Ghs protoporphyrins fract 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.
$12.05 with United vs $427.31 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 |
|---|---|---|---|
| United | STAR | $12.05 | — |
| Amerigroup | MGMCD | $12.05 | — |
| Amerigroup | CHIP | $12.05 | — |
| Parkland Community Health Plan | MCD | $12.05 | — |
| United | STARPerinate | $12.05 | — |
| United | STARPLUS | $12.05 | — |
| United | STARKids | $12.05 | — |
| United | CHIP | $12.05 | — |
| Cigna Healthspring | MGMCD | $12.65 | — |
| Aetna Better Health | CHIP | $13.01 | — |
| Aetna Better Health | MCD | $13.01 | — |
| Molina | CHIP | $13.26 | — |
| Molina | STAR+PLUS | $13.26 | — |
| Molina | MCDSTAR | $13.26 | — |
| Molina | STARKIDS | $13.26 | — |
| WellMed | MGMCR | $14.28 | — |
| BCBS | MGMCRHMO | $14.35 | — |
| Devoted Health | SNP | $14.35 | — |
| Devoted Health | HMO | $14.35 | — |
| Devoted Health | POS | $14.35 | — |
| Devoted Health | MCR | $14.35 | — |
| Devoted Health | MME | $14.35 | — |
| Humana | MGMCR | $14.35 | — |
| TriWest Veterans | FEDERAL | $14.35 | — |
| United | AllPayerAppendix | $14.35 | — |
| United | NarrowNetworkIndivExchange | $14.35 | — |
| United | SmallGroup | $14.35 | — |
| Amerigroup | DualEligible | $14.35 | — |
| Mutual of Omaha | MGMCR | $14.35 | — |
| BCBS | MCRPPO | $14.35 | — |
| Devoted Health | PPO | $14.35 | — |
| United | MGMCR | $14.42 | — |
| Aetna | MCR | $14.47 | — |
| Care N Care | MGMCR | $14.49 | — |
| Cigna Healthspring | MGMCR | $14.64 | — |
| WellCare | MGMCR | $14.78 | — |
| Integranet | MGMCR | $14.78 | — |
| Humana | MGMCD | $15.06 | — |
| Humana | Tricare | $15.06 | — |
| American Health Plan of Texas, Inc. | MGMCR | $15.07 | — |
| Superior Health Plan | MGMCRPPO | $15.07 | — |
| Superior Health Plan | MGMCRPOS | $15.07 | — |
| Superior Health Plan | MGMCRSNP | $15.07 | — |
| ProCare Advantge | MCR | $15.07 | — |
| Superior Health Plan | MGMCRHMO | $15.07 | — |
| Superior Health Plan | MGMCRPFFS | $15.07 | — |
| Superior Health Plan | MGMCRDualEligible | $15.07 | — |
| Provider Partners Health Plan | MCR | $15.21 | — |
| Texas Independent Health Plan | MGMCR | $15.21 | — |
| Molina | MCR | $15.64 | — |
| Molina | MMP | $15.64 | — |
| Molina | MME | $15.64 | — |
| Cenpatico | BHMGMCR | $15.64 | — |
| Imperial Insurance Company | MCR | $15.79 | — |
| Universal Healthcare Group | MCR | $17.22 | — |
| Aetna | QHPHIX | $18.25 | — |
| Verda Health Plan | MGMCR | $18.66 | — |
| Bravo Health | MCRPFFS | $21.52 | — |
| Bravo Health | MCRPPO | $21.52 | — |
| Bravo Health | MCRSNP | $21.52 | — |
| Bravo Health | MCRPOS | $21.52 | — |
| Bravo Health | MCRHMO | $21.52 | — |
| BCBS | BluePremier | $22.24 | — |
| BCBS | BlueAdvantageHMO | $25.11 | — |
| BCBS | MyBlueHealth | $25.11 | — |
| Aetna | NewBusiness | $25.14 | — |
| Superior | ValueHMO | $25.69 | — |
| Aetna | Meritain | $26.78 | — |
| Aetna | COMM | $26.78 | — |
| USA Managed Care | WORKERSCOMP | $27.26 | — |
| Corvel Corporation | WORKERSCOMP | $28.41 | — |
| Superior Health Plan | STARHealth | $29.91 | — |
| Superior Health Plan | MCDSTAR | $29.91 | — |
| Superior Health Plan | CHIP | $29.91 | — |
| Superior Health Plan | STARKids | $29.91 | — |
| Superior Health Plan | STARPLUS | $29.91 | — |
| Aetna | OON | $31.51 | — |
| Superior | HMO | $32.14 | — |
| Superior | EPO | $32.14 | — |
| BCBS | BlueEssentials | $35.44 | — |
| BCBS | BlueEssentialsAccess | $35.44 | — |
| BCBS | EPOSOA | $37.17 | — |
| Oscar | HIX | $37.31 | — |
| Molina Healthcare | HIX | $37.60 | — |
| BCBS | PPO | $38.89 | — |
| Cigna | LocalPlus | $54.23 | — |
| Cigna | NewBusiness | $54.28 | — |
| Cigna | IFP | $57.69 | — |
| Cigna | QHP | $59.82 | — |
| Cigna | NetworkBenefit | $60.57 | — |
| Cigna | OpenAccessPlus | $60.57 | — |
| Cigna | HMO | $60.57 | — |
| Cigna | AllOther | $76.66 | — |
| United | OptionsPPO | $79.91 | — |
| Healthcare Highways | NarrowNetwork | $104.69 | — |
| Evry Health | COMM | $110.25 | — |
| Unicare | CHIP | $111.10 | — |
| Healthcare Highways | CityofPlano | $144.43 | — |
| City of McKinney | COMM | $149.56 | — |
| Humana | COMM | $159.36 | — |
| BCBS | Traditional | $189.73 | — |
| Fidelis SecureCare | MGMCR | $192.29 | — |
| National ChoiceCare | WCOMP | $213.66 | — |
| Aetna | ASA | $225.19 | — |
| Aetna | WCOMP | $235.02 | — |
| Rockport Health Group | WORKERSCOMP | $235.02 | — |
| PC Texas Partners | WCOMP | $235.02 | — |
| Physicians Coop of TX | MGMCR | $235.02 | — |
| Averde Health, Inc | PPO | $247.84 | — |
| Magellan BH | Pinnacle | $256.39 | — |
| Value Options Behavioral Health | COMM | $256.39 | — |
| Magellan BH | Summit | $256.39 | — |
| Humana | BHCOMM | $277.75 | — |
| Mega Life | MGMCRPPO | $299.12 | — |
| Multiplan PHCS | PrimaryNetwork | $299.12 | — |
| Coastal Comp Health Networks | WCOMP | $299.12 | — |
| Aetna Coventry First Health | COMM | $310.65 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $320.48 | — |
| Cigna Behavioral Health | COMM | $341.85 | — |
| HealthSmart Preferred Care | PPO | $341.85 | — |
| ComPsych Corporation | COMM | $341.85 | — |
| USA Managed Care | COMM | $341.85 | — |
| Galaxy Health Network | PPO | $363.21 | — |
| Independent Medical Systems | COMM | $427.31 | — |
| National Healthcare Solutions | COMM | $427.31 | — |
| Unicare | MCD | $427.31 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Ghs protoporphyrins fract at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $88.90 | $10.00 – $111.12 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $88.90 | $10.00 – $111.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $88.90 | $10.00 – $111.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $112.13 | $12.00 – $123.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $82.35 | $12.00 – $102.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $88.90 | $10.00 – $111.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $112.13 | $12.00 – $123.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $112.13 | $8.00 – $123.53 |