Non-molded lacer 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.
$250.24 with Humana vs $1,457.35 with Humana — 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 |
|---|---|---|---|
| Humana | Tricare | $250.24 | — |
| BCBS | MGMCRHMO | $252.92 | — |
| BCBS | MCRPPO | $252.92 | — |
| WellMed | MGMCR | $256.69 | — |
| Devoted Health | PPO | $257.98 | — |
| Amerigroup | DualEligible | $257.98 | — |
| Mutual of Omaha | MGMCR | $257.98 | — |
| Devoted Health | SNP | $257.98 | — |
| Devoted Health | HMO | $257.98 | — |
| Devoted Health | POS | $257.98 | — |
| Devoted Health | MCR | $257.98 | — |
| Devoted Health | MME | $257.98 | — |
| TriWest Veterans | FEDERAL | $257.98 | — |
| Humana | MGMCR | $257.98 | — |
| United | MGMCR | $259.27 | — |
| Aetna | MCR | $260.17 | — |
| Care N Care | MGMCR | $260.56 | — |
| Cigna Healthspring | MGMCR | $263.14 | — |
| Integranet | MGMCR | $265.72 | — |
| WellCare | MGMCR | $265.72 | — |
| American Health Plan of Texas, Inc. | MGMCR | $270.88 | — |
| Superior Health Plan | MGMCRHMO | $270.88 | — |
| Superior Health Plan | MGMCRPPO | $270.88 | — |
| Superior Health Plan | MGMCRDualEligible | $270.88 | — |
| Superior Health Plan | MGMCRPFFS | $270.88 | — |
| Superior Health Plan | MGMCRPOS | $270.88 | — |
| Superior Health Plan | MGMCRSNP | $270.88 | — |
| ProCare Advantge | MCR | $270.88 | — |
| Texas Independent Health Plan | MGMCR | $273.46 | — |
| Provider Partners Health Plan | MCR | $273.46 | — |
| Molina | MME | $281.20 | — |
| Molina | MCR | $281.20 | — |
| Cenpatico | BHMGMCR | $281.20 | — |
| Molina | MMP | $281.20 | — |
| Imperial Insurance Company | MCR | $283.78 | — |
| Universal Healthcare Group | MCR | $309.58 | — |
| Verda Health Plan | MGMCR | $335.37 | — |
| Bravo Health | MCRPOS | $386.97 | — |
| Bravo Health | MCRSNP | $386.97 | — |
| Bravo Health | MCRHMO | $386.97 | — |
| Bravo Health | MCRPPO | $386.97 | — |
| Bravo Health | MCRPFFS | $386.97 | — |
| Superior | ValueHMO | $461.78 | — |
| USA Managed Care | WORKERSCOMP | $490.16 | — |
| Corvel Corporation | WORKERSCOMP | $510.80 | — |
| Superior | EPO | $577.88 | — |
| Superior | HMO | $577.88 | — |
| Molina Healthcare | HIX | $675.91 | — |
| Humana | COMM | $1,457.35 | — |
Visitor-reported prices
Comments
Non-molded lacer at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $360.00 | $102.00 – $480.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $360.00 | $77.04 – $480.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $360.00 | $102.00 – $480.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $360.00 | $96.00 – $480.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $360.00 | $96.00 – $480.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $360.00 | $90.00 – $480.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $360.00 | $66.00 – $480.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $360.00 | $66.00 – $480.00 |