Protein electrophoretic fractionation & quantitation serum at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$592.46
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.
$592.46
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.
$9.02 with Amerigroup vs $592.46 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 |
|---|---|---|---|
| Amerigroup | CHIP | $9.02 | ↓ -98% |
| United | STARKids | $9.02 | ↓ -98% |
| United | STARPerinate | $9.02 | ↓ -98% |
| United | STAR | $9.02 | ↓ -98% |
| Parkland Community Health Plan | MCD | $9.02 | ↓ -98% |
| Amerigroup | MGMCD | $9.02 | ↓ -98% |
| United | STARPLUS | $9.02 | ↓ -98% |
| United | CHIP | $9.02 | ↓ -98% |
| Cigna Healthspring | MGMCD | $9.47 | ↓ -98% |
| Aetna Better Health | CHIP | $9.74 | ↓ -98% |
| Aetna Better Health | MCD | $9.74 | ↓ -98% |
| Molina | STAR+PLUS | $9.92 | ↓ -98% |
| Molina | MCDSTAR | $9.92 | ↓ -98% |
| Molina | CHIP | $9.92 | ↓ -98% |
| Molina | STARKIDS | $9.92 | ↓ -98% |
| WellMed | MGMCR | $10.69 | ↓ -98% |
| Humana | MGMCR | $10.74 | ↓ -98% |
| BCBS | MGMCRHMO | $10.74 | ↓ -98% |
| BCBS | MCRPPO | $10.74 | ↓ -98% |
| Mutual of Omaha | MGMCR | $10.74 | ↓ -98% |
| Devoted Health | MME | $10.74 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $10.74 | ↓ -98% |
| Amerigroup | DualEligible | $10.74 | ↓ -98% |
| TriWest Veterans | FEDERAL | $10.74 | ↓ -98% |
| Devoted Health | SNP | $10.74 | ↓ -98% |
| Devoted Health | HMO | $10.74 | ↓ -98% |
| Devoted Health | POS | $10.74 | ↓ -98% |
| Devoted Health | PPO | $10.74 | ↓ -98% |
| Devoted Health | MCR | $10.74 | ↓ -98% |
| United | SmallGroup | $10.74 | ↓ -98% |
| United | AllPayerAppendix | $10.74 | ↓ -98% |
| United | MGMCR | $10.79 | ↓ -98% |
| Aetna | MCR | $10.83 | ↓ -98% |
| Care N Care | MGMCR | $10.85 | ↓ -98% |
| Cigna Healthspring | MGMCR | $10.95 | ↓ -98% |
| Integranet | MGMCR | $11.06 | ↓ -98% |
| WellCare | MGMCR | $11.06 | ↓ -98% |
| Humana | Tricare | $11.27 | ↓ -98% |
| Humana | MGMCD | $11.27 | ↓ -98% |
| ProCare Advantge | MCR | $11.28 | ↓ -98% |
| Superior Health Plan | MGMCRPFFS | $11.28 | ↓ -98% |
| Superior Health Plan | MGMCRPOS | $11.28 | ↓ -98% |
| Superior Health Plan | MGMCRSNP | $11.28 | ↓ -98% |
| American Health Plan of Texas, Inc. | MGMCR | $11.28 | ↓ -98% |
| Superior Health Plan | MGMCRDualEligible | $11.28 | ↓ -98% |
| Superior Health Plan | MGMCRHMO | $11.28 | ↓ -98% |
| Superior Health Plan | MGMCRPPO | $11.28 | ↓ -98% |
| Texas Independent Health Plan | MGMCR | $11.38 | ↓ -98% |
| Provider Partners Health Plan | MCR | $11.38 | ↓ -98% |
| Molina | MMP | $11.71 | ↓ -98% |
| Cenpatico | BHMGMCR | $11.71 | ↓ -98% |
| Molina | MCR | $11.71 | ↓ -98% |
| Molina | MME | $11.71 | ↓ -98% |
| Imperial Insurance Company | MCR | $11.81 | ↓ -98% |
| Universal Healthcare Group | MCR | $12.89 | ↓ -98% |
| Aetna | QHPHIX | $13.65 | ↓ -98% |
| Verda Health Plan | MGMCR | $13.96 | ↓ -98% |
| Bravo Health | MCRHMO | $16.11 | ↓ -97% |
| Bravo Health | MCRPOS | $16.11 | ↓ -97% |
| Bravo Health | MCRPPO | $16.11 | ↓ -97% |
| Bravo Health | MCRSNP | $16.11 | ↓ -97% |
| Bravo Health | MCRPFFS | $16.11 | ↓ -97% |
| BCBS | BluePremier | $16.65 | ↓ -97% |
| BCBS | MyBlueHealth | $18.80 | ↓ -97% |
| BCBS | BlueAdvantageHMO | $18.80 | ↓ -97% |
| Aetna | NewBusiness | $18.80 | ↓ -97% |
| Superior | ValueHMO | $19.22 | ↓ -97% |
| Aetna | COMM | $20.03 | ↓ -97% |
| Aetna | Meritain | $20.03 | ↓ -97% |
