5,338.09 | — |
| United | STARPerinate | $5,338.09 | — |
| Parkland Community Health Plan | MCD | $5,338.09 | — |
| United | STARPLUS | $5,338.09 | — |
| United | STARKids | $5,338.09 | — |
| Amerigroup | CHIP | $5,604.99 | — |
| Cigna Healthspring | MGMCD | $5,604.99 | — |
| Amerigroup | MGMCD | $5,604.99 | — |
| Molina | STAR+PLUS | $5,871.90 | — |
| Molina | MCDSTAR | $5,871.90 | — |
| Molina | STARKIDS | $5,871.90 | — |
| Molina | CHIP | $5,871.90 | — |
| Aetna Better Health | CHIP | $6,405.71 | — |
| Aetna Better Health | MCD | $6,405.71 | — |
| Humana | MGMCD | $6,672.61 | — |
| Oscar | HIX | $7,008.00 | — |
| Humana | COMM | $7,113.00 | — |
| Evry Health | COMM | $10,763.00 | — |
| Aetna | QHPHIX | $10,779.44 | — |
| Cigna | IFP | $10,779.44 | — |
| Cigna | QHP | $11,178.67 | — |
| BCBS | BluePremier | $13,178.28 | — |
| United | OptionsPPO | $14,931.51 | — |
| Aetna | NewBusiness | $15,889.69 | — |
| Aetna | COMM | $17,007.55 | — |
| Aetna | Meritain | $17,007.55 | — |
| BCBS | BlueAdvantageHMO | $19,722.37 | — |
| BCBS | MyBlueHealth | $19,722.37 | — |
| Aetna | OON | $20,041.77 | — |
| Unicare | CHIP | $20,760.39 | — |
| Cigna | NewBusiness | $21,079.78 | — |
| Cigna | LocalPlus | $21,079.78 | — |
| Cigna | HMO | $23,555.06 | — |
| Cigna | NetworkBenefit | $23,555.06 | — |
| Cigna | OpenAccessPlus | $23,555.06 | — |
| BCBS | BlueEssentialsAccess | $25,471.41 | — |
| BCBS | BlueEssentials | $25,471.41 | — |
| BCBS | EPOSOA | $26,748.97 | — |
| Healthcare Highways | CityofPlano | $26,988.51 | — |
| City of McKinney | COMM | $27,946.68 | — |
| BCBS | PPO | $27,946.68 | — |
| Cigna | AllOther | $29,783.18 | — |
| Curative Administrators | COMM | $31,939.07 | — |
| BCBS | Traditional | $35,452.37 | — |
| Fidelis SecureCare | MGMCR | $35,931.45 | — |
| National ChoiceCare | WCOMP | $39,923.83 | — |
| Aetna | ASA | $42,079.72 | — |
| Physicians Coop of TX | MGMCR | $43,916.22 | — |
| Rockport Health Group | WORKERSCOMP | $43,916.22 | — |
| Aetna | WCOMP | $43,916.22 | — |
| PC Texas Partners | WCOMP | $43,916.22 | — |
| Averde Health, Inc | PPO | $46,311.65 | — |
| Magellan BH | Summit | $47,908.60 | — |
| Value Options Behavioral Health | COMM | $47,908.60 | — |
| Magellan BH | Pinnacle | $47,908.60 | — |
| Humana | BHCOMM | $51,900.99 | — |
| Coastal Comp Health Networks | WCOMP | $55,893.37 | — |
| Mega Life | MGMCRPPO | $55,893.37 | — |
| Multiplan PHCS | PrimaryNetwork | $55,893.37 | — |
| Aetna Coventry First Health | COMM | $58,049.26 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $59,885.75 | — |
| USA Managed Care | COMM | $63,878.14 | — |
| HealthSmart Preferred Care | PPO | $63,878.14 | — |
| Cigna Behavioral Health | COMM | $63,878.14 | — |
| ComPsych Corporation | COMM | $63,878.14 | — |
| Galaxy Health Network | PPO | $67,870.52 | — |
| National Healthcare Solutions | COMM | $79,847.67 | — |
| Independent Medical Systems | COMM | $79,847.67 | — |
| Unicare | MCD | $79,847.67 | — |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $25,228.15 | $7,038.00 – $35,739.87 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $25,228.15 | $5,398.82 – $35,739.87 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $25,228.15 | $6,299.00 – $35,739.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $21,553.12 | $71.00 – $32,329.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,308.99 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $25,228.15 | $6,727.51 – $35,739.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $21,553.12 | $85.00 – $32,329.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $21,553.12 | $11,135.78 – $32,329.67 |