Inj retacrit esrd on dialysi 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.
$0.69 with Humana vs $337.00 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Humana | Tricare | $0.69 | — |
| United | AllPayerAppendix | $1.25 | — |
| United | SmallGroup | $1.25 | — |
| United | NarrowNetworkIndivExchange | $1.25 | — |
| BCBS | MyBlueHealth | $3.69 | — |
| BCBS | BlueAdvantageHMO | $3.69 | — |
| Cigna | NewBusiness | $4.60 | — |
| Cigna | LocalPlus | $4.60 | — |
| Cigna | OpenAccessPlus | $5.14 | — |
| Cigna | NetworkBenefit | $5.14 | — |
| Cigna | HMO | $5.14 | — |
| BCBS | BlueEssentials | $5.40 | — |
| BCBS | BlueEssentialsAccess | $5.40 | — |
| BCBS | EPOSOA | $5.67 | — |
| BCBS | PPO | $5.94 | — |
| Cigna | AllOther | $6.50 | — |
| BCBS | BluePremier | $7.01 | — |
| Humana | COMM | $8.37 | — |
| Superior Health Plan | STARPLUS | $23.59 | — |
| Superior Health Plan | STARKids | $23.59 | — |
| Superior Health Plan | CHIP | $23.59 | — |
| Superior Health Plan | STARHealth | $23.59 | — |
| Superior Health Plan | MCDSTAR | $23.59 | — |
| Aetna | QHPHIX | $45.49 | — |
| Cigna | IFP | $45.49 | — |
| Cigna | QHP | $47.18 | — |
| United | OptionsPPO | $63.02 | — |
| Aetna | NewBusiness | $67.06 | — |
| Superior | HMO | $67.40 | — |
| Superior | EPO | $67.40 | — |
| Superior | ValueHMO | $67.40 | — |
| Aetna | Meritain | $71.78 | — |
| Aetna | COMM | $71.78 | — |
| Molina Healthcare | HIX | $84.25 | — |
| Aetna | OON | $84.59 | — |
| Unicare | CHIP | $87.62 | — |
| Healthcare Highways | CityofPlano | $113.91 | — |
| City of McKinney | COMM | $117.95 | — |
| BCBS | Traditional | $149.63 | — |
| National ChoiceCare | WCOMP | $168.50 | — |
| Aetna | ASA | $177.60 | — |
| PC Texas Partners | WCOMP | $185.35 | — |
| Rockport Health Group | WORKERSCOMP | $185.35 | — |
| Aetna | WCOMP | $185.35 | — |
| Physicians Coop of TX | MGMCR | $185.35 | — |
| Averde Health, Inc | PPO | $195.46 | — |
| Value Options Behavioral Health | COMM | $202.20 | — |
| Magellan BH | Pinnacle | $202.20 | — |
| Magellan BH | Summit | $202.20 | — |
| Humana | BHCOMM | $219.05 | — |
| Mega Life | MGMCRPPO | $235.90 | — |
| Coastal Comp Health Networks | WCOMP | $235.90 | — |
| Aetna Coventry First Health | COMM | $245.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $252.75 | — |
| HealthSmart Preferred Care | PPO | $269.60 | — |
| Cigna Behavioral Health | COMM | $269.60 | — |
| USA Managed Care | COMM | $269.60 | — |
| Galaxy Health Network | PPO | $286.45 | — |
| Unicare | MCD | $337.00 | — |
| Independent Medical Systems | COMM | $337.00 | — |
| National Healthcare Solutions | COMM | $337.00 | — |
Visitor-reported prices
Comments
Inj retacrit esrd on dialysi at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $505.94 | $0.96 – $124.18 |
| St. Joseph Health Madison Hospital | Madisonville | $24.42 | $0.75 – $11.59 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $505.94 | $1.07 – $124.18 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $505.94 | $1.07 – $124.18 |
| St. Joseph Health College Station Hospital | College Station | $24.42 | $0.75 – $10.94 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $505.94 | $1.07 – $124.18 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $51.09 | $0.87 – $72.98 |
| St. Joseph Health Grimes Hospital | Navasota | $24.42 | $0.75 – $14.29 |