Prolonged IV inf, req pump 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.
$222.71 with Superior Health Plan vs $3,181.54 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $222.71 | — |
| Superior Health Plan | STARHealth | $222.71 | — |
| Superior Health Plan | CHIP | $222.71 | — |
| Superior Health Plan | STARKids | $222.71 | — |
| Superior Health Plan | MCDSTAR | $222.71 | — |
| BCBS | BluePremier | $411.77 | — |
| Cigna | IFP | $429.51 | — |
| Aetna | QHPHIX | $429.51 | — |
| Cigna | QHP | $445.42 | — |
| United | OptionsPPO | $594.95 | — |
| Aetna | NewBusiness | $633.13 | — |
| Oscar | HIX | $661.76 | — |
| Aetna | Meritain | $677.67 | — |
| Aetna | COMM | $677.67 | — |
| BCBS | BlueAdvantageHMO | $696.60 | — |
| BCBS | MyBlueHealth | $696.60 | — |
| Healthcare Highways | NarrowNetwork | $779.48 | — |
| Aetna | OON | $798.57 | — |
| Evry Health | COMM | $820.84 | — |
| Unicare | CHIP | $827.20 | — |
| BCBS | BlueEssentials | $829.73 | — |
| BCBS | BlueEssentialsAccess | $829.73 | — |
| Cigna | LocalPlus | $839.93 | — |
| Cigna | NewBusiness | $839.93 | — |
| BCBS | EPOSOA | $873.07 | — |
| BCBS | PPO | $913.32 | — |
| Cigna | NetworkBenefit | $938.55 | — |
| Cigna | OpenAccessPlus | $938.55 | — |
| Cigna | HMO | $938.55 | — |
| Humana | COMM | $985.96 | — |
| Healthcare Highways | CityofPlano | $1,075.36 | — |
| City of McKinney | COMM | $1,113.54 | — |
| Cigna | AllOther | $1,186.71 | — |
| Curative Administrators | COMM | $1,272.62 | — |
| BCBS | Traditional | $1,412.60 | — |
| Fidelis SecureCare | MGMCR | $1,431.69 | — |
| National ChoiceCare | WCOMP | $1,590.77 | — |
| Aetna | ASA | $1,676.67 | — |
| Physicians Coop of TX | MGMCR | $1,749.85 | — |
| Rockport Health Group | WORKERSCOMP | $1,749.85 | — |
| Aetna | WCOMP | $1,749.85 | — |
| PC Texas Partners | WCOMP | $1,749.85 | — |
| Averde Health, Inc | PPO | $1,845.29 | — |
| Value Options Behavioral Health | COMM | $1,908.92 | — |
| Magellan BH | Pinnacle | $1,908.92 | — |
| Magellan BH | Summit | $1,908.92 | — |
| Humana | BHCOMM | $2,068.00 | — |
| Coastal Comp Health Networks | WCOMP | $2,227.08 | — |
| Mega Life | MGMCRPPO | $2,227.08 | — |
| Multiplan PHCS | PrimaryNetwork | $2,227.08 | — |
| Aetna Coventry First Health | COMM | $2,312.98 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,386.16 | — |
| Cigna Behavioral Health | COMM | $2,545.23 | — |
| HealthSmart Preferred Care | PPO | $2,545.23 | — |
| ComPsych Corporation | COMM | $2,545.23 | — |
| USA Managed Care | COMM | $2,545.23 | — |
| Galaxy Health Network | PPO | $2,704.31 | — |
| National Healthcare Solutions | COMM | $3,181.54 | — |
| Independent Medical Systems | COMM | $3,181.54 | — |
| Unicare | MCD | $3,181.54 | — |
Visitor-reported prices
Comments
Prolonged IV inf, req pump at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $138.29 | $90.00 – $296.33 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $102.60 | $222.91 – $270.78 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $199.50 | $222.91 – $270.78 |
| CHRISTUS Health - West Beaumont | Beaumont | $127.05 | $332.23 – $664.46 |
| Adventhealth Rollins Brook | Lampasas | not published | $387.00 – $387.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $495.36 – $495.36 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $634.68 – $634.68 |
| Covenant Children's Hospital | Lubbock | not published | $336.45 – $659.45 |