Ghs refill of implantable pump at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$988.63
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.
$988.63
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.
$69.20 with Superior Health Plan vs $2,174.00 with United — 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 | $69.20 | ↓ -93% |
| Superior Health Plan | STARHealth | $69.20 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $69.20 | ↓ -93% |
| Superior Health Plan | STARPLUS | $69.20 | ↓ -93% |
| Superior Health Plan | STARKids | $69.20 | ↓ -93% |
| Cigna | IFP | $133.47 | ↓ -86% |
| Aetna | QHPHIX | $133.47 | ↓ -86% |
| Cigna | QHP | $138.41 | ↓ -86% |
| United | OptionsPPO | $184.87 | ↓ -81% |
| Aetna | NewBusiness | $196.74 | ↓ -80% |
| Oscar | HIX | $205.64 | ↓ -79% |
| Aetna | COMM | $210.58 | ↓ -79% |
| Aetna | Meritain | $210.58 | ↓ -79% |
| BCBS | BluePremier | $222.83 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $242.21 | ↓ -76% |
| Aetna | OON | $248.15 | ↓ -75% |
| Evry Health | COMM | $255.07 | ↓ -74% |
| Unicare | CHIP | $257.04 | ↓ -74% |
| BCBS | BlueAdvantageHMO | $259.66 | ↓ -74% |
| BCBS | MyBlueHealth | $259.66 | ↓ -74% |
| Cigna | NewBusiness | $261.00 | ↓ -74% |
| Cigna | LocalPlus | $261.00 | ↓ -74% |
| Cigna | HMO | $291.65 | ↓ -70% |
| Cigna | OpenAccessPlus | $291.65 | ↓ -70% |
| Cigna | NetworkBenefit | $291.65 | ↓ -70% |
| Healthcare Highways | CityofPlano | $334.16 | ↓ -66% |
| City of McKinney | COMM | $346.02 | ↓ -65% |
| Cigna | AllOther | $368.76 | ↓ -63% |
| Curative Administrators | COMM | $395.45 | ↓ -60% |
| BCBS | Traditional | $438.95 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $444.88 | ↓ -55% |
| BCBS | BlueEssentials | $459.83 | ↓ -53% |
| BCBS | BlueEssentialsAccess | $459.83 | ↓ -53% |
| BCBS | EPOSOA | $482.49 | ↓ -51% |
| National ChoiceCare | WCOMP | $494.31 | ↓ -50% |
| BCBS | PPO | $505.15 | ↓ -49% |
| Aetna | ASA | $521.01 | ↓ -47% |
| Aetna | WCOMP | $543.75 | ↓ -45% |
| PC Texas Partners | WCOMP | $543.75 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $543.75 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $543.75 | ↓ -45% |
| Averde Health, Inc | PPO | $573.41 | ↓ -42% |
| Magellan BH | Summit | $593.18 | ↓ -40% |
| Magellan BH | Pinnacle | $593.18 | ↓ -40% |
| Value Options Behavioral Health | COMM | $593.18 | ↓ -40% |
| Humana | COMM | $639.04 | ↓ -35% |
| Humana | BHCOMM | $642.61 | ↓ -35% |
| Mega Life | MGMCRPPO | $692.04 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $692.04 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $692.04 | ↓ -30% |
| Aetna Coventry First Health | COMM | $718.73 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $741.47 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $790.90 | ↓ -20% |
| Cigna Behavioral Health | COMM | $790.90 | ↓ -20% |
| ComPsych Corporation | COMM | $790.90 | ↓ -20% |
| USA Managed Care | COMM | $790.90 | ↓ -20% |
| Galaxy Health Network | PPO | $840.34 | ↓ -15% |
| National Healthcare Solutions | COMM | $988.63 | ↑ +0% |
| Unicare | MCD | $988.63 | ↑ +0% |
| Independent Medical Systems | COMM | $988.63 | ↑ +0% |
| United | SmallGroup | $1,580.00 | ↑ +60% |
| United | NarrowNetworkIndivExchange | $2,000.00 | ↑ +102% |
| United | AllPayerAppendix | $2,174.00 | ↑ +120% |
Visitor-reported prices
Comments
Ghs refill of implantable pump at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $566.55 | $160.52 – $838.97 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $566.55 | $121.24 – $838.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $566.55 | $160.52 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $552.00 | $113.62 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $576.89 | $115.38 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $566.55 | $151.08 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $552.00 | $177.19 – $838.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $552.00 | $285.20 – $838.97 |