Ophthalmic mitomycin at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$258.71
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.
$258.71
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.
$18.11 with Superior Health Plan vs $3,750.91 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $18.11 | ↓ -93% |
| Superior Health Plan | CHIP | $18.11 | ↓ -93% |
| Superior Health Plan | STARKids | $18.11 | ↓ -93% |
| Superior Health Plan | STARPLUS | $18.11 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $18.11 | ↓ -93% |
| Cigna | IFP | $34.93 | ↓ -86% |
| Aetna | QHPHIX | $34.93 | ↓ -86% |
| Cigna | QHP | $36.22 | ↓ -86% |
| United | OptionsPPO | $48.38 | ↓ -81% |
| Aetna | NewBusiness | $51.48 | ↓ -80% |
| Aetna | COMM | $55.11 | ↓ -79% |
| Aetna | Meritain | $55.11 | ↓ -79% |
| Aetna | OON | $64.94 | ↓ -75% |
| Unicare | CHIP | $67.26 | ↓ -74% |
| Healthcare Highways | CityofPlano | $87.44 | ↓ -66% |
| City of McKinney | COMM | $90.55 | ↓ -65% |
| BCBS | Traditional | $114.87 | ↓ -56% |
| National ChoiceCare | WCOMP | $129.35 | ↓ -50% |
| Aetna | ASA | $136.34 | ↓ -47% |
| PC Texas Partners | WCOMP | $142.29 | ↓ -45% |
| Aetna | WCOMP | $142.29 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $142.29 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $142.29 | ↓ -45% |
| Averde Health, Inc | PPO | $150.05 | ↓ -42% |
| Value Options Behavioral Health | COMM | $155.23 | ↓ -40% |
| Magellan BH | Pinnacle | $155.23 | ↓ -40% |
| Magellan BH | Summit | $155.23 | ↓ -40% |
| Humana | BHCOMM | $168.16 | ↓ -35% |
| Mega Life | MGMCRPPO | $181.10 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $181.10 | ↓ -30% |
| Aetna Coventry First Health | COMM | $188.08 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $194.03 | ↓ -25% |
| USA Managed Care | COMM | $206.97 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $206.97 | ↓ -20% |
| Cigna Behavioral Health | COMM | $206.97 | ↓ -20% |
| Galaxy Health Network | PPO | $219.90 | ↓ -15% |
| National Healthcare Solutions | COMM | $258.71 | ↑ +0% |
| Independent Medical Systems | COMM | $258.71 | ↑ +0% |
| Unicare | MCD | $258.71 | ↑ +0% |
| BCBS | MyBlueHealth | $1,238.55 | ↑ +379% |
| BCBS | BlueAdvantageHMO | $1,238.55 | ↑ +379% |
| BCBS | BlueEssentials | $1,812.95 | ↑ +601% |
| BCBS | BlueEssentialsAccess | $1,812.95 | ↑ +601% |
| BCBS | EPOSOA | $1,902.70 | ↑ +635% |
| BCBS | PPO | $1,992.45 | ↑ +670% |
| Humana | COMM | $2,247.19 | ↑ +769% |
| BCBS | BluePremier | $2,351.45 | ↑ +809% |
| Cigna | LocalPlus | $2,653.97 | ↑ +926% |
| Cigna | NewBusiness | $2,656.60 | ↑ +927% |
| Cigna | OpenAccessPlus | $2,964.94 | ↑ +1046% |
| Cigna | NetworkBenefit | $2,964.94 | ↑ +1046% |
| Cigna | HMO | $2,964.94 | ↑ +1046% |
| Cigna | AllOther | $3,750.91 | ↑ +1350% |
Visitor-reported prices
Comments
Ophthalmic mitomycin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $417.85 | $262.65 – $895.39 |
| Texas Health Presbyterian Hospital Allen | Allen | $775.44 | $468.50 – $468.50 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $775.44 | $735.23 – $735.23 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $339.21 | $145.38 – $710.82 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $775.44 | $468.50 – $468.50 |
| Texas Health Arlington Memorial Hospital | Arlington | $775.44 | $468.50 – $468.50 |
| Texas Health Presbyterian Hospital Denton | Denton | $775.44 | $468.50 – $468.50 |
| Texas Health Presbyterian Hospital Plano | Plano | $775.44 | $468.50 – $468.50 |