Pelvic CT scan (without contrast) 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.
$104.75 with United vs $8,817.48 with Independent Medical Systems — 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 | CHIP | $104.75 | — |
| United | STARPerinate | $104.75 | — |
| Amerigroup | MGMCD | $104.75 | — |
| United | STARKids | $104.75 | — |
| Parkland Community Health Plan | MCD | $104.75 | — |
| United | STAR | $104.75 | — |
| Amerigroup | CHIP | $104.75 | — |
| United | STARPLUS | $104.75 | — |
| Cigna Healthspring | MGMCD | $109.99 | — |
| Aetna Better Health | MCD | $113.13 | — |
| Aetna Better Health | CHIP | $113.13 | — |
| Molina | STAR+PLUS | $115.23 | — |
| Molina | MCDSTAR | $115.23 | — |
| Molina | STARKIDS | $115.23 | — |
| Molina | CHIP | $115.23 | — |
| Humana | MGMCD | $130.94 | — |
| BCBS | MyBlueHealth | $141.22 | — |
| BCBS | BlueAdvantageHMO | $141.22 | — |
| United | SmallGroup | $154.52 | — |
| United | NarrowNetworkIndivExchange | $154.52 | — |
| BCBS | BluePremier | $155.79 | — |
| United | AllPayerAppendix | $245.18 | — |
| Imaging Providers of Texas | HMOBlue | $350.00 | — |
| Humana | COMM | $367.26 | — |
| BCBS | BlueEssentialsAccess | $435.99 | — |
| BCBS | BlueEssentials | $435.99 | — |
| BCBS | EPOSOA | $457.29 | — |
| BCBS | PPO | $478.58 | — |
| Aetna | QHPHIX | $584.00 | — |
| Superior Health Plan | MCDSTAR | $617.22 | — |
| Superior Health Plan | CHIP | $617.22 | — |
| Superior Health Plan | STARKids | $617.22 | — |
| Superior Health Plan | STARPLUS | $617.22 | — |
| Superior Health Plan | STARHealth | $617.22 | — |
| Aetna | NewBusiness | $800.00 | — |
| Aetna | Meritain | $856.00 | — |
| Aetna | COMM | $856.00 | — |
| Aetna | OON | $1,006.00 | — |
| Cigna | IFP | $1,190.36 | — |
| Cigna | QHP | $1,234.45 | — |
| United | OptionsPPO | $1,648.87 | — |
| Unicare | CHIP | $2,292.54 | — |
| Healthcare Highways | CityofPlano | $2,980.31 | — |
| BCBS | Traditional | $3,914.96 | — |
| Fidelis SecureCare | MGMCR | $3,967.87 | — |
| National ChoiceCare | WCOMP | $4,408.74 | — |
| Aetna | ASA | $4,646.81 | — |
| Rockport Health Group | WORKERSCOMP | $4,849.61 | — |
| PC Texas Partners | WCOMP | $4,849.61 | — |
| Physicians Coop of TX | MGMCR | $4,849.61 | — |
| Aetna | WCOMP | $4,849.61 | — |
| Averde Health, Inc | PPO | $5,114.14 | — |
| Value Options Behavioral Health | COMM | $5,290.49 | — |
| Magellan BH | Pinnacle | $5,290.49 | — |
| Magellan BH | Summit | $5,290.49 | — |
| Humana | BHCOMM | $5,731.36 | — |
| Coastal Comp Health Networks | WCOMP | $6,172.24 | — |
| Mega Life | MGMCRPPO | $6,172.24 | — |
| Aetna Coventry First Health | COMM | $6,410.31 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $6,613.11 | — |
| USA Managed Care | COMM | $7,053.98 | — |
| Cigna Behavioral Health | COMM | $7,053.98 | — |
| HealthSmart Preferred Care | PPO | $7,053.98 | — |
| ComPsych Corporation | COMM | $7,053.98 | — |
| Galaxy Health Network | PPO | $7,494.86 | — |
| Unicare | MCD | $8,817.48 | — |
| National Healthcare Solutions | COMM | $8,817.48 | — |
| Independent Medical Systems | COMM | $8,817.48 | — |
Visitor-reported prices
Comments
Pelvic CT scan (without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,621.86 | $99.77 – $2,027.33 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,621.86 | $99.77 – $2,027.33 |
| Adventhealth Rollins Brook | Lampasas | $3,981.50 | $522.29 – $522.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,621.86 | $99.77 – $2,027.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,456.33 | $141.23 – $2,184.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,890.36 | $99.77 – $2,362.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,621.86 | $99.77 – $2,027.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,456.33 | $99.77 – $2,184.50 |