Ins/rpl pm gen exist sgl lead 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.
$1,409.63 with Cigna vs $85,680.00 with United — 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 |
|---|---|---|---|
| Cigna | IFP | $1,409.63 | — |
| Cigna | QHP | $1,461.84 | — |
| United | OptionsPPO | $1,952.60 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Unicare | CHIP | $2,714.85 | — |
| BCBS | BluePremier | $3,048.99 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Healthcare Highways | CityofPlano | $3,529.30 | — |
| City of McKinney | COMM | $3,654.61 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Fidelis SecureCare | MGMCR | $4,250.00 | — |
| Aetna | OON | $4,332.00 | — |
| BCBS | Traditional | $4,636.13 | — |
| National ChoiceCare | WCOMP | $5,220.86 | — |
| United | STARPerinate | $5,499.92 | — |
| United | CHIP | $5,499.92 | — |
| Parkland Community Health Plan | MCD | $5,499.92 | — |
| United | STAR | $5,499.92 | — |
| United | STARKids | $5,499.92 | — |
| United | STARPLUS | $5,499.92 | — |
| Aetna | ASA | $5,502.79 | — |
| Aetna | WCOMP | $5,742.95 | — |
| Physicians Coop of TX | MGMCR | $5,742.95 | — |
| PC Texas Partners | WCOMP | $5,742.95 | — |
| Rockport Health Group | WORKERSCOMP | $5,742.95 | — |
| Cigna Healthspring | MGMCD | $5,774.92 | — |
| Amerigroup | MGMCD | $5,774.92 | — |
| Amerigroup | CHIP | $5,774.92 | — |
| Multiplan PHCS | PrimaryNetwork | $6,014.00 | — |
| Molina | CHIP | $6,049.91 | — |
| Molina | STAR+PLUS | $6,049.91 | — |
| Molina | STARKIDS | $6,049.91 | — |
| Molina | MCDSTAR | $6,049.91 | — |
| Averde Health, Inc | PPO | $6,056.20 | — |
| Magellan BH | Summit | $6,265.04 | — |
| Magellan BH | Pinnacle | $6,265.04 | — |
| Value Options Behavioral Health | COMM | $6,265.04 | — |
| Aetna Better Health | CHIP | $6,599.90 | — |
| Aetna Better Health | MCD | $6,599.90 | — |
| Humana | BHCOMM | $6,787.12 | — |
| Humana | MGMCD | $6,874.90 | — |
| Mega Life | MGMCRPPO | $7,309.21 | — |
| Coastal Comp Health Networks | WCOMP | $7,309.21 | — |
| Aetna Coventry First Health | COMM | $7,591.14 | — |
| Cigna | LocalPlus | $7,679.00 | — |
| Cigna | NewBusiness | $7,687.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $7,831.30 | — |
| Oscar | HIX | $7,883.00 | — |
| ComPsych Corporation | COMM | $8,353.38 | — |
| Cigna Behavioral Health | COMM | $8,353.38 | — |
| USA Managed Care | COMM | $8,353.38 | — |
| HealthSmart Preferred Care | PPO | $8,353.38 | — |
| WellMed | MGMCR | $8,354.67 | — |
| Cigna | NetworkBenefit | $8,580.00 | — |
| Cigna | OpenAccessPlus | $8,580.00 | — |
| Cigna | HMO | $8,580.00 | — |
| Galaxy Health Network | PPO | $8,875.47 | — |
| Humana | COMM | $9,302.00 | — |
| Healthcare Highways | NarrowNetwork | $10,122.00 | — |
| National Healthcare Solutions | COMM | $10,441.73 | — |
| Independent Medical Systems | COMM | $10,441.73 | — |
| Unicare | MCD | $10,441.73 | — |
| Evry Health | COMM | $10,714.00 | — |
| Cigna | AllOther | $10,853.00 | — |
| BCBS | MyBlueHealth | $17,194.16 | — |
| BCBS | BlueAdvantageHMO | $17,194.16 | — |
| BCBS | BlueEssentialsAccess | $20,480.16 | — |
| BCBS | BlueEssentials | $20,480.16 | — |
| BCBS | EPOSOA | $21,550.02 | — |
| BCBS | PPO | $22,543.46 | — |
| Curative Administrators | COMM | $24,035.00 | — |
| United | NarrowNetworkIndivExchange | $48,042.00 | — |
| United | SmallGroup | $61,463.00 | — |
| United | AllPayerAppendix | $85,680.00 | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,336.78 | $1,510.15 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,030.18 | $5,499.92 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,336.78 | $2,763.00 – $21,045.99 |