Limited motion knee joint 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.
$48.09 with Superior Health Plan vs $967.61 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $48.09 | — |
| Superior Health Plan | CHIP | $48.09 | — |
| Superior Health Plan | STARKids | $48.09 | — |
| Superior Health Plan | STARPLUS | $48.09 | — |
| Superior Health Plan | MCDSTAR | $48.09 | — |
| Cigna | IFP | $92.75 | — |
| Cigna | QHP | $96.18 | — |
| United | OptionsPPO | $128.47 | — |
| Humana | Tricare | $166.14 | — |
| BCBS | MCRPPO | $167.92 | — |
| BCBS | MGMCRHMO | $167.92 | — |
| BCBS | MyBlueHealth | $169.69 | — |
| BCBS | BlueAdvantageHMO | $169.69 | — |
| WellMed | MGMCR | $170.42 | — |
| Devoted Health | MCR | $171.28 | — |
| Mutual of Omaha | MGMCR | $171.28 | — |
| Amerigroup | DualEligible | $171.28 | — |
| Devoted Health | PPO | $171.28 | — |
| Humana | MGMCR | $171.28 | — |
| TriWest Veterans | FEDERAL | $171.28 | — |
| Devoted Health | SNP | $171.28 | — |
| Devoted Health | HMO | $171.28 | — |
| Devoted Health | POS | $171.28 | — |
| Devoted Health | MME | $171.28 | — |
| United | MGMCR | $172.14 | — |
| Aetna | MCR | $172.74 | — |
| Care N Care | MGMCR | $172.99 | — |
| Cigna Healthspring | MGMCR | $174.71 | — |
| Integranet | MGMCR | $176.42 | — |
| WellCare | MGMCR | $176.42 | — |
| Unicare | CHIP | $178.62 | — |
| Superior Health Plan | MGMCRPPO | $179.84 | — |
| ProCare Advantge | MCR | $179.84 | — |
| Superior Health Plan | MGMCRHMO | $179.84 | — |
| Superior Health Plan | MGMCRDualEligible | $179.84 | — |
| Superior Health Plan | MGMCRPFFS | $179.84 | — |
| Superior Health Plan | MGMCRPOS | $179.84 | — |
| Superior Health Plan | MGMCRSNP | $179.84 | — |
| American Health Plan of Texas, Inc. | MGMCR | $179.84 | — |
| Cigna | NewBusiness | $181.37 | — |
| Cigna | LocalPlus | $181.37 | — |
| Texas Independent Health Plan | MGMCR | $181.56 | — |
| Provider Partners Health Plan | MCR | $181.56 | — |
| Molina | MCR | $186.70 | — |
| Molina | MMP | $186.70 | — |
| Molina | MME | $186.70 | — |
| Cenpatico | BHMGMCR | $186.70 | — |
| Imperial Insurance Company | MCR | $188.41 | — |
| Cigna | HMO | $202.66 | — |
| Cigna | NetworkBenefit | $202.66 | — |
| Cigna | OpenAccessPlus | $202.66 | — |
| Universal Healthcare Group | MCR | $205.54 | — |
| BCBS | BlueEssentialsAccess | $219.15 | — |
| BCBS | BlueEssentials | $219.15 | — |
| Verda Health Plan | MGMCR | $222.66 | — |
| BCBS | EPOSOA | $230.15 | — |
| Healthcare Highways | CityofPlano | $232.21 | — |
| BCBS | PPO | $240.45 | — |
| City of McKinney | COMM | $240.45 | — |
| Cigna | AllOther | $256.25 | — |
| Bravo Health | MCRPOS | $256.92 | — |
| Bravo Health | MCRPFFS | $256.92 | — |
| Bravo Health | MCRSNP | $256.92 | — |
| Bravo Health | MCRPPO | $256.92 | — |
| Bravo Health | MCRHMO | $256.92 | — |
| BCBS | Traditional | $305.03 | — |
| Superior | ValueHMO | $306.59 | — |
| USA Managed Care | WORKERSCOMP | $325.43 | — |
| Corvel Corporation | WORKERSCOMP | $339.13 | — |
| National ChoiceCare | WCOMP | $343.50 | — |
| Aetna | ASA | $362.05 | — |
| Physicians Coop of TX | MGMCR | $377.85 | — |
| Aetna | WCOMP | $377.85 | — |
| Rockport Health Group | WORKERSCOMP | $377.85 | — |
| PC Texas Partners | WCOMP | $377.85 | — |
| Superior | EPO | $383.67 | — |
| Superior | HMO | $383.67 | — |
| Averde Health, Inc | PPO | $398.46 | — |
| Value Options Behavioral Health | COMM | $412.20 | — |
| Magellan BH | Pinnacle | $412.20 | — |
| Magellan BH | Summit | $412.20 | — |
| Humana | BHCOMM | $446.55 | — |
| Molina Healthcare | HIX | $448.75 | — |
| Mega Life | MGMCRPPO | $480.90 | — |
| Aetna Coventry First Health | COMM | $499.45 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $515.25 | — |
| ComPsych Corporation | COMM | $549.60 | — |
| USA Managed Care | COMM | $549.60 | — |
| HealthSmart Preferred Care | PPO | $549.60 | — |
| Cigna Behavioral Health | COMM | $549.60 | — |
| Galaxy Health Network | PPO | $583.95 | — |
| National Healthcare Solutions | COMM | $687.00 | — |
| Independent Medical Systems | COMM | $687.00 | — |
| Unicare | MCD | $687.00 | — |
| Humana | COMM | $967.61 | — |
Visitor-reported prices
Comments
Limited motion knee joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $278.92 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $278.92 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $278.92 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $278.92 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $278.92 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $278.92 | not published |
| Texas Health Hospital Rockwall | Rockwall | $278.92 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $278.92 | not published |