Peri-proc device eval pm at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$3,846.32
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.
$3,846.32
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.
$47.62 with BCBS vs $3,846.32 with Unicare — 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 |
|---|---|---|---|
| BCBS | BluePremier | $47.62 | ↓ -99% |
| BCBS | BlueAdvantageHMO | $55.49 | ↓ -99% |
| BCBS | MyBlueHealth | $55.49 | ↓ -99% |
| BCBS | BlueEssentials | $98.28 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $98.28 | ↓ -97% |
| Humana | COMM | $101.08 | ↓ -97% |
| BCBS | EPOSOA | $103.12 | ↓ -97% |
| BCBS | PPO | $107.96 | ↓ -97% |
| Superior Health Plan | STARHealth | $269.24 | ↓ -93% |
| Superior Health Plan | STARPLUS | $269.24 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $269.24 | ↓ -93% |
| Superior Health Plan | CHIP | $269.24 | ↓ -93% |
| Superior Health Plan | STARKids | $269.24 | ↓ -93% |
| Cigna | IFP | $519.25 | ↓ -87% |
| Aetna | QHPHIX | $519.25 | ↓ -87% |
| Cigna | QHP | $538.48 | ↓ -86% |
| United | OptionsPPO | $719.26 | ↓ -81% |
| Imperial Insurance Company | MCR | $730.80 | ↓ -81% |
| Aetna | NewBusiness | $765.42 | ↓ -80% |
| Oscar | HIX | $800.03 | ↓ -79% |
| Aetna | Meritain | $819.27 | ↓ -79% |
| Aetna | COMM | $819.27 | ↓ -79% |
| Aetna | OON | $965.43 | ↓ -75% |
| Evry Health | COMM | $992.35 | ↓ -74% |
| Unicare | CHIP | $1,000.04 | ↓ -74% |
| Cigna | LocalPlus | $1,015.43 | ↓ -74% |
| Cigna | NewBusiness | $1,015.43 | ↓ -74% |
| Cigna | NetworkBenefit | $1,134.66 | ↓ -71% |
| Cigna | HMO | $1,134.66 | ↓ -71% |
| Cigna | OpenAccessPlus | $1,134.66 | ↓ -71% |
| Healthcare Highways | CityofPlano | $1,300.06 | ↓ -66% |
| City of McKinney | COMM | $1,346.21 | ↓ -65% |
| Cigna | AllOther | $1,434.68 | ↓ -63% |
| Curative Administrators | COMM | $1,538.53 | ↓ -60% |
| BCBS | Traditional | $1,707.77 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $1,730.84 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,923.16 | ↓ -50% |
| Aetna | ASA | $2,027.01 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $2,115.48 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,115.48 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,115.48 | ↓ -45% |
| Aetna | WCOMP | $2,115.48 | ↓ -45% |
| Averde Health, Inc | PPO | $2,230.87 | ↓ -42% |
| Value Options Behavioral Health | COMM | $2,307.79 | ↓ -40% |
| Magellan BH | Pinnacle | $2,307.79 | ↓ -40% |
| Magellan BH | Summit | $2,307.79 | ↓ -40% |
| Humana | BHCOMM | $2,500.11 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $2,692.42 | ↓ -30% |
| Mega Life | MGMCRPPO | $2,692.42 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $2,692.42 | ↓ -30% |
| Aetna Coventry First Health | COMM | $2,796.27 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,884.74 | ↓ -25% |
| USA Managed Care | COMM | $3,077.06 | ↓ -20% |
| ComPsych Corporation | COMM | $3,077.06 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $3,077.06 | ↓ -20% |
| Cigna Behavioral Health | COMM | $3,077.06 | ↓ -20% |
| Galaxy Health Network | PPO | $3,269.37 | ↓ -15% |
| National Healthcare Solutions | COMM | $3,846.32 | ↑ +0% |
| Independent Medical Systems | COMM | $3,846.32 | ↑ +0% |
| Unicare | MCD | $3,846.32 | ↑ +0% |
Visitor-reported prices
Comments
Peri-proc device eval pm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $263.13 | $61.95 – $372.77 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $263.13 | $56.31 – $372.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $263.13 | $61.95 – $372.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $200.92 | $41.36 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $151.92 | $30.38 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $263.13 | $47.22 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $200.92 | $64.49 – $917.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $200.92 | $103.81 – $301.37 |