Ghs pt - work hardening/int 2hrs 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.
$30.99 with Superior Health Plan vs $1,040.93 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 | MCDSTAR | $30.99 | — |
| Superior Health Plan | STARKids | $30.99 | — |
| Superior Health Plan | CHIP | $30.99 | — |
| Superior Health Plan | STARHealth | $30.99 | — |
| Superior Health Plan | STARPLUS | $30.99 | — |
| Cigna | IFP | $59.77 | — |
| Cigna | QHP | $61.98 | — |
| United | OptionsPPO | $82.79 | — |
| Imperial Insurance Company | MCR | $84.12 | — |
| Oscar | HIX | $92.09 | — |
| Aetna | QHPHIX | $106.00 | — |
| Unicare | CHIP | $115.11 | — |
| Aetna | NewBusiness | $143.00 | — |
| Healthcare Highways | CityofPlano | $149.64 | — |
| City of McKinney | COMM | $154.95 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | OON | $179.00 | — |
| BCBS | Traditional | $196.57 | — |
| Fidelis SecureCare | MGMCR | $199.22 | — |
| BCBS | BluePremier | $221.13 | — |
| National ChoiceCare | WCOMP | $221.36 | — |
| Aetna | ASA | $233.31 | — |
| Rockport Health Group | WORKERSCOMP | $243.50 | — |
| PC Texas Partners | WCOMP | $243.50 | — |
| Physicians Coop of TX | MGMCR | $243.50 | — |
| Aetna | WCOMP | $243.50 | — |
| Averde Health, Inc | PPO | $256.78 | — |
| BCBS | BlueAdvantageHMO | $257.68 | — |
| BCBS | MyBlueHealth | $257.68 | — |
| Value Options Behavioral Health | COMM | $265.63 | — |
| Magellan BH | Pinnacle | $265.63 | — |
| Magellan BH | Summit | $265.63 | — |
| Humana | BHCOMM | $287.77 | — |
| Coastal Comp Health Networks | WCOMP | $309.90 | — |
| Multiplan PHCS | PrimaryNetwork | $309.90 | — |
| Mega Life | MGMCRPPO | $309.90 | — |
| Aetna Coventry First Health | COMM | $321.86 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $332.04 | — |
| Cigna Behavioral Health | COMM | $354.18 | — |
| HealthSmart Preferred Care | PPO | $354.18 | — |
| USA Managed Care | COMM | $354.18 | — |
| ComPsych Corporation | COMM | $354.18 | — |
| Galaxy Health Network | PPO | $376.31 | — |
| Independent Medical Systems | COMM | $442.72 | — |
| Unicare | MCD | $442.72 | — |
| National Healthcare Solutions | COMM | $442.72 | — |
| BCBS | BlueEssentialsAccess | $456.32 | — |
| BCBS | BlueEssentials | $456.32 | — |
| BCBS | EPOSOA | $478.81 | — |
| BCBS | PPO | $501.29 | — |
| Humana | COMM | $1,040.93 | — |
Visitor-reported prices
Comments
Ghs pt - work hardening/int 2hrs at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $690.36 | $219.26 – $1,417.27 |
| St. Luke's Health - Patients Medical Center | Pasadena | $83.16 | $100.00 – $293.00 |
| HCA HOUSTON SOUTHEAST | PASADENA | $1,979.70 | $219.26 – $1,417.27 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $407.55 | $137.46 – $137.46 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $21.11 | $9.05 – $255.00 |
| Texas Health Hospital Rockwall | Rockwall | $407.55 | $137.46 – $137.46 |
| HCA HOUSTON TOMBALL | HOUSTON | $385.74 | $219.26 – $1,417.27 |
| Covenant Hospital Plainview | Plainview | $284.34 | $197.71 – $201.93 |