Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$19,084.66
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.
$19,084.66
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.
$1,205.82 with Aetna vs $19,084.66 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 |
|---|---|---|---|
| Aetna | QHPHIX | $1,205.82 | ↓ -94% |
| BCBS | BluePremier | $1,242.61 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $1,335.93 | ↓ -93% |
| Superior Health Plan | CHIP | $1,335.93 | ↓ -93% |
| Superior Health Plan | STARHealth | $1,335.93 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1,335.93 | ↓ -93% |
| Superior Health Plan | STARKids | $1,335.93 | ↓ -93% |
| BCBS | MyBlueHealth | $1,447.96 | ↓ -92% |
| BCBS | BlueAdvantageHMO | $1,447.96 | ↓ -92% |
| Aetna | NewBusiness | $1,647.95 | ↓ -91% |
| Aetna | Meritain | $1,760.50 | ↓ -91% |
| Aetna | COMM | $1,760.50 | ↓ -91% |
| United | NarrowNetworkIndivExchange | $1,927.00 | ↓ -90% |
| Aetna | OON | $2,069.99 | ↓ -89% |
| United | SmallGroup | $2,348.00 | ↓ -88% |
| BCBS | BlueEssentials | $2,564.20 | ↓ -87% |
| BCBS | BlueEssentialsAccess | $2,564.20 | ↓ -87% |
| Cigna | IFP | $2,576.43 | ↓ -86% |
| Cigna | QHP | $2,671.85 | ↓ -86% |
| BCBS | EPOSOA | $2,690.57 | ↓ -86% |
| BCBS | PPO | $2,816.94 | ↓ -85% |
| United | AllPayerAppendix | $3,130.00 | ↓ -84% |
| United | OptionsPPO | $3,568.83 | ↓ -81% |
| Humana | COMM | $3,629.50 | ↓ -81% |
| Oscar | HIX | $3,969.61 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $4,675.74 | ↓ -76% |
| Evry Health | COMM | $4,923.84 | ↓ -74% |
| Unicare | CHIP | $4,962.01 | ↓ -74% |
| Cigna | NewBusiness | $5,038.35 | ↓ -74% |
| Cigna | LocalPlus | $5,038.35 | ↓ -74% |
| Cigna | NetworkBenefit | $5,629.97 | ↓ -71% |
| Cigna | HMO | $5,629.97 | ↓ -71% |
| Cigna | OpenAccessPlus | $5,629.97 | ↓ -71% |
| Healthcare Highways | CityofPlano | $6,450.62 | ↓ -66% |
| City of McKinney | COMM | $6,679.63 | ↓ -65% |
| Cigna | AllOther | $7,118.58 | ↓ -63% |
| Curative Administrators | COMM | $7,633.86 | ↓ -60% |
| BCBS | Traditional | $8,473.59 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $8,588.10 | ↓ -55% |
| National ChoiceCare | WCOMP | $9,542.33 | ↓ -50% |
| Aetna | ASA | $10,057.62 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $10,496.56 | ↓ -45% |
| PC Texas Partners | WCOMP | $10,496.56 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $10,496.56 | ↓ -45% |
| Aetna | WCOMP | $10,496.56 | ↓ -45% |
| Averde Health, Inc | PPO | $11,069.10 | ↓ -42% |
| Value Options Behavioral Health | COMM | $11,450.80 | ↓ -40% |
| Magellan BH | Pinnacle | $11,450.80 | ↓ -40% |
| Magellan BH | Summit | $11,450.80 | ↓ -40% |
| Humana | BHCOMM | $12,405.03 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $13,359.26 | ↓ -30% |
| Mega Life | MGMCRPPO | $13,359.26 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $13,359.26 | ↓ -30% |
| Aetna Coventry First Health | COMM | $13,874.55 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $14,313.50 | ↓ -25% |
| ComPsych Corporation | COMM | $15,267.73 | ↓ -20% |
| USA Managed Care | COMM | $15,267.73 | ↓ -20% |
| Cigna Behavioral Health | COMM | $15,267.73 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $15,267.73 | ↓ -20% |
| Galaxy Health Network | PPO | $16,221.96 | ↓ -15% |
| Independent Medical Systems | COMM | $19,084.66 | ↑ +0% |
| National Healthcare Solutions | COMM | $19,084.66 | ↑ +0% |
| Unicare | MCD | $19,084.66 | ↑ +0% |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $5,236.15 | $819.52 – $6,545.18 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $5,236.15 | $819.52 – $6,545.18 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,236.15 | $819.52 – $6,545.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,236.15 | $1,077.77 – $7,854.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,654.35 | $819.52 – $5,817.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,236.15 | $819.52 – $6,545.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,236.15 | $819.52 – $7,854.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,236.15 | $2,590.07 – $7,854.22 |