Lung Function Test (Spirometry) at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$2,402.31
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.
$2,402.31
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.
$168.16 with Superior Health Plan vs $2,402.31 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $168.16 | ↓ -93% |
| Superior Health Plan | STARHealth | $168.16 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $168.16 | ↓ -93% |
| Superior Health Plan | STARPLUS | $168.16 | ↓ -93% |
| Superior Health Plan | CHIP | $168.16 | ↓ -93% |
| Humana | COMM | $188.07 | ↓ -92% |
| Aetna | QHPHIX | $324.31 | ↓ -87% |
| Cigna | IFP | $324.31 | ↓ -87% |
| BCBS | BluePremier | $326.51 | ↓ -86% |
| Cigna | QHP | $336.32 | ↓ -86% |
| BCBS | MyBlueHealth | $380.46 | ↓ -84% |
| BCBS | BlueAdvantageHMO | $380.46 | ↓ -84% |
| United | OptionsPPO | $449.23 | ↓ -81% |
| Aetna | NewBusiness | $478.06 | ↓ -80% |
| Oscar | HIX | $499.68 | ↓ -79% |
| Aetna | Meritain | $511.69 | ↓ -79% |
| Aetna | COMM | $511.69 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $588.57 | ↓ -75% |
| Aetna | OON | $602.98 | ↓ -75% |
| Evry Health | COMM | $619.80 | ↓ -74% |
| Unicare | CHIP | $624.60 | ↓ -74% |
| Cigna | NewBusiness | $634.21 | ↓ -74% |
| Cigna | LocalPlus | $634.21 | ↓ -74% |
| BCBS | BlueEssentialsAccess | $673.76 | ↓ -72% |
| BCBS | BlueEssentials | $673.76 | ↓ -72% |
| BCBS | EPOSOA | $706.97 | ↓ -71% |
| Cigna | OpenAccessPlus | $708.68 | ↓ -71% |
| Cigna | NetworkBenefit | $708.68 | ↓ -71% |
| Cigna | HMO | $708.68 | ↓ -71% |
| BCBS | PPO | $740.17 | ↓ -69% |
| Healthcare Highways | CityofPlano | $811.98 | ↓ -66% |
| City of McKinney | COMM | $840.81 | ↓ -65% |
| Cigna | AllOther | $896.06 | ↓ -63% |
| Curative Administrators | COMM | $960.92 | ↓ -60% |
| BCBS | Traditional | $1,066.63 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $1,081.04 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,201.15 | ↓ -50% |
| Aetna | ASA | $1,266.02 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $1,321.27 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,321.27 | ↓ -45% |
| Aetna | WCOMP | $1,321.27 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,321.27 | ↓ -45% |
| Averde Health, Inc | PPO | $1,393.34 | ↓ -42% |
| Magellan BH | Pinnacle | $1,441.39 | ↓ -40% |
| Value Options Behavioral Health | COMM | $1,441.39 | ↓ -40% |
| Magellan BH | Summit | $1,441.39 | ↓ -40% |
| Humana | BHCOMM | $1,561.50 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $1,681.62 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,681.62 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,681.62 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,746.48 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,801.73 | ↓ -25% |
| USA Managed Care | COMM | $1,921.85 | ↓ -20% |
| Cigna Behavioral Health | COMM | $1,921.85 | ↓ -20% |
| ComPsych Corporation | COMM | $1,921.85 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,921.85 | ↓ -20% |
| Galaxy Health Network | PPO | $2,041.96 | ↓ -15% |
| Independent Medical Systems | COMM | $2,402.31 | ↑ +0% |
| Unicare | MCD | $2,402.31 | ↑ +0% |
| National Healthcare Solutions | COMM | $2,402.31 | ↑ +0% |
Visitor-reported prices
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Lung Function Test (Spirometry) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $405.67 | $114.94 – $507.09 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $405.67 | $86.81 – $507.09 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $405.67 | $114.94 – $507.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $539.93 | $111.14 – $809.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $600.80 | $120.16 – $751.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $405.67 | $108.18 – $507.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $539.93 | $173.32 – $809.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $539.93 | $278.96 – $3,235.82 |