Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm 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.
$1,449.52 with Humana vs $40,284.00 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 | $1,449.52 | — |
| Superior Health Plan | STARHealth | $2,819.88 | — |
| Superior Health Plan | CHIP | $2,819.88 | — |
| Superior Health Plan | MCDSTAR | $2,819.88 | — |
| Superior Health Plan | STARPLUS | $2,819.88 | — |
| Superior Health Plan | STARKids | $2,819.88 | — |
| United | AllPayerAppendix | $4,670.36 | — |
| United | SmallGroup | $4,670.36 | — |
| United | NarrowNetworkIndivExchange | $4,670.36 | — |
| Cigna | IFP | $5,438.34 | — |
| Aetna | QHPHIX | $5,438.34 | — |
| Cigna | QHP | $5,639.76 | — |
| BCBS | MyBlueHealth | $5,654.48 | — |
| BCBS | BlueAdvantageHMO | $5,654.48 | — |
| United | OptionsPPO | $7,533.11 | — |
| Aetna | NewBusiness | $8,016.52 | — |
| BCBS | BlueEssentials | $8,276.85 | — |
| BCBS | BlueEssentialsAccess | $8,276.85 | — |
| Aetna | COMM | $8,580.49 | — |
| Aetna | Meritain | $8,580.49 | — |
| BCBS | EPOSOA | $8,686.59 | — |
| BCBS | PPO | $9,096.34 | — |
| Cigna | LocalPlus | $9,332.09 | — |
| Cigna | NewBusiness | $9,341.35 | — |
| Aetna | OON | $10,111.28 | — |
| Cigna | NetworkBenefit | $10,425.54 | — |
| Cigna | HMO | $10,425.54 | — |
| Cigna | OpenAccessPlus | $10,425.54 | — |
| Unicare | CHIP | $10,473.84 | — |
| BCBS | BluePremier | $10,735.32 | — |
| Humana | COMM | $11,286.39 | — |
| Cigna | AllOther | $13,189.24 | — |
| Healthcare Highways | CityofPlano | $13,615.99 | — |
| City of McKinney | COMM | $14,099.40 | — |
| BCBS | Traditional | $17,886.10 | — |
| National ChoiceCare | WCOMP | $20,142.00 | — |
| Aetna | ASA | $21,229.67 | — |
| Physicians Coop of TX | MGMCR | $22,156.20 | — |
| Rockport Health Group | WORKERSCOMP | $22,156.20 | — |
| Aetna | WCOMP | $22,156.20 | — |
| PC Texas Partners | WCOMP | $22,156.20 | — |
| Averde Health, Inc | PPO | $23,364.72 | — |
| Magellan BH | Summit | $24,170.40 | — |
| Magellan BH | Pinnacle | $24,170.40 | — |
| Value Options Behavioral Health | COMM | $24,170.40 | — |
| Humana | BHCOMM | $26,184.60 | — |
| Mega Life | MGMCRPPO | $28,198.80 | — |
| Coastal Comp Health Networks | WCOMP | $28,198.80 | — |
| Aetna Coventry First Health | COMM | $29,286.47 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $30,213.00 | — |
| USA Managed Care | COMM | $32,227.20 | — |
| Cigna Behavioral Health | COMM | $32,227.20 | — |
| HealthSmart Preferred Care | PPO | $32,227.20 | — |
| Galaxy Health Network | PPO | $34,241.40 | — |
| Unicare | MCD | $40,284.00 | — |
| Independent Medical Systems | COMM | $40,284.00 | — |
| National Healthcare Solutions | COMM | $40,284.00 | — |
Visitor-reported prices
Comments
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $8,629.72 | $915.77 – $4,578.83 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $8,629.72 | $691.67 – $4,578.83 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,629.72 | $915.77 – $4,578.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,589.80 | $665.28 – $4,848.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,589.80 | $646.42 – $4,040.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,629.72 | $861.90 – $4,578.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,589.80 | $1,037.51 – $4,848.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,589.80 | $1,669.93 – $4,848.17 |