Onc cutan mlnma mrna 31 gene 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.
$7,157.03 with WellMed vs $38,744.53 with Cigna — 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 |
|---|---|---|---|
| WellMed | MGMCR | $7,157.03 | — |
| United | SmallGroup | $7,193.00 | — |
| United | NarrowNetworkIndivExchange | $7,193.00 | — |
| Devoted Health | MME | $7,193.00 | — |
| Devoted Health | PPO | $7,193.00 | — |
| Devoted Health | SNP | $7,193.00 | — |
| Devoted Health | HMO | $7,193.00 | — |
| Devoted Health | POS | $7,193.00 | — |
| United | AllPayerAppendix | $7,193.00 | — |
| Amerigroup | DualEligible | $7,193.00 | — |
| Humana | MGMCR | $7,193.00 | — |
| TriWest Veterans | FEDERAL | $7,193.00 | — |
| BCBS | MGMCRHMO | $7,193.00 | — |
| Mutual of Omaha | MGMCR | $7,193.00 | — |
| BCBS | MCRPPO | $7,193.00 | — |
| Devoted Health | MCR | $7,193.00 | — |
| United | MGMCR | $7,228.96 | — |
| Aetna | MCR | $7,254.14 | — |
| Care N Care | MGMCR | $7,264.93 | — |
| Cigna Healthspring | MGMCR | $7,336.86 | — |
| WellCare | MGMCR | $7,408.79 | — |
| Integranet | MGMCR | $7,408.79 | — |
| American Health Plan of Texas, Inc. | MGMCR | $7,552.65 | — |
| Superior Health Plan | MGMCRHMO | $7,552.65 | — |
| Superior Health Plan | MGMCRPPO | $7,552.65 | — |
| Superior Health Plan | MGMCRDualEligible | $7,552.65 | — |
| Superior Health Plan | MGMCRPFFS | $7,552.65 | — |
| Superior Health Plan | MGMCRPOS | $7,552.65 | — |
| Superior Health Plan | MGMCRSNP | $7,552.65 | — |
| ProCare Advantge | MCR | $7,552.65 | — |
| Texas Independent Health Plan | MGMCR | $7,624.58 | — |
| Provider Partners Health Plan | MCR | $7,624.58 | — |
| Cenpatico | BHMGMCR | $7,840.37 | — |
| Molina | MCR | $7,840.37 | — |
| Molina | MMP | $7,840.37 | — |
| Molina | MME | $7,840.37 | — |
| Imperial Insurance Company | MCR | $7,912.30 | — |
| Universal Healthcare Group | MCR | $8,631.60 | — |
| Verda Health Plan | MGMCR | $9,350.90 | — |
| Bravo Health | MCRPPO | $10,789.50 | — |
| Bravo Health | MCRPOS | $10,789.50 | — |
| Bravo Health | MCRPFFS | $10,789.50 | — |
| Bravo Health | MCRSNP | $10,789.50 | — |
| Bravo Health | MCRHMO | $10,789.50 | — |
| BCBS | BluePremier | $11,149.15 | — |
| BCBS | BlueAdvantageHMO | $12,587.75 | — |
| BCBS | MyBlueHealth | $12,587.75 | — |
| Superior | ValueHMO | $12,875.47 | — |
| USA Managed Care | WORKERSCOMP | $13,666.70 | — |
| Corvel Corporation | WORKERSCOMP | $14,242.14 | — |
| Superior | HMO | $16,112.32 | — |
| Superior | EPO | $16,112.32 | — |
| BCBS | BlueEssentials | $17,766.71 | — |
| BCBS | BlueEssentialsAccess | $17,766.71 | — |
| BCBS | EPOSOA | $18,629.87 | — |
| Oscar | HIX | $18,701.80 | — |
| Molina Healthcare | HIX | $18,845.66 | — |
| BCBS | PPO | $19,493.03 | — |
| Cigna | LocalPlus | $27,408.17 | — |
| Cigna | NewBusiness | $27,435.50 | — |
| Cigna | HMO | $30,612.96 | — |
| Cigna | OpenAccessPlus | $30,612.96 | — |
| Cigna | NetworkBenefit | $30,612.96 | — |
| Cigna | AllOther | $38,744.53 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Onc cutan mlnma mrna 31 gene at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $6,473.70 – $27,693.05 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $7,049.14 – $29,587.97 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $7,049.14 – $29,587.97 |
| Covenant Children's Hospital | Lubbock | not published | $15,709.52 – $31,361.48 |
| HCA HOUSTON CONROE | CONROE | not published | $7,049.14 – $29,587.97 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $7,049.14 – $29,587.97 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $7,049.14 – $29,587.97 |
| HCA HOUSTON PEARLAND | Pearland | not published | $7,049.14 – $29,587.97 |