Lev 2 hosp type b ed visit at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$1,643.46
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.
$1,643.46
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.
$51.36 with Parkland Community Health Plan vs $1,643.46 with Independent Medical Systems — 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 |
|---|---|---|---|
| Parkland Community Health Plan | MCD | $51.36 | ↓ -97% |
| Amerigroup | CHIP | $51.36 | ↓ -97% |
| Amerigroup | MGMCD | $51.36 | ↓ -97% |
| Cigna Healthspring | MGMCD | $53.93 | ↓ -97% |
| Aetna Better Health | CHIP | $55.47 | ↓ -97% |
| Aetna Better Health | MCD | $55.47 | ↓ -97% |
| Molina | MCDSTAR | $56.50 | ↓ -97% |
| Molina | STARKIDS | $56.50 | ↓ -97% |
| Molina | STAR+PLUS | $56.50 | ↓ -97% |
| Molina | CHIP | $56.50 | ↓ -97% |
| Humana | MGMCD | $64.20 | ↓ -96% |
| Cigna | IFP | $221.87 | ↓ -86% |
| Cigna | QHP | $230.08 | ↓ -86% |
| United | OptionsPPO | $307.33 | ↓ -81% |
| Healthcare Highways | NarrowNetwork | $402.65 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $405.93 | ↓ -75% |
| BCBS | MyBlueHealth | $405.93 | ↓ -75% |
| Aetna | QHPHIX | $421.00 | ↓ -74% |
| Evry Health | COMM | $424.01 | ↓ -74% |
| Unicare | CHIP | $427.30 | ↓ -74% |
| BCBS | BluePremier | $479.89 | ↓ -71% |
| Oscar | HIX | $491.00 | ↓ -70% |
| Humana | COMM | $509.31 | ↓ -69% |
| BCBS | BlueEssentialsAccess | $524.26 | ↓ -68% |
| BCBS | BlueEssentials | $524.26 | ↓ -68% |
| BCBS | EPOSOA | $550.56 | ↓ -66% |
| Healthcare Highways | CityofPlano | $555.49 | ↓ -66% |
| City of McKinney | COMM | $575.21 | ↓ -65% |
| BCBS | PPO | $575.21 | ↓ -65% |
| Aetna | NewBusiness | $576.00 | ↓ -65% |
| Aetna | Meritain | $615.00 | ↓ -63% |
| Aetna | COMM | $615.00 | ↓ -63% |
| Curative Administrators | COMM | $657.38 | ↓ -60% |
| Aetna | OON | $724.00 | ↓ -56% |
| BCBS | Traditional | $729.70 | ↓ -56% |
| United | NarrowNetworkIndivExchange | $747.00 | ↓ -55% |
| National ChoiceCare | WCOMP | $821.73 | ↓ -50% |
| Aetna | ASA | $866.10 | ↓ -47% |
| Aetna | WCOMP | $903.90 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $903.90 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $903.90 | ↓ -45% |
| PC Texas Partners | WCOMP | $903.90 | ↓ -45% |
| Averde Health, Inc | PPO | $953.21 | ↓ -42% |
| Magellan BH | Pinnacle | $986.08 | ↓ -40% |
| Magellan BH | Summit | $986.08 | ↓ -40% |
| United | SmallGroup | $1,031.00 | ↓ -37% |
| Humana | BHCOMM | $1,068.25 | ↓ -35% |
| Mega Life | MGMCRPPO | $1,150.42 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,150.42 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,150.42 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,194.80 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,232.60 | ↓ -25% |
| ComPsych Corporation | COMM | $1,314.77 | ↓ -20% |
| Cigna Behavioral Health | COMM | $1,314.77 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,314.77 | ↓ -20% |
| USA Managed Care | COMM | $1,314.77 | ↓ -20% |
| United | AllPayerAppendix | $1,375.00 | ↓ -16% |
| Galaxy Health Network | PPO | $1,396.94 | ↓ -15% |
| Unicare | MCD | $1,643.46 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,643.46 | ↑ +0% |
| Independent Medical Systems | COMM | $1,643.46 | ↑ +0% |
Visitor-reported prices
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Lev 2 hosp type b ed visit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,507.03 | $50.33 – $77.04 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $344.07 | $73.59 – $417.28 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $1,699.21 | $50.59 – $64.20 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $1,147.48 | $50.59 – $64.20 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $1,782.77 | $51.36 – $64.20 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford | $1,677.68 | $51.36 – $64.20 |
| Adventhealth Rollins Brook | Lampasas | not published | $387.12 – $387.12 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $51.36 – $77.04 |