Ho flex pavlik harns pre cst 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.
$8.40 with Superior Health Plan vs $869.82 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 | STARHealth | $8.40 | — |
| Superior Health Plan | MCDSTAR | $8.40 | — |
| Superior Health Plan | STARPLUS | $8.40 | — |
| Superior Health Plan | STARKids | $8.40 | — |
| Superior Health Plan | CHIP | $8.40 | — |
| Cigna | IFP | $16.20 | — |
| Cigna | QHP | $16.80 | — |
| United | OptionsPPO | $22.44 | — |
| BCBS | BlueAdvantageHMO | $29.64 | — |
| BCBS | MyBlueHealth | $29.64 | — |
| Unicare | CHIP | $31.20 | — |
| Cigna | NewBusiness | $31.68 | — |
| Cigna | LocalPlus | $31.68 | — |
| Cigna | HMO | $35.40 | — |
| Cigna | OpenAccessPlus | $35.40 | — |
| Cigna | NetworkBenefit | $35.40 | — |
| BCBS | BlueEssentials | $38.28 | — |
| BCBS | BlueEssentialsAccess | $38.28 | — |
| BCBS | EPOSOA | $40.20 | — |
| Healthcare Highways | CityofPlano | $40.56 | — |
| BCBS | PPO | $42.00 | — |
| City of McKinney | COMM | $42.00 | — |
| Cigna | AllOther | $44.76 | — |
| BCBS | Traditional | $53.28 | — |
| National ChoiceCare | WCOMP | $60.00 | — |
| Aetna | ASA | $63.24 | — |
| Rockport Health Group | WORKERSCOMP | $66.00 | — |
| PC Texas Partners | WCOMP | $66.00 | — |
| Aetna | WCOMP | $66.00 | — |
| Physicians Coop of TX | MGMCR | $66.00 | — |
| Averde Health, Inc | PPO | $69.60 | — |
| Magellan BH | Summit | $72.00 | — |
| Magellan BH | Pinnacle | $72.00 | — |
| Value Options Behavioral Health | COMM | $72.00 | — |
| Humana | BHCOMM | $78.00 | — |
| Mega Life | MGMCRPPO | $84.00 | — |
| Aetna Coventry First Health | COMM | $87.24 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $90.00 | — |
| ComPsych Corporation | COMM | $96.00 | — |
| Cigna Behavioral Health | COMM | $96.00 | — |
| HealthSmart Preferred Care | PPO | $96.00 | — |
| USA Managed Care | COMM | $96.00 | — |
| Galaxy Health Network | PPO | $102.00 | — |
| Unicare | MCD | $120.00 | — |
| Independent Medical Systems | COMM | $120.00 | — |
| National Healthcare Solutions | COMM | $120.00 | — |
| Humana | Tricare | $149.34 | — |
| BCBS | MGMCRHMO | $150.94 | — |
| BCBS | MCRPPO | $150.94 | — |
| WellMed | MGMCR | $153.19 | — |
| Amerigroup | DualEligible | $153.96 | — |
| Devoted Health | SNP | $153.96 | — |
| Devoted Health | HMO | $153.96 | — |
| Devoted Health | POS | $153.96 | — |
| Devoted Health | MCR | $153.96 | — |
| Devoted Health | MME | $153.96 | — |
| Humana | MGMCR | $153.96 | — |
| Devoted Health | PPO | $153.96 | — |
| Mutual of Omaha | MGMCR | $153.96 | — |
| TriWest Veterans | FEDERAL | $153.96 | — |
| United | MGMCR | $154.73 | — |
| Aetna | MCR | $155.27 | — |
| Care N Care | MGMCR | $155.50 | — |
| Cigna Healthspring | MGMCR | $157.04 | — |
| WellCare | MGMCR | $158.58 | — |
| Integranet | MGMCR | $158.58 | — |
| Superior Health Plan | MGMCRDualEligible | $161.66 | — |
| Superior Health Plan | MGMCRPFFS | $161.66 | — |
| Superior Health Plan | MGMCRPOS | $161.66 | — |
| Superior Health Plan | MGMCRPPO | $161.66 | — |
| Superior Health Plan | MGMCRHMO | $161.66 | — |
| American Health Plan of Texas, Inc. | MGMCR | $161.66 | — |
| ProCare Advantge | MCR | $161.66 | — |
| Superior Health Plan | MGMCRSNP | $161.66 | — |
| Provider Partners Health Plan | MCR | $163.20 | — |
| Texas Independent Health Plan | MGMCR | $163.20 | — |
| Molina | MMP | $167.82 | — |
| Cenpatico | BHMGMCR | $167.82 | — |
| Molina | MME | $167.82 | — |
| Molina | MCR | $167.82 | — |
| Imperial Insurance Company | MCR | $169.36 | — |
| Universal Healthcare Group | MCR | $184.75 | — |
| Verda Health Plan | MGMCR | $200.15 | — |
| Bravo Health | MCRPPO | $230.94 | — |
| Bravo Health | MCRHMO | $230.94 | — |
| Bravo Health | MCRPOS | $230.94 | — |
| Bravo Health | MCRSNP | $230.94 | — |
| Bravo Health | MCRPFFS | $230.94 | — |
| Superior | ValueHMO | $275.59 | — |
| USA Managed Care | WORKERSCOMP | $292.52 | — |
| Corvel Corporation | WORKERSCOMP | $304.84 | — |
| Superior | EPO | $344.87 | — |
| Superior | HMO | $344.87 | — |
| Molina Healthcare | HIX | $403.38 | — |
| Humana | COMM | $869.82 | — |
Visitor-reported prices
Comments
Ho flex pavlik harns pre cst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $187.42 | $38.58 – $281.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $187.42 | $37.48 – $249.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $187.42 | $60.16 – $281.13 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $187.42 | $96.83 – $281.13 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $187.42 | $62.47 – $281.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $187.42 | $37.48 – $249.90 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $187.42 | $46.86 – $281.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $187.42 | $34.36 – $281.13 |