Mayo lipoprotein electrophoresis 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.46 with United vs $125.08 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | CHIP | $9.46 | — |
| Amerigroup | CHIP | $9.46 | — |
| Amerigroup | MGMCD | $9.46 | — |
| United | STARPerinate | $9.46 | — |
| United | STARPLUS | $9.46 | — |
| Parkland Community Health Plan | MCD | $9.46 | — |
| United | STARKids | $9.46 | — |
| United | STAR | $9.46 | — |
| Cigna Healthspring | MGMCD | $9.93 | — |
| Aetna Better Health | MCD | $10.22 | — |
| Aetna Better Health | CHIP | $10.22 | — |
| Molina | MCDSTAR | $10.41 | — |
| Molina | STAR+PLUS | $10.41 | — |
| Molina | CHIP | $10.41 | — |
| Molina | STARKIDS | $10.41 | — |
| WellMed | MGMCR | $11.20 | — |
| TriWest Veterans | FEDERAL | $11.26 | — |
| BCBS | MCRPPO | $11.26 | — |
| Mutual of Omaha | MGMCR | $11.26 | — |
| Devoted Health | POS | $11.26 | — |
| Devoted Health | MCR | $11.26 | — |
| Devoted Health | MME | $11.26 | — |
| Humana | MGMCR | $11.26 | — |
| Devoted Health | SNP | $11.26 | — |
| Devoted Health | HMO | $11.26 | — |
| Devoted Health | PPO | $11.26 | — |
| United | AllPayerAppendix | $11.26 | — |
| United | NarrowNetworkIndivExchange | $11.26 | — |
| United | SmallGroup | $11.26 | — |
| BCBS | MGMCRHMO | $11.26 | — |
| Amerigroup | DualEligible | $11.26 | — |
| United | MGMCR | $11.32 | — |
| Aetna | MCR | $11.36 | — |
| Care N Care | MGMCR | $11.37 | — |
| Cigna Healthspring | MGMCR | $11.49 | — |
| WellCare | MGMCR | $11.60 | — |
| Integranet | MGMCR | $11.60 | — |
| Superior Health Plan | MGMCRHMO | $11.82 | — |
| American Health Plan of Texas, Inc. | MGMCR | $11.82 | — |
| Humana | Tricare | $11.82 | — |
| Superior Health Plan | MGMCRSNP | $11.82 | — |
| Superior Health Plan | MGMCRPPO | $11.82 | — |
| ProCare Advantge | MCR | $11.82 | — |
| Superior Health Plan | MGMCRDualEligible | $11.82 | — |
| Superior Health Plan | MGMCRPFFS | $11.82 | — |
| Superior Health Plan | MGMCRPOS | $11.82 | — |
| Humana | MGMCD | $11.83 | — |
| Texas Independent Health Plan | MGMCR | $11.94 | — |
| Provider Partners Health Plan | MCR | $11.94 | — |
| Molina | MME | $12.27 | — |
| Molina | MCR | $12.27 | — |
| Molina | MMP | $12.27 | — |
| Cenpatico | BHMGMCR | $12.27 | — |
| Imperial Insurance Company | MCR | $12.39 | — |
| Universal Healthcare Group | MCR | $13.51 | — |
| Aetna | QHPHIX | $14.33 | — |
| Verda Health Plan | MGMCR | $14.64 | — |
| Bravo Health | MCRPPO | $16.89 | — |
| Bravo Health | MCRPOS | $16.89 | — |
| Bravo Health | MCRPFFS | $16.89 | — |
| Bravo Health | MCRSNP | $16.89 | — |
| Bravo Health | MCRHMO | $16.89 | — |
| BCBS | BluePremier | $17.45 | — |
| BCBS | MyBlueHealth | $19.70 | — |
| BCBS | BlueAdvantageHMO | $19.70 | — |
| Aetna | NewBusiness | $19.74 | — |
| Superior | ValueHMO | $20.16 | — |
| Aetna | COMM | $21.02 | — |
| Aetna | Meritain | $21.02 | — |
| USA Managed Care | WORKERSCOMP | $21.39 | — |
| Corvel Corporation | WORKERSCOMP | $22.29 | — |
| Aetna | OON | $24.74 | — |
| Superior | HMO | $25.22 | — |
| Superior | EPO | $25.22 | — |
| BCBS | BlueEssentialsAccess | $27.81 | — |
| BCBS | BlueEssentials | $27.81 | — |
| BCBS | EPOSOA | $29.16 | — |
| Oscar | HIX | $29.28 | — |
| Molina Healthcare | HIX | $29.50 | — |
| BCBS | PPO | $30.51 | — |
| Cigna | LocalPlus | $42.60 | — |
| Cigna | NewBusiness | $42.64 | — |
| Cigna | HMO | $47.58 | — |
| Cigna | OpenAccessPlus | $47.58 | — |
| Cigna | NetworkBenefit | $47.58 | — |
| Cigna | AllOther | $60.22 | — |
| Humana | COMM | $125.08 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Mayo lipoprotein electrophoresis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $72.73 | $9.46 – $34.56 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $72.73 | $9.46 – $34.56 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $72.73 | $9.46 – $34.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $100.92 | $5.69 – $41.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $100.92 | $9.46 – $34.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $72.73 | $9.46 – $34.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $100.92 | $10.12 – $41.47 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $100.92 | $8.00 – $41.47 |