Rtm 1st set-up&pt educaj eqp 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.
$18.64 with BCBS vs $649.22 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 |
|---|---|---|---|
| BCBS | MCRPPO | $18.64 | — |
| BCBS | MGMCRHMO | $18.64 | — |
| WellMed | MGMCR | $20.47 | — |
| TriWest Veterans | FEDERAL | $20.57 | — |
| Humana | MGMCR | $20.57 | — |
| Devoted Health | MME | $20.57 | — |
| Devoted Health | MCR | $20.57 | — |
| Devoted Health | SNP | $20.57 | — |
| Devoted Health | HMO | $20.57 | — |
| Devoted Health | POS | $20.57 | — |
| Devoted Health | PPO | $20.57 | — |
| Amerigroup | DualEligible | $20.57 | — |
| Mutual of Omaha | MGMCR | $20.57 | — |
| United | MGMCR | $20.67 | — |
| Aetna | MCR | $20.74 | — |
| Care N Care | MGMCR | $20.78 | — |
| Cigna Healthspring | MGMCR | $20.98 | — |
| WellCare | MGMCR | $21.19 | — |
| Integranet | MGMCR | $21.19 | — |
| Superior Health Plan | MGMCRDualEligible | $21.60 | — |
| Superior Health Plan | MGMCRHMO | $21.60 | — |
| Superior Health Plan | MGMCRPPO | $21.60 | — |
| Superior Health Plan | MGMCRPFFS | $21.60 | — |
| Superior Health Plan | MGMCRPOS | $21.60 | — |
| Superior Health Plan | MGMCRSNP | $21.60 | — |
| American Health Plan of Texas, Inc. | MGMCR | $21.60 | — |
| ProCare Advantge | MCR | $21.60 | — |
| Texas Independent Health Plan | MGMCR | $21.80 | — |
| Provider Partners Health Plan | MCR | $21.80 | — |
| Cenpatico | BHMGMCR | $22.42 | — |
| Molina | MME | $22.42 | — |
| Molina | MCR | $22.42 | — |
| Molina | MMP | $22.42 | — |
| Imperial Insurance Company | MCR | $22.63 | — |
| Universal Healthcare Group | MCR | $24.68 | — |
| Verda Health Plan | MGMCR | $26.74 | — |
| Bravo Health | MCRHMO | $30.86 | — |
| Bravo Health | MCRPPO | $30.86 | — |
| Bravo Health | MCRSNP | $30.86 | — |
| Bravo Health | MCRPFFS | $30.86 | — |
| Bravo Health | MCRPOS | $30.86 | — |
| Superior | ValueHMO | $36.82 | — |
| USA Managed Care | WORKERSCOMP | $39.08 | — |
| Corvel Corporation | WORKERSCOMP | $40.73 | — |
| Superior | HMO | $46.08 | — |
| Superior | EPO | $46.08 | — |
| Molina Healthcare | HIX | $53.89 | — |
| BCBS | BluePremier | $286.39 | — |
| BCBS | MyBlueHealth | $333.71 | — |
| BCBS | BlueAdvantageHMO | $333.71 | — |
| BCBS | BlueEssentials | $590.97 | — |
| BCBS | BlueEssentialsAccess | $590.97 | — |
| BCBS | EPOSOA | $620.10 | — |
| BCBS | PPO | $649.22 | — |
Visitor-reported prices
Comments
Rtm 1st set-up&pt educaj eqp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $162.12 | $413.80 – $413.80 |
| Covenant Medical Center | Lubbock | $162.12 | $133.74 – $413.80 |
| Covenant Hospital Plainview | Plainview | $175.56 | $129.73 – $141.10 |
| Covenant Hospital Levelland | Levelland | $177.66 | $129.73 – $141.10 |
| Covenant Specialty Hospital | Lubbock | $162.12 | not published |
| Houston Methodist The Woodlands Hospital | The Woodlands | $243.00 | $133.74 – $267.49 |
| Houston Methodist Cypress Hospital | Cypress | $243.00 | $133.74 – $260.80 |
| Houston Methodist Willowbrook Hospital | Houston | $243.00 | $133.74 – $260.80 |