Prcrd drg 6+yr without anomly 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.
$340.32 with BCBS vs $28,286.00 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 |
|---|---|---|---|
| BCBS | BluePremier | $340.32 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Cigna | IFP | $1,129.33 | — |
| Cigna | QHP | $1,171.16 | — |
| United | OptionsPPO | $1,564.33 | — |
| Imperial Insurance Company | MCR | $1,589.43 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Healthcare Highways | NarrowNetwork | $2,152.00 | — |
| Unicare | CHIP | $2,175.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Humana | COMM | $2,592.44 | — |
| Healthcare Highways | CityofPlano | $2,827.51 | — |
| City of McKinney | COMM | $2,927.89 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| BCBS | Traditional | $3,714.24 | — |
| National ChoiceCare | WCOMP | $4,182.70 | — |
| Aetna | OON | $4,332.00 | — |
| Aetna | ASA | $4,408.57 | — |
| Aetna | WCOMP | $4,600.97 | — |
| Rockport Health Group | WORKERSCOMP | $4,600.97 | — |
| Physicians Coop of TX | MGMCR | $4,600.97 | — |
| PC Texas Partners | WCOMP | $4,600.97 | — |
| Averde Health, Inc | PPO | $4,851.93 | — |
| Value Options Behavioral Health | COMM | $5,019.24 | — |
| Magellan BH | Summit | $5,019.24 | — |
| Magellan BH | Pinnacle | $5,019.24 | — |
| Humana | BHCOMM | $5,437.51 | — |
| BCBS | BlueEssentials | $5,611.45 | — |
| BCBS | BlueEssentialsAccess | $5,611.45 | — |
| Multiplan PHCS | PrimaryNetwork | $5,855.78 | — |
| Coastal Comp Health Networks | WCOMP | $5,855.78 | — |
| Mega Life | MGMCRPPO | $5,855.78 | — |
| BCBS | EPOSOA | $5,890.36 | — |
| BCBS | MyBlueHealth | $6,049.00 | — |
| BCBS | BlueAdvantageHMO | $6,049.00 | — |
| Aetna Coventry First Health | COMM | $6,081.65 | — |
| BCBS | PPO | $6,166.71 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $6,274.05 | — |
| Oscar | HIX | $6,587.00 | — |
| ComPsych Corporation | COMM | $6,692.32 | — |
| HealthSmart Preferred Care | PPO | $6,692.32 | — |
| Cigna Behavioral Health | COMM | $6,692.32 | — |
| USA Managed Care | COMM | $6,692.32 | — |
| Galaxy Health Network | PPO | $7,110.59 | — |
| Independent Medical Systems | COMM | $8,365.40 | — |
| National Healthcare Solutions | COMM | $8,365.40 | — |
| Unicare | MCD | $8,365.40 | — |
| United | SmallGroup | $8,954.00 | — |
| United | NarrowNetworkIndivExchange | $9,360.00 | — |
| United | AllPayerAppendix | $10,868.00 | — |
| Curative Administrators | COMM | $12,018.00 | — |
| Cigna | LocalPlus | $20,013.00 | — |
| Cigna | NewBusiness | $20,033.00 | — |
| Cigna | HMO | $22,360.00 | — |
| Cigna | OpenAccessPlus | $22,360.00 | — |
| Cigna | NetworkBenefit | $22,360.00 | — |
| Cigna | AllOther | $28,286.00 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $3,161.89 | $895.87 – $4,479.35 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $3,161.89 | $676.64 – $4,479.35 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,161.89 | $895.87 – $4,479.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,432.13 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,724.71 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,161.89 | $843.17 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,432.13 | $85.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,432.13 | $1,256.60 – $3,648.20 |