New Patient Office Visit (level 5) 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.
$20.55 with Superior Health Plan vs $915.87 with BCBS — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $20.55 | — |
| Superior Health Plan | STARHealth | $20.55 | — |
| Superior Health Plan | MCDSTAR | $20.55 | — |
| Superior Health Plan | STARPLUS | $20.55 | — |
| Superior Health Plan | STARKids | $20.55 | — |
| Cigna | IFP | $39.63 | — |
| Aetna | QHPHIX | $39.63 | — |
| Cigna | QHP | $41.10 | — |
| United | OptionsPPO | $54.90 | — |
| Imperial Insurance Company | MCR | $55.78 | — |
| Aetna | NewBusiness | $58.42 | — |
| Aetna | Meritain | $62.53 | — |
| Aetna | COMM | $62.53 | — |
| Healthcare Highways | NarrowNetwork | $71.92 | — |
| Aetna | OON | $73.69 | — |
| Evry Health | COMM | $75.74 | — |
| Unicare | CHIP | $76.33 | — |
| Healthcare Highways | CityofPlano | $99.23 | — |
| City of McKinney | COMM | $102.75 | — |
| Curative Administrators | COMM | $117.43 | — |
| BCBS | Traditional | $130.35 | — |
| Fidelis SecureCare | MGMCR | $132.11 | — |
| National ChoiceCare | WCOMP | $146.78 | — |
| Aetna | ASA | $154.71 | — |
| Physicians Coop of TX | MGMCR | $161.46 | — |
| Aetna | WCOMP | $161.46 | — |
| Rockport Health Group | WORKERSCOMP | $161.46 | — |
| PC Texas Partners | WCOMP | $161.46 | — |
| Averde Health, Inc | PPO | $170.27 | — |
| Value Options Behavioral Health | COMM | $176.14 | — |
| Magellan BH | Pinnacle | $176.14 | — |
| Magellan BH | Summit | $176.14 | — |
| Humana | BHCOMM | $190.82 | — |
| Multiplan PHCS | PrimaryNetwork | $205.50 | — |
| Mega Life | MGMCRPPO | $205.50 | — |
| Coastal Comp Health Networks | WCOMP | $205.50 | — |
| Cigna | LocalPlus | $208.39 | — |
| Cigna | NewBusiness | $208.39 | — |
| Aetna Coventry First Health | COMM | $213.43 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $220.18 | — |
| Cigna | HMO | $232.86 | — |
| Cigna | NetworkBenefit | $232.86 | — |
| Cigna | OpenAccessPlus | $232.86 | — |
| Cigna Behavioral Health | COMM | $234.86 | — |
| HealthSmart Preferred Care | PPO | $234.86 | — |
| ComPsych Corporation | COMM | $234.86 | — |
| USA Managed Care | COMM | $234.86 | — |
| Galaxy Health Network | PPO | $249.53 | — |
| Humana | COMM | $258.46 | — |
| Unicare | MCD | $293.57 | — |
| Independent Medical Systems | COMM | $293.57 | — |
| National Healthcare Solutions | COMM | $293.57 | — |
| Cigna | AllOther | $294.44 | — |
| BCBS | BlueAdvantageHMO | $470.77 | — |
| BCBS | MyBlueHealth | $470.77 | — |
| BCBS | BlueEssentialsAccess | $833.70 | — |
| BCBS | BlueEssentials | $833.70 | — |
| BCBS | EPOSOA | $874.78 | — |
| BCBS | PPO | $915.87 | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,075.78 | $659.08 – $659.08 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,210.66 | $351.91 – $400.58 |
| Baylor St Luke's Medical Center | Houston | $251.65 | $82.00 – $719.00 |
| St. Joseph Health Madison Hospital | Madisonville | $208.78 | $37.59 – $295.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $246.90 | $100.00 – $671.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $251.65 | $74.00 – $719.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $251.65 | $74.00 – $719.00 |
| St. Joseph Health College Station Hospital | College Station | $208.78 | $77.00 – $363.58 |