Heavy metal qual any number 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.
$17.59 with United vs $1,908.43 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 | CHIP | $17.59 | — |
| Amerigroup | MGMCD | $17.59 | — |
| Amerigroup | CHIP | $17.59 | — |
| Parkland Community Health Plan | MCD | $17.59 | — |
| United | STARPerinate | $17.59 | — |
| United | STARPLUS | $17.59 | — |
| United | STARKids | $17.59 | — |
| United | STAR | $17.59 | — |
| Cigna Healthspring | MGMCD | $18.47 | — |
| Aetna Better Health | MCD | $19.00 | — |
| Aetna Better Health | CHIP | $19.00 | — |
| Molina | STARKIDS | $19.35 | — |
| Molina | CHIP | $19.35 | — |
| Molina | STAR+PLUS | $19.35 | — |
| Molina | MCDSTAR | $19.35 | — |
| WellMed | MGMCR | $20.84 | — |
| TriWest Veterans | FEDERAL | $20.94 | — |
| Devoted Health | PPO | $20.94 | — |
| BCBS | MGMCRHMO | $20.94 | — |
| Amerigroup | DualEligible | $20.94 | — |
| BCBS | MCRPPO | $20.94 | — |
| Devoted Health | MCR | $20.94 | — |
| Mutual of Omaha | MGMCR | $20.94 | — |
| United | SmallGroup | $20.94 | — |
| Devoted Health | MME | $20.94 | — |
| United | AllPayerAppendix | $20.94 | — |
| United | NarrowNetworkIndivExchange | $20.94 | — |
| Humana | MGMCR | $20.94 | — |
| Devoted Health | SNP | $20.94 | — |
| Devoted Health | HMO | $20.94 | — |
| Devoted Health | POS | $20.94 | — |
| United | MGMCR | $21.04 | — |
| Aetna | MCR | $21.12 | — |
| Care N Care | MGMCR | $21.15 | — |
| Cigna Healthspring | MGMCR | $21.36 | — |
| Integranet | MGMCR | $21.57 | — |
| WellCare | MGMCR | $21.57 | — |
| Humana | Tricare | $21.98 | — |
| American Health Plan of Texas, Inc. | MGMCR | $21.99 | — |
| Superior Health Plan | MGMCRHMO | $21.99 | — |
| Superior Health Plan | MGMCRPPO | $21.99 | — |
| Superior Health Plan | MGMCRDualEligible | $21.99 | — |
| Superior Health Plan | MGMCRPFFS | $21.99 | — |
| Superior Health Plan | MGMCRPOS | $21.99 | — |
| Superior Health Plan | MGMCRSNP | $21.99 | — |
| Humana | MGMCD | $21.99 | — |
| ProCare Advantge | MCR | $21.99 | — |
| Provider Partners Health Plan | MCR | $22.20 | — |
| Texas Independent Health Plan | MGMCR | $22.20 | — |
| Molina | MMP | $22.82 | — |
| Cenpatico | BHMGMCR | $22.82 | — |
| Molina | MME | $22.82 | — |
| Molina | MCR | $22.82 | — |
| Imperial Insurance Company | MCR | $23.03 | — |
| Universal Healthcare Group | MCR | $25.13 | — |
| Aetna | QHPHIX | $26.63 | — |
| Verda Health Plan | MGMCR | $27.22 | — |
| Bravo Health | MCRHMO | $31.41 | — |
| Bravo Health | MCRPFFS | $31.41 | — |
| Bravo Health | MCRPPO | $31.41 | — |
| Bravo Health | MCRPOS | $31.41 | — |
| Bravo Health | MCRSNP | $31.41 | — |
| BCBS | BluePremier | $32.46 | — |
| BCBS | BlueAdvantageHMO | $36.65 | — |
| BCBS | MyBlueHealth | $36.65 | — |
| Aetna | NewBusiness | $36.68 | — |
| Superior | ValueHMO | $37.48 | — |
| Aetna | Meritain | $39.06 | — |
| Aetna | COMM | $39.06 | — |
| USA Managed Care | WORKERSCOMP | $39.79 | — |
| Corvel Corporation | WORKERSCOMP | $41.46 | — |
| Aetna | OON | $45.97 | — |
