Initiation & management bipap/cpap initial day 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.
$434.15 with BCBS vs $8,691.89 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 |
|---|---|---|---|
| BCBS | BluePremier | $434.15 | — |
| Humana | COMM | $454.40 | — |
| BCBS | BlueAdvantageHMO | $505.89 | — |
| BCBS | MyBlueHealth | $505.89 | — |
| Superior Health Plan | STARPLUS | $608.43 | — |
| Superior Health Plan | MCDSTAR | $608.43 | — |
| Superior Health Plan | STARHealth | $608.43 | — |
| Superior Health Plan | CHIP | $608.43 | — |
| Superior Health Plan | STARKids | $608.43 | — |
| BCBS | BlueEssentialsAccess | $895.89 | — |
| BCBS | BlueEssentials | $895.89 | — |
| BCBS | EPOSOA | $940.04 | — |
| BCBS | PPO | $984.19 | — |
| Cigna | IFP | $1,173.41 | — |
| Aetna | QHPHIX | $1,173.41 | — |
| Cigna | QHP | $1,216.86 | — |
| United | OptionsPPO | $1,625.38 | — |
| Aetna | NewBusiness | $1,729.69 | — |
| Oscar | HIX | $1,807.91 | — |
| Aetna | COMM | $1,851.37 | — |
| Aetna | Meritain | $1,851.37 | — |
| Aetna | OON | $2,181.66 | — |
| Unicare | CHIP | $2,259.89 | — |
| Healthcare Highways | CityofPlano | $2,937.86 | — |
| City of McKinney | COMM | $3,042.16 | — |
| BCBS | Traditional | $3,859.20 | — |
| Fidelis SecureCare | MGMCR | $3,911.35 | — |
| National ChoiceCare | WCOMP | $4,345.94 | — |
| Aetna | ASA | $4,580.63 | — |
| Physicians Coop of TX | MGMCR | $4,780.54 | — |
| Aetna | WCOMP | $4,780.54 | — |
| Rockport Health Group | WORKERSCOMP | $4,780.54 | — |
| PC Texas Partners | WCOMP | $4,780.54 | — |
| Averde Health, Inc | PPO | $5,041.30 | — |
| Value Options Behavioral Health | COMM | $5,215.13 | — |
| Magellan BH | Pinnacle | $5,215.13 | — |
| Magellan BH | Summit | $5,215.13 | — |
| Humana | BHCOMM | $5,649.73 | — |
| Coastal Comp Health Networks | WCOMP | $6,084.32 | — |
| Mega Life | MGMCRPPO | $6,084.32 | — |
| Multiplan PHCS | PrimaryNetwork | $6,084.32 | — |
| Aetna Coventry First Health | COMM | $6,319.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $6,518.92 | — |
| ComPsych Corporation | COMM | $6,953.51 | — |
| USA Managed Care | COMM | $6,953.51 | — |
| Cigna Behavioral Health | COMM | $6,953.51 | — |
| HealthSmart Preferred Care | PPO | $6,953.51 | — |
| Galaxy Health Network | PPO | $7,388.11 | — |
| Independent Medical Systems | COMM | $8,691.89 | — |
| National Healthcare Solutions | COMM | $8,691.89 | — |
| Unicare | MCD | $8,691.89 | — |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $927.61 | $208.97 – $1,159.51 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $927.61 | $198.51 – $1,159.51 |
| Adventhealth Rollins Brook | Lampasas | $2,597.51 | $708.25 – $708.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $927.61 | $208.97 – $1,159.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $927.61 | $190.93 – $1,391.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $927.61 | $185.52 – $1,159.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $927.61 | $208.97 – $1,159.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $927.61 | $208.97 – $1,391.41 |