Myelogphy 2/> spine regions 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.
$153.04 with United vs $9,557.96 with Independent Medical Systems — 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 | STAR | $153.04 | — |
| Parkland Community Health Plan | MCD | $153.04 | — |
| Amerigroup | MGMCD | $153.04 | — |
| Amerigroup | CHIP | $153.04 | — |
| United | STARPerinate | $153.04 | — |
| United | STARPLUS | $153.04 | — |
| United | STARKids | $153.04 | — |
| United | CHIP | $153.04 | — |
| Cigna Healthspring | MGMCD | $160.69 | — |
| Aetna Better Health | CHIP | $165.28 | — |
| Aetna Better Health | MCD | $165.28 | — |
| Molina | MCDSTAR | $168.34 | — |
| Molina | CHIP | $168.34 | — |
| Molina | STAR+PLUS | $168.34 | — |
| Molina | STARKIDS | $168.34 | — |
| Aetna | QHPHIX | $171.06 | — |
| Humana | MGMCD | $191.30 | — |
| Aetna | NewBusiness | $234.54 | — |
| Humana | COMM | $241.94 | — |
| Aetna | Meritain | $251.24 | — |
| Aetna | COMM | $251.24 | — |
| Aetna | OON | $294.68 | — |
| Cigna | LocalPlus | $384.53 | — |
| Cigna | NewBusiness | $384.92 | — |
| Cigna | HMO | $429.50 | — |
| Cigna | NetworkBenefit | $429.50 | — |
| Cigna | OpenAccessPlus | $429.50 | — |
| Cigna | AllOther | $543.58 | — |
| Superior Health Plan | STARKids | $669.06 | — |
| Superior Health Plan | CHIP | $669.06 | — |
| Superior Health Plan | STARHealth | $669.06 | — |
| Superior Health Plan | MCDSTAR | $669.06 | — |
| Superior Health Plan | STARPLUS | $669.06 | — |
| BCBS | BluePremier | $810.18 | — |
| BCBS | MyBlueHealth | $891.87 | — |
| BCBS | BlueAdvantageHMO | $891.87 | — |
| United | SmallGroup | $920.54 | — |
| United | NarrowNetworkIndivExchange | $920.54 | — |
| Cigna | IFP | $1,290.32 | — |
| Cigna | QHP | $1,338.11 | — |
| United | AllPayerAppendix | $1,609.16 | — |
| United | OptionsPPO | $1,787.34 | — |
| Healthcare Highways | NarrowNetwork | $2,341.70 | — |
| Evry Health | COMM | $2,465.95 | — |
| Unicare | CHIP | $2,485.07 | — |
| BCBS | BlueEssentials | $2,648.39 | — |
| BCBS | BlueEssentialsAccess | $2,648.39 | — |
| BCBS | EPOSOA | $2,777.75 | — |
| BCBS | PPO | $2,907.10 | — |
| Healthcare Highways | CityofPlano | $3,230.59 | — |
| City of McKinney | COMM | $3,345.29 | — |
| Curative Administrators | COMM | $3,823.18 | — |
| BCBS | Traditional | $4,243.73 | — |
| Fidelis SecureCare | MGMCR | $4,301.08 | — |
| National ChoiceCare | WCOMP | $4,778.98 | — |
| Aetna | ASA | $5,037.04 | — |
| Rockport Health Group | WORKERSCOMP | $5,256.88 | — |
| Aetna | WCOMP | $5,256.88 | — |
| Physicians Coop of TX | MGMCR | $5,256.88 | — |
| PC Texas Partners | WCOMP | $5,256.88 | — |
| Averde Health, Inc | PPO | $5,543.62 | — |
| Value Options Behavioral Health | COMM | $5,734.78 | — |
| Magellan BH | Pinnacle | $5,734.78 | — |
| Magellan BH | Summit | $5,734.78 | — |
| Humana | BHCOMM | $6,212.67 | — |
| Multiplan PHCS | PrimaryNetwork | $6,690.57 | — |
| Mega Life | MGMCRPPO | $6,690.57 | — |
| Coastal Comp Health Networks | WCOMP | $6,690.57 | — |
| Aetna Coventry First Health | COMM | $6,948.64 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $7,168.47 | — |
| USA Managed Care | COMM | $7,646.37 | — |
| HealthSmart Preferred Care | PPO | $7,646.37 | — |
| Cigna Behavioral Health | COMM | $7,646.37 | — |
| ComPsych Corporation | COMM | $7,646.37 | — |
| Galaxy Health Network | PPO | $8,124.27 | — |
| Unicare | MCD | $9,557.96 | — |
| National Healthcare Solutions | COMM | $9,557.96 | — |
| Independent Medical Systems | COMM | $9,557.96 | — |
Visitor-reported prices
Comments
Myelogphy 2/> spine regions at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,615.24 | $153.04 – $2,019.05 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,615.24 | $153.04 – $2,019.05 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,615.24 | $153.04 – $2,019.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,569.51 | $323.06 – $2,354.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,821.46 | $153.04 – $2,276.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,615.24 | $153.04 – $2,019.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,569.51 | $163.75 – $2,354.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,569.51 | $153.04 – $2,354.26 |