Ghs moderate sedation < 5 yr, 30 min 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.
$9.75 with Superior Health Plan vs $362.33 with Humana — 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 | STARPLUS | $9.75 | — |
| Superior Health Plan | STARHealth | $9.75 | — |
| Superior Health Plan | CHIP | $9.75 | — |
| Superior Health Plan | STARKids | $9.75 | — |
| Superior Health Plan | MCDSTAR | $9.75 | — |
| Cigna | IFP | $18.81 | — |
| Aetna | QHPHIX | $18.81 | — |
| Cigna | QHP | $19.51 | — |
| United | OptionsPPO | $26.06 | — |
| Imperial Insurance Company | MCR | $26.48 | — |
| Aetna | NewBusiness | $27.73 | — |
| Oscar | HIX | $28.98 | — |
| Aetna | Meritain | $29.68 | — |
| Aetna | COMM | $29.68 | — |
| Healthcare Highways | NarrowNetwork | $34.14 | — |
| Aetna | OON | $34.98 | — |
| Evry Health | COMM | $35.95 | — |
| Unicare | CHIP | $36.23 | — |
| Cigna | LocalPlus | $36.79 | — |
| Cigna | NewBusiness | $36.79 | — |
| Cigna | NetworkBenefit | $41.11 | — |
| Cigna | HMO | $41.11 | — |
| Cigna | OpenAccessPlus | $41.11 | — |
| Healthcare Highways | CityofPlano | $47.10 | — |
| City of McKinney | COMM | $48.77 | — |
| Cigna | AllOther | $51.98 | — |
| Curative Administrators | COMM | $55.74 | — |
| BCBS | BluePremier | $61.24 | — |
| BCBS | Traditional | $61.87 | — |
| Fidelis SecureCare | MGMCR | $62.71 | — |
| National ChoiceCare | WCOMP | $69.67 | — |
| BCBS | MyBlueHealth | $71.36 | — |
| BCBS | BlueAdvantageHMO | $71.36 | — |
| Aetna | ASA | $73.44 | — |
| Aetna | WCOMP | $76.64 | — |
| PC Texas Partners | WCOMP | $76.64 | — |
| Physicians Coop of TX | MGMCR | $76.64 | — |
| Rockport Health Group | WORKERSCOMP | $76.64 | — |
| Averde Health, Inc | PPO | $80.82 | — |
| Magellan BH | Pinnacle | $83.61 | — |
| Value Options Behavioral Health | COMM | $83.61 | — |
| Magellan BH | Summit | $83.61 | — |
| Humana | BHCOMM | $90.58 | — |
| Multiplan PHCS | PrimaryNetwork | $97.55 | — |
| Mega Life | MGMCRPPO | $97.55 | — |
| Coastal Comp Health Networks | WCOMP | $97.55 | — |
| Aetna Coventry First Health | COMM | $101.31 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $104.51 | — |
| HealthSmart Preferred Care | PPO | $111.48 | — |
| USA Managed Care | COMM | $111.48 | — |
| Cigna Behavioral Health | COMM | $111.48 | — |
| ComPsych Corporation | COMM | $111.48 | — |
| Galaxy Health Network | PPO | $118.45 | — |
| BCBS | BlueEssentialsAccess | $126.38 | — |
| BCBS | BlueEssentials | $126.38 | — |
| BCBS | EPOSOA | $132.60 | — |
| BCBS | PPO | $138.83 | — |
| Unicare | MCD | $139.35 | — |
| Independent Medical Systems | COMM | $139.35 | — |
| National Healthcare Solutions | COMM | $139.35 | — |
| Humana | COMM | $362.33 | — |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $240.00 | $68.00 – $340.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $240.00 | $51.36 – $340.00 |
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $99.91 – $99.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $240.00 | $68.00 – $340.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.00 | $49.40 – $360.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $240.00 | $48.00 – $300.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $240.00 | $60.72 – $340.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.00 | $77.04 – $360.00 |