| USA Managed Care | WORKERSCOMP | $20.41 | ↓ -97% |
| Corvel Corporation | WORKERSCOMP | $21.27 | ↓ -96% |
| Aetna | OON | $23.57 | ↓ -96% |
| Superior | EPO | $24.06 | ↓ -96% |
| Superior | HMO | $24.06 | ↓ -96% |
| BCBS | BlueEssentials | $26.53 | ↓ -96% |
| BCBS | BlueEssentialsAccess | $26.53 | ↓ -96% |
| BCBS | EPOSOA | $27.82 | ↓ -95% |
| Oscar | HIX | $27.92 | ↓ -95% |
| Molina Healthcare | HIX | $28.14 | ↓ -95% |
| BCBS | PPO | $29.11 | ↓ -95% |
| Cigna | LocalPlus | $41.31 | ↓ -93% |
| Cigna | NewBusiness | $41.35 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $41.47 | ↓ -93% |
| Superior Health Plan | CHIP | $41.47 | ↓ -93% |
| Superior Health Plan | STARKids | $41.47 | ↓ -93% |
| Superior Health Plan | STARPLUS | $41.47 | ↓ -93% |
| Superior Health Plan | STARHealth | $41.47 | ↓ -93% |
| Cigna | NetworkBenefit | $46.14 | ↓ -92% |
| Cigna | OpenAccessPlus | $46.14 | ↓ -92% |
| Cigna | HMO | $46.14 | ↓ -92% |
| Cigna | AllOther | $58.40 | ↓ -90% |
| Cigna | IFP | $79.98 | ↓ -87% |
| Cigna | QHP | $82.94 | ↓ -86% |
| United | OptionsPPO | $110.79 | ↓ -81% |
| Humana | COMM | $119.32 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $145.15 | ↓ -76% |
| Evry Health | COMM | $152.85 | ↓ -74% |
| Unicare | CHIP | $154.04 | ↓ -74% |
| Healthcare Highways | CityofPlano | $200.25 | ↓ -66% |
| City of McKinney | COMM | $207.36 | ↓ -65% |
| BCBS | Traditional | $263.05 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $266.61 | ↓ -55% |
| National ChoiceCare | WCOMP | $296.23 | ↓ -50% |
| Aetna | ASA | $312.23 | ↓ -47% |
| PC Texas Partners | WCOMP | $325.85 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $325.85 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $325.85 | ↓ -45% |
| Aetna | WCOMP | $325.85 | ↓ -45% |
| Averde Health, Inc | PPO | $343.63 | ↓ -42% |
| Value Options Behavioral Health | COMM | $355.48 | ↓ -40% |
| Magellan BH | Pinnacle | $355.48 | ↓ -40% |
| Magellan BH | Summit | $355.48 | ↓ -40% |
| Humana | BHCOMM | $385.10 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $414.72 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $414.72 | ↓ -30% |
| Mega Life | MGMCRPPO | $414.72 | ↓ -30% |
| Aetna Coventry First Health | COMM | $430.72 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $444.35 | ↓ -25% |
| Cigna Behavioral Health | COMM | $473.97 | ↓ -20% |
| USA Managed Care | COMM | $473.97 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $473.97 | ↓ -20% |
| ComPsych Corporation | COMM | $473.97 | ↓ -20% |
| Galaxy Health Network | PPO | $503.59 | ↓ -15% |
| Independent Medical Systems | COMM | $592.46 | ↑ +0% |
| National Healthcare Solutions | COMM | $592.46 | ↑ +0% |
| Unicare | MCD | $592.46 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Protein electrophoretic fractionation & quantitation serum at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $129.22 | $8.39 – $25.78 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $129.22 | $8.39 – $25.78 |
| Adventhealth Rollins Brook | Lampasas | $231.03 | $9.67 – $41.35 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $129.22 | $6.43 – $25.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $96.84 | $2.20 – $25.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $129.22 | $8.28 – $25.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $129.22 | $8.39 – $25.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $96.84 | $8.28 – $25.78 |