MRA without fol w/cont, abd 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.
$454.40 with BCBS vs $8,930.56 with Unicare — 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 |
|---|---|---|---|
| BCBS | BluePremier | $454.40 | — |
| BCBS | MyBlueHealth | $500.22 | — |
| BCBS | BlueAdvantageHMO | $500.22 | — |
| United | SmallGroup | $616.10 | — |
| United | NarrowNetworkIndivExchange | $616.10 | — |
| Superior Health Plan | STARKids | $625.14 | — |
| Superior Health Plan | MCDSTAR | $625.14 | — |
| Superior Health Plan | STARHealth | $625.14 | — |
| Superior Health Plan | STARPLUS | $625.14 | — |
| Superior Health Plan | CHIP | $625.14 | — |
| United | AllPayerAppendix | $828.27 | — |
| Cigna | IFP | $1,205.63 | — |
| Aetna | QHPHIX | $1,205.63 | — |
| Cigna | QHP | $1,250.28 | — |
| BCBS | BlueEssentials | $1,485.40 | — |
| BCBS | BlueEssentialsAccess | $1,485.40 | — |
| BCBS | EPOSOA | $1,557.95 | — |
| BCBS | PPO | $1,630.50 | — |
| United | OptionsPPO | $1,670.01 | — |
| Aetna | NewBusiness | $1,777.18 | — |
| Aetna | Meritain | $1,902.21 | — |
| Aetna | COMM | $1,902.21 | — |
| Aetna | OON | $2,241.57 | — |
| Unicare | CHIP | $2,321.95 | — |
| Healthcare Highways | CityofPlano | $3,018.53 | — |
| BCBS | Traditional | $3,965.17 | — |
| Fidelis SecureCare | MGMCR | $4,018.75 | — |
| National ChoiceCare | WCOMP | $4,465.28 | — |
| Aetna | ASA | $4,706.41 | — |
| PC Texas Partners | WCOMP | $4,911.81 | — |
| Aetna | WCOMP | $4,911.81 | — |
| Rockport Health Group | WORKERSCOMP | $4,911.81 | — |
| Physicians Coop of TX | MGMCR | $4,911.81 | — |
| Averde Health, Inc | PPO | $5,179.72 | — |
| Value Options Behavioral Health | COMM | $5,358.34 | — |
| Magellan BH | Pinnacle | $5,358.34 | — |
| Magellan BH | Summit | $5,358.34 | — |
| Humana | BHCOMM | $5,804.86 | — |
| Coastal Comp Health Networks | WCOMP | $6,251.39 | — |
| Mega Life | MGMCRPPO | $6,251.39 | — |
| Aetna Coventry First Health | COMM | $6,492.52 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $6,697.92 | — |
| Cigna Behavioral Health | COMM | $7,144.45 | — |
| USA Managed Care | COMM | $7,144.45 | — |
| ComPsych Corporation | COMM | $7,144.45 | — |
| HealthSmart Preferred Care | PPO | $7,144.45 | — |
| Galaxy Health Network | PPO | $7,590.98 | — |
| National Healthcare Solutions | COMM | $8,930.56 | — |
| Independent Medical Systems | COMM | $8,930.56 | — |
| Unicare | MCD | $8,930.56 | — |
Visitor-reported prices
Comments
MRA without fol w/cont, abd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $20,488.72 | $672.06 – $699.43 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,050.65 | $538.41 – $4,394.25 |
| Baylor St Luke's Medical Center | Houston | $1,818.95 | $458.22 – $5,197.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,040.40 | $400.00 – $6,120.00 |
| HCA HOUSTON PEARLAND | Pearland | $18,152.95 | $672.06 – $699.43 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,818.95 | $538.41 – $5,197.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,818.95 | $538.41 – $5,197.00 |
| HCA HOUSTON SOUTHEAST | PASADENA | $11,670.11 | $672.06 – $699.43 |