Graft impl ult thck 6x12cm -cost per sq cm 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.
$16.75 with Superior Health Plan vs $51,716.00 with ComPsych Corporation — 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 | $16.75 | — |
| Superior Health Plan | STARHealth | $16.75 | — |
| Superior Health Plan | MCDSTAR | $16.75 | — |
| Superior Health Plan | STARPLUS | $16.75 | — |
| Superior Health Plan | STARKids | $16.75 | — |
| Cigna | IFP | $32.29 | — |
| Aetna | QHPHIX | $32.29 | — |
| Cigna | QHP | $33.49 | — |
| United | OptionsPPO | $44.73 | — |
| Aetna | NewBusiness | $47.60 | — |
| Aetna | Meritain | $50.95 | — |
| Aetna | COMM | $50.95 | — |
| United | AllPayerAppendix | $51.33 | — |
| United | NarrowNetworkIndivExchange | $51.33 | — |
| United | SmallGroup | $51.33 | — |
| Aetna | OON | $60.04 | — |
| Unicare | CHIP | $62.20 | — |
| Healthcare Highways | CityofPlano | $80.86 | — |
| City of McKinney | COMM | $83.73 | — |
| BCBS | Traditional | $106.21 | — |
| National ChoiceCare | WCOMP | $119.61 | — |
| BCBS | BlueAdvantageHMO | $121.75 | — |
| BCBS | MyBlueHealth | $121.75 | — |
| Aetna | ASA | $126.07 | — |
| Physicians Coop of TX | MGMCR | $131.57 | — |
| Aetna | WCOMP | $131.57 | — |
| PC Texas Partners | WCOMP | $131.57 | — |
| Rockport Health Group | WORKERSCOMP | $131.57 | — |
| Averde Health, Inc | PPO | $138.75 | — |
| Value Options Behavioral Health | COMM | $143.53 | — |
| Magellan BH | Summit | $143.53 | — |
| Magellan BH | Pinnacle | $143.53 | — |
| Humana | BHCOMM | $155.49 | — |
| Mega Life | MGMCRPPO | $167.45 | — |
| Coastal Comp Health Networks | WCOMP | $167.45 | — |
| Aetna Coventry First Health | COMM | $173.91 | — |
| BCBS | BlueEssentials | $178.21 | — |
| BCBS | BlueEssentialsAccess | $178.21 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $179.41 | — |
| BCBS | EPOSOA | $187.04 | — |
| Cigna | LocalPlus | $188.25 | — |
| Cigna | NewBusiness | $188.43 | — |
| HealthSmart Preferred Care | PPO | $191.38 | — |
| Cigna Behavioral Health | COMM | $191.38 | — |
| USA Managed Care | COMM | $191.38 | — |
| BCBS | PPO | $195.86 | — |
| Galaxy Health Network | PPO | $203.34 | — |
| Cigna | NetworkBenefit | $210.30 | — |
| Cigna | OpenAccessPlus | $210.30 | — |
| Cigna | HMO | $210.30 | — |
| Humana | COMM | $222.55 | — |
| BCBS | BluePremier | $231.15 | — |
| Independent Medical Systems | COMM | $239.22 | — |
| Unicare | MCD | $239.22 | — |
| National Healthcare Solutions | COMM | $239.22 | — |
| Cigna | AllOther | $266.05 | — |
| ComPsych Corporation | COMM | $51,716.00 | — |
Visitor-reported prices
Comments
Graft impl ult thck 6x12cm -cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $27,603.28 | $12.30 – $268.77 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $27,603.28 | $9.29 – $268.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,603.28 | $12.30 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,603.28 | $8.94 – $65.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27,603.28 | $8.68 – $131.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,603.28 | $11.58 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27,603.28 | $13.93 – $186.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27,603.28 | $22.43 – $65.11 |