Repair pm/icd lead sgl 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.
$935.06 with Cigna 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 |
|---|---|---|---|
| Cigna | IFP | $935.06 | — |
| Cigna | QHP | $969.69 | — |
| United | OptionsPPO | $1,295.23 | — |
| United | STARKids | $1,425.44 | — |
| Parkland Community Health Plan | MCD | $1,425.44 | — |
| United | STARPLUS | $1,425.44 | — |
| United | CHIP | $1,425.44 | — |
| United | STARPerinate | $1,425.44 | — |
| United | STAR | $1,425.44 | — |
| Cigna Healthspring | MGMCD | $1,496.71 | — |
| Amerigroup | MGMCD | $1,496.71 | — |
| Amerigroup | CHIP | $1,496.71 | — |
| Molina | STAR+PLUS | $1,567.98 | — |
| Molina | CHIP | $1,567.98 | — |
| Molina | MCDSTAR | $1,567.98 | — |
| Molina | STARKIDS | $1,567.98 | — |
| Aetna Better Health | CHIP | $1,710.53 | — |
| Aetna Better Health | MCD | $1,710.53 | — |
| Humana | MGMCD | $1,781.80 | — |
| Unicare | CHIP | $1,800.86 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| BCBS | BluePremier | $2,022.50 | — |
| Healthcare Highways | CityofPlano | $2,341.11 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| City of McKinney | COMM | $2,424.23 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Humana | COMM | $2,763.90 | — |
| BCBS | Traditional | $3,075.31 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| National ChoiceCare | WCOMP | $3,463.18 | — |
| Aetna | ASA | $3,650.20 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| WellMed | MGMCR | $3,772.76 | — |
| Physicians Coop of TX | MGMCR | $3,809.50 | — |
| Rockport Health Group | WORKERSCOMP | $3,809.50 | — |
| PC Texas Partners | WCOMP | $3,809.50 | — |
| Aetna | WCOMP | $3,809.50 | — |
| Averde Health, Inc | PPO | $4,017.29 | — |
| Magellan BH | Pinnacle | $4,155.82 | — |
| Magellan BH | Summit | $4,155.82 | — |
| Value Options Behavioral Health | COMM | $4,155.82 | — |
| Aetna | OON | $4,332.00 | — |
| Humana | BHCOMM | $4,502.14 | — |
| Mega Life | MGMCRPPO | $4,848.46 | — |
| Multiplan PHCS | PrimaryNetwork | $4,848.46 | — |
| Coastal Comp Health Networks | WCOMP | $4,848.46 | — |
| Aetna Coventry First Health | COMM | $5,035.47 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $5,194.78 | — |
| USA Managed Care | COMM | $5,541.10 | — |
| Cigna Behavioral Health | COMM | $5,541.10 | — |
| ComPsych Corporation | COMM | $5,541.10 | — |
| HealthSmart Preferred Care | PPO | $5,541.10 | — |
| Healthcare Highways | NarrowNetwork | $5,694.00 | — |
| Galaxy Health Network | PPO | $5,887.41 | — |
| United | NarrowNetworkIndivExchange | $6,225.00 | — |
| BCBS | BlueAdvantageHMO | $6,714.02 | — |
| BCBS | MyBlueHealth | $6,714.02 | — |
| National Healthcare Solutions | COMM | $6,926.37 | — |
| Unicare | MCD | $6,926.37 | — |
| Independent Medical Systems | COMM | $6,926.37 | — |
| United | SmallGroup | $7,785.00 | — |
| Oscar | HIX | $7,883.00 | — |
| BCBS | BlueEssentials | $7,997.15 | — |
| BCBS | BlueEssentialsAccess | $7,997.15 | — |
| BCBS | EPOSOA | $8,414.91 | — |
| BCBS | PPO | $8,802.83 | — |
| Evry Health | COMM | $10,714.00 | — |
| United | AllPayerAppendix | $10,918.00 | — |
| Cigna | LocalPlus | $20,013.00 | — |
| Cigna | NewBusiness | $20,033.00 | — |
| Cigna | OpenAccessPlus | $22,360.00 | — |
| Cigna | NetworkBenefit | $22,360.00 | — |
| Cigna | HMO | $22,360.00 | — |
| Curative Administrators | COMM | $24,035.00 | — |
| Cigna | AllOther | $28,286.00 | — |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $6,755.02 | $1,425.44 – $9,728.21 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $6,755.02 | $1,425.44 – $9,728.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,755.02 | $1,425.44 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,202.09 | $1,070.76 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,823.76 | $1,425.44 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,755.02 | $1,425.44 – $9,728.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,202.09 | $1,525.22 – $9,728.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,202.09 | $1,425.44 – $9,728.21 |