Ortho ewhf rigd without jnt cstm w 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.
$1,398.52 with Humana vs $8,145.42 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 | $1,398.52 | — |
| BCBS | MGMCRHMO | $1,413.50 | — |
| BCBS | MCRPPO | $1,413.50 | — |
| WellMed | MGMCR | $1,434.56 | — |
| Devoted Health | PPO | $1,441.77 | — |
| Amerigroup | DualEligible | $1,441.77 | — |
| Mutual of Omaha | MGMCR | $1,441.77 | — |
| Devoted Health | SNP | $1,441.77 | — |
| Devoted Health | HMO | $1,441.77 | — |
| Devoted Health | POS | $1,441.77 | — |
| Devoted Health | MCR | $1,441.77 | — |
| Devoted Health | MME | $1,441.77 | — |
| TriWest Veterans | FEDERAL | $1,441.77 | — |
| Humana | MGMCR | $1,441.77 | — |
| United | MGMCR | $1,448.98 | — |
| Aetna | MCR | $1,454.03 | — |
| Care N Care | MGMCR | $1,456.19 | — |
| Cigna Healthspring | MGMCR | $1,470.61 | — |
| Integranet | MGMCR | $1,485.02 | — |
| WellCare | MGMCR | $1,485.02 | — |
| American Health Plan of Texas, Inc. | MGMCR | $1,513.86 | — |
| Superior Health Plan | MGMCRHMO | $1,513.86 | — |
| Superior Health Plan | MGMCRPPO | $1,513.86 | — |
| Superior Health Plan | MGMCRDualEligible | $1,513.86 | — |
| Superior Health Plan | MGMCRPFFS | $1,513.86 | — |
| Superior Health Plan | MGMCRPOS | $1,513.86 | — |
| Superior Health Plan | MGMCRSNP | $1,513.86 | — |
| ProCare Advantge | MCR | $1,513.86 | — |
| Texas Independent Health Plan | MGMCR | $1,528.28 | — |
| Provider Partners Health Plan | MCR | $1,528.28 | — |
| Molina | MME | $1,571.53 | — |
| Molina | MCR | $1,571.53 | — |
| Cenpatico | BHMGMCR | $1,571.53 | — |
| Molina | MMP | $1,571.53 | — |
| Imperial Insurance Company | MCR | $1,585.95 | — |
| Universal Healthcare Group | MCR | $1,730.12 | — |
| Verda Health Plan | MGMCR | $1,874.30 | — |
| Bravo Health | MCRPOS | $2,162.65 | — |
| Bravo Health | MCRSNP | $2,162.65 | — |
| Bravo Health | MCRHMO | $2,162.65 | — |
| Bravo Health | MCRPPO | $2,162.65 | — |
| Bravo Health | MCRPFFS | $2,162.65 | — |
| Superior | ValueHMO | $2,580.77 | — |
| USA Managed Care | WORKERSCOMP | $2,739.36 | — |
| Corvel Corporation | WORKERSCOMP | $2,854.70 | — |
| Superior | EPO | $3,229.56 | — |
| Superior | HMO | $3,229.56 | — |
| Molina Healthcare | HIX | $3,777.44 | — |
| Humana | COMM | $8,145.42 | — |
Visitor-reported prices
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Ortho ewhf rigd without jnt cstm w at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $574.04 | $344.43 – $1,230.08 |
| HCA HOUSTON TOMBALL | HOUSTON | $1,038.00 | $1,412.93 – $3,099.81 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $725.31 | $1,118.41 – $1,118.41 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $725.31 | $1,118.41 – $1,118.41 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $725.31 | $1,118.41 – $1,118.41 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $725.31 | $1,118.41 – $1,118.41 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $725.31 | $1,118.41 – $1,118.41 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $1,410.33 | $1,118.41 – $1,118.41 |