I131 iodide cap, rx at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$425.56
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.
$425.56
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.
$29.79 with Superior Health Plan vs $696.05 with Cigna — 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 | STARKids | $29.79 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $29.79 | ↓ -93% |
| Superior Health Plan | STARPLUS | $29.79 | ↓ -93% |
| Superior Health Plan | CHIP | $29.79 | ↓ -93% |
| Superior Health Plan | STARHealth | $29.79 | ↓ -93% |
| United | SmallGroup | $39.72 | ↓ -91% |
| United | NarrowNetworkIndivExchange | $39.72 | ↓ -91% |
| United | AllPayerAppendix | $39.72 | ↓ -91% |
| Cigna | IFP | $57.45 | ↓ -87% |
| Aetna | QHPHIX | $57.45 | ↓ -87% |
| Cigna | QHP | $59.58 | ↓ -86% |
| BCBS | MyBlueHealth | $71.38 | ↓ -83% |
| BCBS | BlueAdvantageHMO | $71.38 | ↓ -83% |
| United | OptionsPPO | $79.58 | ↓ -81% |
| Aetna | NewBusiness | $84.69 | ↓ -80% |
| Oscar | HIX | $88.52 | ↓ -79% |
| Aetna | COMM | $90.64 | ↓ -79% |
| Aetna | Meritain | $90.64 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $104.26 | ↓ -76% |
| BCBS | BlueEssentials | $104.48 | ↓ -75% |
| BCBS | BlueEssentialsAccess | $104.48 | ↓ -75% |
| Aetna | OON | $106.82 | ↓ -75% |
| BCBS | EPOSOA | $109.66 | ↓ -74% |
| Evry Health | COMM | $109.79 | ↓ -74% |
| Unicare | CHIP | $110.65 | ↓ -74% |
| BCBS | PPO | $114.83 | ↓ -73% |
| BCBS | BluePremier | $135.52 | ↓ -68% |
| Healthcare Highways | CityofPlano | $143.84 | ↓ -66% |
| City of McKinney | COMM | $148.95 | ↓ -65% |
| Curative Administrators | COMM | $170.22 | ↓ -60% |
| BCBS | Traditional | $188.95 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $191.50 | ↓ -55% |
| National ChoiceCare | WCOMP | $212.78 | ↓ -50% |
| Aetna | WCOMP | $234.06 | ↓ -45% |
| PC Texas Partners | WCOMP | $234.06 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $234.06 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $234.06 | ↓ -45% |
| Averde Health, Inc | PPO | $246.82 | ↓ -42% |
| Value Options Behavioral Health | COMM | $255.34 | ↓ -40% |
| Magellan BH | Summit | $255.34 | ↓ -40% |
| Magellan BH | Pinnacle | $255.34 | ↓ -40% |
| Humana | BHCOMM | $276.61 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $297.89 | ↓ -30% |
| Mega Life | MGMCRPPO | $297.89 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $297.89 | ↓ -30% |
| Humana | COMM | $306.46 | ↓ -28% |
| Aetna Coventry First Health | COMM | $309.38 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $319.17 | ↓ -25% |
| Cigna Behavioral Health | COMM | $340.45 | ↓ -20% |
| ComPsych Corporation | COMM | $340.45 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $340.45 | ↓ -20% |
| USA Managed Care | COMM | $340.45 | ↓ -20% |
| Galaxy Health Network | PPO | $361.73 | ↓ -15% |
| National Healthcare Solutions | COMM | $425.56 | ↑ +0% |
| Independent Medical Systems | COMM | $425.56 | ↑ +0% |
| Unicare | MCD | $425.56 | ↑ +0% |
| Cigna | LocalPlus | $492.49 | ↑ +16% |
| Cigna | NewBusiness | $492.98 | ↑ +16% |
| Cigna | HMO | $550.20 | ↑ +29% |
| Cigna | NetworkBenefit | $550.20 | ↑ +29% |
| Cigna | OpenAccessPlus | $550.20 | ↑ +29% |
| Cigna | AllOther | $696.05 | ↑ +64% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
I131 iodide cap, rx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $481.12 | $39.72 – $417.26 |
| Covenant Children's Hospital | Lubbock | $42.00 | $77.38 – $82.61 |
| HCA HOUSTON CONROE | CONROE | $391.11 | $39.72 – $417.26 |
| HCA HOUSTON NORTHWEST | SPRING | $468.71 | $39.72 – $417.26 |
| Baylor St Luke's Medical Center | Houston | $24.85 | $18.62 – $71.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $31.22 | $20.82 – $187.28 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $24.85 | $18.46 – $71.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $24.85 | $18.46 – $71.00 |