Rpr nsl vlv collapse w/rmdlg 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.
$2,152.00 with Healthcare Highways vs $15,752.03 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 |
|---|---|---|---|
| Healthcare Highways | NarrowNetwork | $2,152.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| United | CHIP | $2,843.09 | — |
| United | STAR | $2,843.09 | — |
| United | STARKids | $2,843.09 | — |
| United | STARPLUS | $2,843.09 | — |
| United | STARPerinate | $2,843.09 | — |
| Parkland Community Health Plan | MCD | $2,843.09 | — |
| Amerigroup | CHIP | $2,985.24 | — |
| Amerigroup | MGMCD | $2,985.24 | — |
| Cigna Healthspring | MGMCD | $2,985.24 | — |
| Molina | MCDSTAR | $3,127.40 | — |
| Molina | CHIP | $3,127.40 | — |
| Molina | STAR+PLUS | $3,127.40 | — |
| Molina | STARKIDS | $3,127.40 | — |
| Aetna Better Health | MCD | $3,411.71 | — |
| Aetna Better Health | CHIP | $3,411.71 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Humana | MGMCD | $3,553.86 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Fidelis SecureCare | MGMCR | $4,250.00 | — |
| Aetna | OON | $4,332.00 | — |
| WellMed | MGMCR | $5,976.54 | — |
| Oscar | HIX | $6,587.00 | — |
| BCBS | BluePremier | $7,101.76 | — |
| Curative Administrators | COMM | $7,799.00 | — |
| Cigna | LocalPlus | $10,472.00 | — |
| Cigna | NewBusiness | $10,482.00 | — |
| United | NarrowNetworkIndivExchange | $10,769.00 | — |
| United | SmallGroup | $10,774.00 | — |
| Cigna | HMO | $11,700.00 | — |
| Cigna | NetworkBenefit | $11,700.00 | — |
| Cigna | OpenAccessPlus | $11,700.00 | — |
| BCBS | BlueAdvantageHMO | $12,014.26 | — |
| BCBS | MyBlueHealth | $12,014.26 | — |
| BCBS | BlueEssentials | $14,310.32 | — |
| BCBS | BlueEssentialsAccess | $14,310.32 | — |
| Cigna | AllOther | $14,800.00 | — |
| BCBS | EPOSOA | $15,057.87 | — |
| United | AllPayerAppendix | $15,450.00 | — |
| BCBS | PPO | $15,752.03 | — |
Visitor-reported prices
Comments
Rpr nsl vlv collapse w/rmdlg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | not published | $2,843.09 – $14,507.25 |
| Adventhealth Rollins Brook | Lampasas | not published | $4,826.69 – $6,674.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $2,843.09 – $14,507.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $3,042.11 – $14,507.25 |
| CHRISTUS Children's Hospital | San Antonio | not published | $2,843.09 – $7,184.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | not published | $2,843.09 – $14,507.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | not published | $2,843.09 – $14,507.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | not published | $2,843.09 – $14,507.25 |