Red blood cells each unit 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.
$17.55 with Superior Health Plan vs $1,021.48 with Humana — 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 | CHIP | $17.55 | — |
| Superior Health Plan | STARHealth | $17.55 | — |
| Superior Health Plan | MCDSTAR | $17.55 | — |
| Superior Health Plan | STARPLUS | $17.55 | — |
| Superior Health Plan | STARKids | $17.55 | — |
| Cigna | IFP | $33.85 | — |
| Cigna | QHP | $35.10 | — |
| United | OptionsPPO | $46.88 | — |
| Oscar | HIX | $52.15 | — |
| Healthcare Highways | NarrowNetwork | $61.43 | — |
| BCBS | MyBlueHealth | $61.93 | — |
| BCBS | BlueAdvantageHMO | $61.93 | — |
| Evry Health | COMM | $64.69 | — |
| Unicare | CHIP | $65.19 | — |
| Cigna | NewBusiness | $66.19 | — |
| Cigna | LocalPlus | $66.19 | — |
| BCBS | BluePremier | $73.21 | — |
| Cigna | OpenAccessPlus | $73.96 | — |
| Cigna | NetworkBenefit | $73.96 | — |
| Cigna | HMO | $73.96 | — |
| BCBS | BlueEssentials | $79.98 | — |
| BCBS | BlueEssentialsAccess | $79.98 | — |
| BCBS | EPOSOA | $83.99 | — |
| Healthcare Highways | CityofPlano | $84.74 | — |
| City of McKinney | COMM | $87.75 | — |
| BCBS | PPO | $87.75 | — |
| Cigna | AllOther | $93.52 | — |
| Curative Administrators | COMM | $100.29 | — |
| BCBS | Traditional | $111.32 | — |
| Fidelis SecureCare | MGMCR | $112.82 | — |
| National ChoiceCare | WCOMP | $125.36 | — |
| Aetna | ASA | $132.13 | — |
| Aetna | WCOMP | $137.90 | — |
| PC Texas Partners | WCOMP | $137.90 | — |
| Physicians Coop of TX | MGMCR | $137.90 | — |
| Rockport Health Group | WORKERSCOMP | $137.90 | — |
| Averde Health, Inc | PPO | $145.42 | — |
| Magellan BH | Summit | $150.43 | — |
| Value Options Behavioral Health | COMM | $150.43 | — |
| Magellan BH | Pinnacle | $150.43 | — |
| Aetna | QHPHIX | $155.99 | — |
| Humana | BHCOMM | $162.97 | — |
| Mega Life | MGMCRPPO | $175.50 | — |
| Coastal Comp Health Networks | WCOMP | $175.50 | — |
| Multiplan PHCS | PrimaryNetwork | $175.50 | — |
| Aetna Coventry First Health | COMM | $182.27 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $188.04 | — |
| USA Managed Care | COMM | $200.58 | — |
| ComPsych Corporation | COMM | $200.58 | — |
| Cigna Behavioral Health | COMM | $200.58 | — |
| HealthSmart Preferred Care | PPO | $200.58 | — |
| Galaxy Health Network | PPO | $213.11 | — |
| Aetna | NewBusiness | $214.85 | — |
| Aetna | COMM | $228.83 | — |
| Aetna | Meritain | $228.83 | — |
| National Healthcare Solutions | COMM | $250.72 | — |
| Independent Medical Systems | COMM | $250.72 | — |
| Unicare | MCD | $250.72 | — |
| Aetna | OON | $269.30 | — |
| Humana | COMM | $1,021.48 | — |
Visitor-reported prices
Comments
Red blood cells each unit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $414.33 | $117.39 – $517.91 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $414.33 | $88.67 – $517.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $414.33 | $117.39 – $517.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $447.32 | $92.07 – $670.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $464.14 | $92.83 – $580.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $414.33 | $110.49 – $517.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $447.32 | $140.65 – $670.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $447.32 | $231.11 – $670.98 |