MRA without fol w/cont, pelvis 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 $13,004.92 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 | NarrowNetworkIndivExchange | $616.10 | — |
| United | SmallGroup | $616.10 | — |
| United | AllPayerAppendix | $828.27 | — |
| Superior Health Plan | STARPLUS | $910.34 | — |
| Superior Health Plan | MCDSTAR | $910.34 | — |
| Superior Health Plan | STARHealth | $910.34 | — |
| Superior Health Plan | CHIP | $910.34 | — |
| Superior Health Plan | STARKids | $910.34 | — |
| BCBS | BlueEssentialsAccess | $1,485.40 | — |
| BCBS | BlueEssentials | $1,485.40 | — |
| BCBS | EPOSOA | $1,557.95 | — |
| BCBS | PPO | $1,630.50 | — |
| Cigna | IFP | $1,755.66 | — |
| Aetna | QHPHIX | $1,755.66 | — |
| Cigna | QHP | $1,820.69 | — |
| United | OptionsPPO | $2,431.92 | — |
| Aetna | NewBusiness | $2,587.98 | — |
| Aetna | Meritain | $2,770.05 | — |
| Aetna | COMM | $2,770.05 | — |
| Aetna | OON | $3,264.23 | — |
| Unicare | CHIP | $3,381.28 | — |
| Healthcare Highways | CityofPlano | $4,395.66 | — |
| BCBS | Traditional | $5,774.18 | — |
| Fidelis SecureCare | MGMCR | $5,852.21 | — |
| National ChoiceCare | WCOMP | $6,502.46 | — |
| Aetna | ASA | $6,853.59 | — |
| PC Texas Partners | WCOMP | $7,152.71 | — |
| Aetna | WCOMP | $7,152.71 | — |
| Rockport Health Group | WORKERSCOMP | $7,152.71 | — |
| Physicians Coop of TX | MGMCR | $7,152.71 | — |
| Averde Health, Inc | PPO | $7,542.85 | — |
| Value Options Behavioral Health | COMM | $7,802.95 | — |
| Magellan BH | Pinnacle | $7,802.95 | — |
| Magellan BH | Summit | $7,802.95 | — |
| Humana | BHCOMM | $8,453.20 | — |
| Coastal Comp Health Networks | WCOMP | $9,103.44 | — |
| Mega Life | MGMCRPPO | $9,103.44 | — |
| Aetna Coventry First Health | COMM | $9,454.58 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $9,753.69 | — |
| Cigna Behavioral Health | COMM | $10,403.94 | — |
| USA Managed Care | COMM | $10,403.94 | — |
| ComPsych Corporation | COMM | $10,403.94 | — |
| HealthSmart Preferred Care | PPO | $10,403.94 | — |
| Galaxy Health Network | PPO | $11,054.18 | — |
| National Healthcare Solutions | COMM | $13,004.92 | — |
| Independent Medical Systems | COMM | $13,004.92 | — |
| Unicare | MCD | $13,004.92 | — |
Visitor-reported prices
Comments
MRA without fol w/cont, pelvis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CONROE | CONROE | $8,317.72 | $672.06 – $699.43 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,234.49 | $538.41 – $2,645.33 |
| Baylor St Luke's Medical Center | Houston | $1,459.15 | $458.22 – $4,169.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $555.90 | $400.00 – $3,335.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,459.15 | $538.41 – $4,169.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,459.15 | $538.41 – $4,169.00 |
| HCA HOUSTON SOUTHEAST | PASADENA | $21,676.97 | $672.06 – $699.43 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,459.15 | $538.41 – $4,169.00 |