Lead capillary 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.
$10.17 with Amerigroup vs $665.65 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 |
|---|---|---|---|
| Amerigroup | CHIP | $10.17 | — |
| United | STARKids | $10.17 | — |
| United | STARPerinate | $10.17 | — |
| United | STAR | $10.17 | — |
| Parkland Community Health Plan | MCD | $10.17 | — |
| Amerigroup | MGMCD | $10.17 | — |
| United | STARPLUS | $10.17 | — |
| United | CHIP | $10.17 | — |
| Cigna Healthspring | MGMCD | $10.68 | — |
| Aetna Better Health | CHIP | $10.98 | — |
| Aetna Better Health | MCD | $10.98 | — |
| Molina | STAR+PLUS | $11.19 | — |
| Molina | MCDSTAR | $11.19 | — |
| Molina | CHIP | $11.19 | — |
| Molina | STARKIDS | $11.19 | — |
| WellMed | MGMCR | $12.05 | — |
| Humana | MGMCR | $12.11 | — |
| BCBS | MGMCRHMO | $12.11 | — |
| BCBS | MCRPPO | $12.11 | — |
| Mutual of Omaha | MGMCR | $12.11 | — |
| Devoted Health | MME | $12.11 | — |
| United | NarrowNetworkIndivExchange | $12.11 | — |
| Amerigroup | DualEligible | $12.11 | — |
| TriWest Veterans | FEDERAL | $12.11 | — |
| Devoted Health | SNP | $12.11 | — |
| Devoted Health | HMO | $12.11 | — |
| Devoted Health | POS | $12.11 | — |
| Devoted Health | PPO | $12.11 | — |
| Devoted Health | MCR | $12.11 | — |
| United | SmallGroup | $12.11 | — |
| United | AllPayerAppendix | $12.11 | — |
| United | MGMCR | $12.17 | — |
| Aetna | MCR | $12.21 | — |
| Care N Care | MGMCR | $12.23 | — |
| Cigna Healthspring | MGMCR | $12.35 | — |
| Integranet | MGMCR | $12.47 | — |
| WellCare | MGMCR | $12.47 | — |
| Humana | MGMCD | $12.71 | — |
| Superior Health Plan | MGMCRHMO | $12.72 | — |
| Superior Health Plan | MGMCRPPO | $12.72 | — |
| ProCare Advantge | MCR | $12.72 | — |
| Superior Health Plan | MGMCRPFFS | $12.72 | — |
| Superior Health Plan | MGMCRPOS | $12.72 | — |
| Superior Health Plan | MGMCRSNP | $12.72 | — |
| American Health Plan of Texas, Inc. | MGMCR | $12.72 | — |
| Superior Health Plan | MGMCRDualEligible | $12.72 | — |
| Humana | Tricare | $12.72 | — |
| Texas Independent Health Plan | MGMCR | $12.84 | — |
| Provider Partners Health Plan | MCR | $12.84 | — |
| Molina | MMP | $13.20 | — |
| Cenpatico | BHMGMCR | $13.20 | — |
| Molina | MCR | $13.20 | — |
| Molina | MME | $13.20 | — |
| Imperial Insurance Company | MCR | $13.32 | — |
| Universal Healthcare Group | MCR | $14.53 | — |
| Aetna | QHPHIX | $15.41 | — |
| Verda Health Plan | MGMCR | $15.74 | — |
| Bravo Health | MCRHMO | $18.16 | — |
| Bravo Health | MCRPOS | $18.16 | — |
| Bravo Health | MCRPPO | $18.16 | — |
| Bravo Health | MCRSNP | $18.16 | — |
| Bravo Health | MCRPFFS | $18.16 | — |
| BCBS | BluePremier | $18.77 | — |
| BCBS | MyBlueHealth | $21.19 | — |
| BCBS | BlueAdvantageHMO | $21.19 | — |
| Aetna | NewBusiness | $21.23 | — |
| Superior | ValueHMO | $21.68 | — |
| Aetna | Meritain | $22.61 | — |
| Aetna | COMM | $22.61 | — |
| USA Managed Care | WORKERSCOMP | $23.01 | — |
| Corvel Corporation | WORKERSCOMP | $23.98 | — |
| Aetna | OON | $26.61 | — |
| Superior | EPO | $27.13 | — |
| Superior | HMO | $27.13 | — |
| BCBS | BlueEssentials | $29.91 | — |
| BCBS | BlueEssentialsAccess | $29.91 | — |
| BCBS | EPOSOA | $31.36 | — |
| Oscar | HIX | $31.49 | — |
| Molina Healthcare | HIX | $31.73 | — |
| BCBS | PPO | $32.82 | — |
| Cigna | LocalPlus | $46.49 | — |
| Cigna | NewBusiness | $46.53 | — |
| Superior Health Plan | MCDSTAR | $46.60 | — |
| Superior Health Plan | CHIP | $46.60 | — |
| Superior Health Plan | STARKids | $46.60 | — |
| Superior Health Plan | STARPLUS | $46.60 | — |
| Superior Health Plan | STARHealth | $46.60 | — |
| Cigna | NetworkBenefit | $51.92 | — |
| Cigna | OpenAccessPlus | $51.92 | — |
| Cigna | HMO | $51.92 | — |
| Cigna | AllOther | $65.72 | — |
| Cigna | IFP | $89.86 | — |
| Cigna | QHP | $93.19 | — |
| United | OptionsPPO | $124.48 | — |
| Humana | COMM | $134.52 | — |
| Healthcare Highways | NarrowNetwork | $163.08 | — |
| Evry Health | COMM | $171.74 | — |
| Unicare | CHIP | $173.07 | — |
| Healthcare Highways | CityofPlano | $224.99 | — |
| City of McKinney | COMM | $232.98 | — |
| BCBS | Traditional | $295.55 | — |
| Fidelis SecureCare | MGMCR | $299.54 | — |
| National ChoiceCare | WCOMP | $332.82 | — |
| Aetna | ASA | $350.80 | — |
| PC Texas Partners | WCOMP | $366.11 | — |
| Physicians Coop of TX | MGMCR | $366.11 | — |
| Rockport Health Group | WORKERSCOMP | $366.11 | — |
| Aetna | WCOMP | $366.11 | — |
| Averde Health, Inc | PPO | $386.08 | — |
| Value Options Behavioral Health | COMM | $399.39 | — |
| Magellan BH | Pinnacle | $399.39 | — |
| Magellan BH | Summit | $399.39 | — |
| Humana | BHCOMM | $432.67 | — |
| Multiplan PHCS | PrimaryNetwork | $465.95 | — |
| Coastal Comp Health Networks | WCOMP | $465.95 | — |
| Mega Life | MGMCRPPO | $465.95 | — |
| Aetna Coventry First Health | COMM | $483.93 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $499.24 | — |
| Cigna Behavioral Health | COMM | $532.52 | — |
| USA Managed Care | COMM | $532.52 | — |
| HealthSmart Preferred Care | PPO | $532.52 | — |
| ComPsych Corporation | COMM | $532.52 | — |
| Galaxy Health Network | PPO | $565.80 | — |
| Independent Medical Systems | COMM | $665.65 | — |
| National Healthcare Solutions | COMM | $665.65 | — |
| Unicare | MCD | $665.65 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Lead capillary at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $81.29 | $10.00 – $29.06 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $81.29 | $10.00 – $29.06 |
| Adventhealth Rollins Brook | Lampasas | $181.39 | $10.90 – $46.62 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $81.29 | $10.00 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $79.36 | $3.80 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $75.11 | $10.17 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $81.29 | $10.00 – $29.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $79.36 | $10.88 – $29.06 |