Lymph vessel x-ray trunk 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.
$204.40 with Superior Health Plan vs $8,200.88 with Aetna — 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 | $204.40 | — |
| Superior Health Plan | CHIP | $204.40 | — |
| Superior Health Plan | MCDSTAR | $204.40 | — |
| Superior Health Plan | STARPLUS | $204.40 | — |
| Superior Health Plan | STARHealth | $204.40 | — |
| Amerigroup | CHIP | $313.39 | — |
| Parkland Community Health Plan | MCD | $313.39 | — |
| United | CHIP | $313.39 | — |
| United | STAR | $313.39 | — |
| United | STARKids | $313.39 | — |
| United | STARPLUS | $313.39 | — |
| United | STARPerinate | $313.39 | — |
| Amerigroup | MGMCD | $313.39 | — |
| Cigna Healthspring | MGMCD | $329.06 | — |
| Aetna Better Health | MCD | $338.46 | — |
| Aetna Better Health | CHIP | $338.46 | — |
| Molina | MCDSTAR | $344.73 | — |
| Molina | STARKIDS | $344.73 | — |
| Molina | CHIP | $344.73 | — |
| Molina | STAR+PLUS | $344.73 | — |
| Humana | MGMCD | $391.74 | — |
| Cigna | IFP | $394.19 | — |
| Cigna | QHP | $408.79 | — |
| United | OptionsPPO | $546.03 | — |
| Healthcare Highways | NarrowNetwork | $715.38 | — |
| Evry Health | COMM | $753.34 | — |
| Unicare | CHIP | $759.18 | — |
| Cigna | LocalPlus | $833.33 | — |
| Cigna | NewBusiness | $834.16 | — |
| Cigna | NetworkBenefit | $930.76 | — |
| Cigna | HMO | $930.76 | — |
| Cigna | OpenAccessPlus | $930.76 | — |
| Healthcare Highways | CityofPlano | $986.94 | — |
| City of McKinney | COMM | $1,021.98 | — |
| Humana | COMM | $1,128.99 | — |
| Curative Administrators | COMM | $1,167.97 | — |
| Cigna | AllOther | $1,178.00 | — |
| BCBS | Traditional | $1,296.45 | — |
| BCBS | BluePremier | $1,301.61 | — |
| Fidelis SecureCare | MGMCR | $1,313.97 | — |
| United | NarrowNetworkIndivExchange | $1,327.01 | — |
| United | SmallGroup | $1,327.01 | — |
| BCBS | BlueAdvantageHMO | $1,432.86 | — |
| BCBS | MyBlueHealth | $1,432.86 | — |
| National ChoiceCare | WCOMP | $1,459.96 | — |
| Aetna | ASA | $1,538.80 | — |
| PC Texas Partners | WCOMP | $1,605.96 | — |
| Aetna | WCOMP | $1,605.96 | — |
| Rockport Health Group | WORKERSCOMP | $1,605.96 | — |
| Physicians Coop of TX | MGMCR | $1,605.96 | — |
| Averde Health, Inc | PPO | $1,693.56 | — |
| Value Options Behavioral Health | COMM | $1,751.96 | — |
| Magellan BH | Pinnacle | $1,751.96 | — |
| Magellan BH | Summit | $1,751.96 | — |
| Humana | BHCOMM | $1,897.95 | — |
| Mega Life | MGMCRPPO | $2,043.95 | — |
| Coastal Comp Health Networks | WCOMP | $2,043.95 | — |
| Multiplan PHCS | PrimaryNetwork | $2,043.95 | — |
| Aetna Coventry First Health | COMM | $2,122.79 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,189.95 | — |
| USA Managed Care | COMM | $2,335.94 | — |
| HealthSmart Preferred Care | PPO | $2,335.94 | — |
| Cigna Behavioral Health | COMM | $2,335.94 | — |
| ComPsych Corporation | COMM | $2,335.94 | — |
| Galaxy Health Network | PPO | $2,481.94 | — |
| National Healthcare Solutions | COMM | $2,919.93 | — |
| Unicare | MCD | $2,919.93 | — |
| Independent Medical Systems | COMM | $2,919.93 | — |
| BCBS | BlueEssentials | $4,254.84 | — |
| BCBS | BlueEssentialsAccess | $4,254.84 | — |
| BCBS | EPOSOA | $4,462.66 | — |
| BCBS | PPO | $4,670.48 | — |
| Aetna | QHPHIX | $4,760.60 | — |
| United | AllPayerAppendix | $6,438.74 | — |
| Aetna | NewBusiness | $6,527.23 | — |
| Aetna | Meritain | $6,992.13 | — |
| Aetna | COMM | $6,992.13 | — |
| Aetna | OON | $8,200.88 | — |
Visitor-reported prices
Comments
Lymph vessel x-ray trunk at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,694.05 | $313.39 – $7,896.23 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $2,694.05 | $313.39 – $7,896.23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,694.05 | $313.39 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,494.49 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,494.49 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,694.05 | $313.39 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,494.49 | $85.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,494.49 | $313.39 – $7,896.23 |