Prq trlml c athrc st angiop1 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.
$4,753.99 with Humana vs $70,135.87 with BCBS — 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 |
|---|---|---|---|
| Humana | COMM | $4,753.99 | — |
| Superior Health Plan | STARHealth | $5,591.00 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Superior Health Plan | MCDSTAR | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Cigna | IFP | $8,386.28 | — |
| Cigna | QHP | $8,696.89 | — |
| United | OptionsPPO | $11,616.56 | — |
| Oscar | HIX | $12,897.00 | — |
| Unicare | CHIP | $16,151.36 | — |
| Aetna | QHPHIX | $17,679.00 | — |
| Healthcare Highways | CityofPlano | $20,996.77 | — |
| City of McKinney | COMM | $21,742.22 | — |
| Aetna | NewBusiness | $24,226.00 | — |
| United | NarrowNetworkIndivExchange | $25,794.00 | — |
| Aetna | COMM | $25,883.00 | — |
| Aetna | Meritain | $25,883.00 | — |
| BCBS | Traditional | $27,581.56 | — |
| Healthcare Highways | NarrowNetwork | $27,837.00 | — |
| Fidelis SecureCare | MGMCR | $27,954.28 | — |
| Evry Health | COMM | $29,597.00 | — |
| Aetna | OON | $30,452.00 | — |
| National ChoiceCare | WCOMP | $31,060.31 | — |
| Cigna | LocalPlus | $32,724.00 | — |
| Aetna | ASA | $32,737.57 | — |
| Cigna | NewBusiness | $32,756.00 | — |
| United | SmallGroup | $33,496.00 | — |
| Rockport Health Group | WORKERSCOMP | $34,166.34 | — |
| Physicians Coop of TX | MGMCR | $34,166.34 | — |
| PC Texas Partners | WCOMP | $34,166.34 | — |
| Aetna | WCOMP | $34,166.34 | — |
| Averde Health, Inc | PPO | $36,029.96 | — |
| Cigna | NetworkBenefit | $36,562.00 | — |
| Cigna | OpenAccessPlus | $36,562.00 | — |
| Cigna | HMO | $36,562.00 | — |
| Value Options Behavioral Health | COMM | $37,272.37 | — |
| Magellan BH | Pinnacle | $37,272.37 | — |
| Magellan BH | Summit | $37,272.37 | — |
| Humana | BHCOMM | $40,378.40 | — |
| BCBS | BluePremier | $43,356.72 | — |
| Multiplan PHCS | PrimaryNetwork | $43,484.43 | — |
| Mega Life | MGMCRPPO | $43,484.43 | — |
| Coastal Comp Health Networks | WCOMP | $43,484.43 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| Aetna Coventry First Health | COMM | $45,161.69 | — |
| United | AllPayerAppendix | $46,000.00 | — |
| Cigna | AllOther | $46,251.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $46,590.46 | — |
| BCBS | BlueAdvantageHMO | $49,573.31 | — |
| BCBS | MyBlueHealth | $49,573.31 | — |
| USA Managed Care | COMM | $49,696.50 | — |
| Cigna Behavioral Health | COMM | $49,696.50 | — |
| HealthSmart Preferred Care | PPO | $49,696.50 | — |
| ComPsych Corporation | COMM | $49,696.50 | — |
| Galaxy Health Network | PPO | $52,802.53 | — |
| Independent Medical Systems | COMM | $62,120.62 | — |
| National Healthcare Solutions | COMM | $62,120.62 | — |
| Unicare | MCD | $62,120.62 | — |
| BCBS | BlueEssentialsAccess | $63,759.88 | — |
| BCBS | BlueEssentials | $63,759.88 | — |
| BCBS | EPOSOA | $66,947.87 | — |
| BCBS | PPO | $70,135.87 | — |
Visitor-reported prices
Comments
Prq trlml c athrc st angiop1 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $14,295.96 | $4,050.52 – $43,439.01 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $14,295.96 | $3,059.34 – $43,439.01 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $14,295.96 | $4,050.52 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,295.96 | $2,942.59 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,295.96 | $2,859.19 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $14,295.96 | $3,812.26 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,295.96 | $4,589.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,295.96 | $7,386.25 – $43,439.01 |