Ghs ot work hardening-additional hours 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.
$20.79 with Superior Health Plan vs $415.34 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 | STARKids | $20.79 | — |
| Superior Health Plan | MCDSTAR | $20.79 | — |
| Superior Health Plan | STARPLUS | $20.79 | — |
| Superior Health Plan | CHIP | $20.79 | — |
| Superior Health Plan | STARHealth | $20.79 | — |
| Cigna | IFP | $40.10 | — |
| Cigna | QHP | $41.59 | — |
| United | OptionsPPO | $55.55 | — |
| Imperial Insurance Company | MCR | $56.44 | — |
| Oscar | HIX | $61.79 | — |
| Unicare | CHIP | $77.23 | — |
| Healthcare Highways | CityofPlano | $100.40 | — |
| City of McKinney | COMM | $103.97 | — |
| Aetna | QHPHIX | $106.00 | — |
| BCBS | BluePremier | $111.42 | — |
| BCBS | BlueAdvantageHMO | $129.83 | — |
| BCBS | MyBlueHealth | $129.83 | — |
| BCBS | Traditional | $131.89 | — |
| Fidelis SecureCare | MGMCR | $133.67 | — |
| Aetna | NewBusiness | $143.00 | — |
| National ChoiceCare | WCOMP | $148.53 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | ASA | $156.55 | — |
| Aetna | WCOMP | $163.38 | — |
| Physicians Coop of TX | MGMCR | $163.38 | — |
| PC Texas Partners | WCOMP | $163.38 | — |
| Rockport Health Group | WORKERSCOMP | $163.38 | — |
| Averde Health, Inc | PPO | $172.29 | — |
| Value Options Behavioral Health | COMM | $178.23 | — |
| Magellan BH | Pinnacle | $178.23 | — |
| Magellan BH | Summit | $178.23 | — |
| Aetna | OON | $179.00 | — |
| Humana | BHCOMM | $193.08 | — |
| Multiplan PHCS | PrimaryNetwork | $207.94 | — |
| Mega Life | MGMCRPPO | $207.94 | — |
| Coastal Comp Health Networks | WCOMP | $207.94 | — |
| Aetna Coventry First Health | COMM | $215.96 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $222.79 | — |
| BCBS | BlueEssentials | $229.91 | — |
| BCBS | BlueEssentialsAccess | $229.91 | — |
| HealthSmart Preferred Care | PPO | $237.64 | — |
| USA Managed Care | COMM | $237.64 | — |
| Cigna Behavioral Health | COMM | $237.64 | — |
| ComPsych Corporation | COMM | $237.64 | — |
| BCBS | EPOSOA | $241.24 | — |
| Galaxy Health Network | PPO | $252.49 | — |
| BCBS | PPO | $252.57 | — |
| Independent Medical Systems | COMM | $297.05 | — |
| Unicare | MCD | $297.05 | — |
| National Healthcare Solutions | COMM | $297.05 | — |
| Humana | COMM | $415.34 | — |
Visitor-reported prices
Comments
Ghs ot work hardening-additional hours at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $347.09 | $110.47 – $565.50 |
| St. Luke's Health - Patients Medical Center | Pasadena | $74.66 | $68.93 – $293.00 |
| HCA HOUSTON SOUTHEAST | PASADENA | $989.12 | $110.47 – $565.50 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $352.50 | $69.26 – $69.26 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $21.11 | $9.05 – $255.00 |
| Texas Health Hospital Rockwall | Rockwall | $352.50 | $69.26 – $69.26 |
| HCA HOUSTON TOMBALL | HOUSTON | $305.67 | $110.47 – $565.50 |
| Texas Health Hospital Mansfield | Mansfield | $320.59 | $128.79 – $128.79 |