MRI w/cont, breast, uni 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.
$216.84 with BCBS vs $6,558.19 with Unicare — 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 |
|---|---|---|---|
| BCBS | BluePremier | $216.84 | — |
| BCBS | MyBlueHealth | $238.71 | — |
| BCBS | BlueAdvantageHMO | $238.71 | — |
| United | NarrowNetworkIndivExchange | $341.20 | — |
| United | SmallGroup | $341.20 | — |
| United | AllPayerAppendix | $401.74 | — |
| Superior Health Plan | STARPLUS | $459.07 | — |
| Superior Health Plan | MCDSTAR | $459.07 | — |
| Superior Health Plan | STARHealth | $459.07 | — |
| Superior Health Plan | CHIP | $459.07 | — |
| Superior Health Plan | STARKids | $459.07 | — |
| BCBS | BlueEssentialsAccess | $708.84 | — |
| BCBS | BlueEssentials | $708.84 | — |
| BCBS | EPOSOA | $743.46 | — |
| BCBS | PPO | $778.08 | — |
| Cigna | IFP | $885.36 | — |
| Aetna | QHPHIX | $885.36 | — |
| Cigna | QHP | $918.15 | — |
| United | OptionsPPO | $1,226.38 | — |
| Aetna | NewBusiness | $1,305.08 | — |
| Aetna | Meritain | $1,396.89 | — |
| Aetna | COMM | $1,396.89 | — |
| Aetna | OON | $1,646.11 | — |
| Unicare | CHIP | $1,705.13 | — |
| Healthcare Highways | CityofPlano | $2,216.67 | — |
| BCBS | Traditional | $2,911.84 | — |
| Fidelis SecureCare | MGMCR | $2,951.19 | — |
| National ChoiceCare | WCOMP | $3,279.09 | — |
| Aetna | ASA | $3,456.17 | — |
| PC Texas Partners | WCOMP | $3,607.00 | — |
| Aetna | WCOMP | $3,607.00 | — |
| Rockport Health Group | WORKERSCOMP | $3,607.00 | — |
| Physicians Coop of TX | MGMCR | $3,607.00 | — |
| Averde Health, Inc | PPO | $3,803.75 | — |
| Value Options Behavioral Health | COMM | $3,934.91 | — |
| Magellan BH | Pinnacle | $3,934.91 | — |
| Magellan BH | Summit | $3,934.91 | — |
| Humana | BHCOMM | $4,262.82 | — |
| Coastal Comp Health Networks | WCOMP | $4,590.73 | — |
| Mega Life | MGMCRPPO | $4,590.73 | — |
| Aetna Coventry First Health | COMM | $4,767.80 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,918.64 | — |
| Cigna Behavioral Health | COMM | $5,246.55 | — |
| USA Managed Care | COMM | $5,246.55 | — |
| ComPsych Corporation | COMM | $5,246.55 | — |
| HealthSmart Preferred Care | PPO | $5,246.55 | — |
| Galaxy Health Network | PPO | $5,574.46 | — |
| National Healthcare Solutions | COMM | $6,558.19 | — |
| Independent Medical Systems | COMM | $6,558.19 | — |
| Unicare | MCD | $6,558.19 | — |
Visitor-reported prices
Comments
MRI w/cont, breast, uni at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,039.11 | $167.39 – $2,548.88 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $2,039.11 | $167.39 – $2,548.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,039.11 | $167.39 – $2,548.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,567.09 | $322.56 – $2,350.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,567.09 | $167.39 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,039.11 | $167.39 – $2,548.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,567.09 | $167.39 – $2,350.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,567.09 | $455.16 – $2,700.00 |