| Superior | EPO | $46.91 | — |
| Superior | HMO | $46.91 | — |
| BCBS | BlueEssentials | $51.72 | — |
| BCBS | BlueEssentialsAccess | $51.72 | — |
| BCBS | EPOSOA | $54.23 | — |
| Oscar | HIX | $54.44 | — |
| Molina Healthcare | HIX | $54.86 | — |
| BCBS | PPO | $56.75 | — |
| Cigna | LocalPlus | $80.06 | — |
| Cigna | NewBusiness | $80.14 | — |
| Cigna | OpenAccessPlus | $89.42 | — |
| Cigna | NetworkBenefit | $89.42 | — |
| Cigna | HMO | $89.42 | — |
| Cigna | AllOther | $113.17 | — |
| Superior Health Plan | MCDSTAR | $133.59 | — |
| Superior Health Plan | CHIP | $133.59 | — |
| Superior Health Plan | STARKids | $133.59 | — |
| Superior Health Plan | STARPLUS | $133.59 | — |
| Superior Health Plan | STARHealth | $133.59 | — |
| Humana | COMM | $209.21 | — |
| Cigna | IFP | $257.64 | — |
| Cigna | QHP | $267.18 | — |
| United | OptionsPPO | $356.88 | — |
| Healthcare Highways | NarrowNetwork | $467.57 | — |
| Evry Health | COMM | $492.37 | — |
| Unicare | CHIP | $496.19 | — |
| Healthcare Highways | CityofPlano | $645.05 | — |
| City of McKinney | COMM | $667.95 | — |
| BCBS | Traditional | $847.34 | — |
| Fidelis SecureCare | MGMCR | $858.79 | — |
| National ChoiceCare | WCOMP | $954.22 | — |
| Aetna | ASA | $1,005.74 | — |
| Rockport Health Group | WORKERSCOMP | $1,049.64 | — |
| Aetna | WCOMP | $1,049.64 | — |
| Physicians Coop of TX | MGMCR | $1,049.64 | — |
| PC Texas Partners | WCOMP | $1,049.64 | — |
| Averde Health, Inc | PPO | $1,106.89 | — |
| Value Options Behavioral Health | COMM | $1,145.06 | — |
| Magellan BH | Summit | $1,145.06 | — |
| Magellan BH | Pinnacle | $1,145.06 | — |
| Humana | BHCOMM | $1,240.48 | — |
| Mega Life | MGMCRPPO | $1,335.90 | — |
| Multiplan PHCS | PrimaryNetwork | $1,335.90 | — |
| Coastal Comp Health Networks | WCOMP | $1,335.90 | — |
| Aetna Coventry First Health | COMM | $1,387.43 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,431.32 | — |
| HealthSmart Preferred Care | PPO | $1,526.74 | — |
| Cigna Behavioral Health | COMM | $1,526.74 | — |
| USA Managed Care | COMM | $1,526.74 | — |
| ComPsych Corporation | COMM | $1,526.74 | — |
| Galaxy Health Network | PPO | $1,622.17 | — |
| Independent Medical Systems | COMM | $1,908.43 | — |
| National Healthcare Solutions | COMM | $1,908.43 | — |
| Unicare | MCD | $1,908.43 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Heavy metal qual any number at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $203.19 | $12.00 – $304.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $203.19 | $12.00 – $253.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $203.19 | $12.00 – $304.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $203.19 | $8.00 – $304.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $203.19 | $12.00 – $304.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $203.19 | $17.59 – $253.99 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $203.19 | $12.00 – $304.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $203.19 | $12.00 – $304.79 |