Njx interlaminar lmbr/sac at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$12,628.76
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.
$12,628.76
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.
$340.77 with United vs $12,628.76 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 |
|---|---|---|---|
| United | STARPLUS | $340.77 | ↓ -97% |
| Parkland Community Health Plan | MCD | $340.77 | ↓ -97% |
| United | STARPerinate | $340.77 | ↓ -97% |
| United | STARKids | $340.77 | ↓ -97% |
| United | CHIP | $340.77 | ↓ -97% |
| United | STAR | $340.77 | ↓ -97% |
| Amerigroup | CHIP | $357.81 | ↓ -97% |
| Amerigroup | MGMCD | $357.81 | ↓ -97% |
| Cigna Healthspring | MGMCD | $357.81 | ↓ -97% |
| Molina | MCDSTAR | $374.85 | ↓ -97% |
| Molina | STARKIDS | $374.85 | ↓ -97% |
| Molina | STAR+PLUS | $374.85 | ↓ -97% |
| Molina | CHIP | $374.85 | ↓ -97% |
| Aetna Better Health | MCD | $408.92 | ↓ -97% |
| Aetna Better Health | CHIP | $408.92 | ↓ -97% |
| Humana | MGMCD | $425.96 | ↓ -97% |
| Humana | COMM | $429.94 | ↓ -97% |
| WellMed | MGMCR | $892.95 | ↓ -93% |
| Superior Health Plan | STARHealth | $948.00 | ↓ -92% |
| Superior Health Plan | CHIP | $948.00 | ↓ -92% |
| Superior Health Plan | STARKids | $948.00 | ↓ -92% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -92% |
| Superior Health Plan | MCDSTAR | $948.00 | ↓ -92% |
| BCBS | BluePremier | $1,080.03 | ↓ -91% |
| United | NarrowNetworkIndivExchange | $1,562.00 | ↓ -88% |
| United | SmallGroup | $1,676.00 | ↓ -87% |
| Cigna | IFP | $1,704.88 | ↓ -87% |
| Cigna | QHP | $1,768.03 | ↓ -86% |
| BCBS | MyBlueHealth | $1,827.11 | ↓ -86% |
| BCBS | BlueAdvantageHMO | $1,827.11 | ↓ -86% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -84% |
| Curative Administrators | COMM | $2,012.00 | ↓ -84% |
| Healthcare Highways | NarrowNetwork | $2,152.00 | ↓ -83% |
| BCBS | BlueEssentialsAccess | $2,176.29 | ↓ -83% |
| BCBS | BlueEssentials | $2,176.29 | ↓ -83% |
| Evry Health | COMM | $2,287.00 | ↓ -82% |
| BCBS | EPOSOA | $2,289.98 | ↓ -82% |
| United | AllPayerAppendix | $2,300.00 | ↓ -82% |
| United | OptionsPPO | $2,361.58 | ↓ -81% |
| BCBS | PPO | $2,395.55 | ↓ -81% |
| Aetna | QHPHIX | $2,513.00 | ↓ -80% |
| Cigna | LocalPlus | $2,700.00 | ↓ -79% |
| Cigna | NewBusiness | $2,702.00 | ↓ -79% |
| Cigna | OpenAccessPlus | $3,016.00 | ↓ -76% |
| Cigna | HMO | $3,016.00 | ↓ -76% |
| Cigna | NetworkBenefit | $3,016.00 | ↓ -76% |
| Unicare | CHIP | $3,283.48 | ↓ -74% |
| Oscar | HIX | $3,293.00 | ↓ -74% |
| Aetna | NewBusiness | $3,445.00 | ↓ -73% |
| Aetna | Meritain | $3,682.00 | ↓ -71% |
| Aetna | COMM | $3,682.00 | ↓ -71% |
| Cigna | AllOther | $3,816.00 | ↓ -70% |
| Healthcare Highways | CityofPlano | $4,268.52 | ↓ -66% |
| Aetna | OON | $4,332.00 | ↓ -66% |
| City of McKinney | COMM | $4,420.07 | ↓ -65% |
| BCBS | Traditional | $5,607.17 | ↓ -56% |
| National ChoiceCare | WCOMP | $6,314.38 | ↓ -50% |
| Aetna | ASA | $6,655.36 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $6,945.82 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $6,945.82 | ↓ -45% |
| Aetna | WCOMP | $6,945.82 | ↓ -45% |
| PC Texas Partners | WCOMP | $6,945.82 | ↓ -45% |
| Averde Health, Inc | PPO | $7,324.68 | ↓ -42% |
| Magellan BH | Pinnacle | $7,577.26 | ↓ -40% |
| Value Options Behavioral Health | COMM | $7,577.26 | ↓ -40% |
| Magellan BH | Summit | $7,577.26 | ↓ -40% |
| Humana | BHCOMM | $8,208.69 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $8,840.13 | ↓ -30% |
| Mega Life | MGMCRPPO | $8,840.13 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $8,840.13 | ↓ -30% |
| Aetna Coventry First Health | COMM | $9,181.11 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $9,471.57 | ↓ -25% |
| USA Managed Care | COMM | $10,103.01 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $10,103.01 | ↓ -20% |
| Cigna Behavioral Health | COMM | $10,103.01 | ↓ -20% |
| ComPsych Corporation | COMM | $10,103.01 | ↓ -20% |
| Galaxy Health Network | PPO | $10,734.45 | ↓ -15% |
| National Healthcare Solutions | COMM | $12,628.76 | ↑ +0% |
| Independent Medical Systems | COMM | $12,628.76 | ↑ +0% |
| Unicare | MCD | $12,628.76 | ↑ +0% |
Visitor-reported prices
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Njx interlaminar lmbr/sac at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,493.92 | $340.77 – $2,257.97 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,493.92 | $340.77 – $2,257.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,493.92 | $340.77 – $2,257.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,959.14 | $71.00 – $3,421.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,388.14 | $71.00 – $3,421.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,493.92 | $340.77 – $2,257.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,959.14 | $85.00 – $3,421.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,959.14 | $340.77 – $2,938.71 |