Screening HIV antigen/antibody combination assay 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$23.96 with WellMed vs $212.68 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| WellMed | MGMCR | $23.96 | — |
| Amerigroup | DualEligible | $24.08 | — |
| Mutual of Omaha | MGMCR | $24.08 | — |
| Devoted Health | POS | $24.08 | — |
| Devoted Health | MCR | $24.08 | — |
| Devoted Health | MME | $24.08 | — |
| TriWest Veterans | FEDERAL | $24.08 | — |
| BCBS | MCRPPO | $24.08 | — |
| Humana | MGMCR | $24.08 | — |
| BCBS | MGMCRHMO | $24.08 | — |
| Devoted Health | PPO | $24.08 | — |
| Devoted Health | SNP | $24.08 | — |
| Devoted Health | HMO | $24.08 | — |
| United | AllPayerAppendix | $24.08 | — |
| United | NarrowNetworkIndivExchange | $24.08 | — |
| United | SmallGroup | $24.08 | — |
| United | MGMCR | $24.20 | — |
| Aetna | MCR | $24.28 | — |
| Care N Care | MGMCR | $24.32 | — |
| Cigna Healthspring | MGMCR | $24.56 | — |
| WellCare | MGMCR | $24.80 | — |
| Integranet | MGMCR | $24.80 | — |
| American Health Plan of Texas, Inc. | MGMCR | $25.28 | — |
| Humana | Tricare | $25.28 | — |
| ProCare Advantge | MCR | $25.28 | — |
| Superior Health Plan | MGMCRSNP | $25.28 | — |
| Superior Health Plan | MGMCRHMO | $25.28 | — |
| Superior Health Plan | MGMCRPPO | $25.28 | — |
| Superior Health Plan | MGMCRDualEligible | $25.28 | — |
| Superior Health Plan | MGMCRPFFS | $25.28 | — |
| Superior Health Plan | MGMCRPOS | $25.28 | — |
| Texas Independent Health Plan | MGMCR | $25.52 | — |
| Provider Partners Health Plan | MCR | $25.52 | — |
| Cenpatico | BHMGMCR | $26.25 | — |
| Molina | MCR | $26.25 | — |
| Molina | MMP | $26.25 | — |
| Molina | MME | $26.25 | — |
| Imperial Insurance Company | MCR | $26.49 | — |
| Universal Healthcare Group | MCR | $28.90 | — |
| Aetna | QHPHIX | $30.63 | — |
| Verda Health Plan | MGMCR | $31.30 | — |
| Bravo Health | MCRPPO | $36.12 | — |
| Bravo Health | MCRPOS | $36.12 | — |
| Bravo Health | MCRHMO | $36.12 | — |
| Bravo Health | MCRPFFS | $36.12 | — |
| Bravo Health | MCRSNP | $36.12 | — |
| BCBS | BluePremier | $37.32 | — |
| BCBS | MyBlueHealth | $42.14 | — |
| BCBS | BlueAdvantageHMO | $42.14 | — |
| Aetna | NewBusiness | $42.19 | — |
| Superior | ValueHMO | $43.10 | — |
| Aetna | COMM | $44.94 | — |
| Aetna | Meritain | $44.94 | — |
| USA Managed Care | WORKERSCOMP | $45.75 | — |
| Corvel Corporation | WORKERSCOMP | $47.68 | — |
| Aetna | OON | $52.89 | — |
| Superior | HMO | $53.94 | — |
| Superior | EPO | $53.94 | — |
| BCBS | BlueEssentialsAccess | $59.48 | — |
| BCBS | BlueEssentials | $59.48 | — |
| BCBS | EPOSOA | $62.37 | — |
| Oscar | HIX | $62.61 | — |
| Molina Healthcare | HIX | $63.09 | — |
| BCBS | PPO | $65.26 | — |
| Cigna | LocalPlus | $91.69 | — |
| Cigna | NewBusiness | $91.78 | — |
| Cigna | HMO | $102.41 | — |
| Cigna | NetworkBenefit | $102.41 | — |
| Cigna | OpenAccessPlus | $102.41 | — |
| Cigna | AllOther | $129.62 | — |
| Humana | COMM | $212.68 | — |
Visitor-reported prices
Comments
Screening HIV antigen/antibody combination assay at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $28.90 | $8.19 – $57.79 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $28.90 | $6.18 – $57.79 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $28.90 | $8.19 – $57.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $28.90 | $5.95 – $57.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28.90 | $5.78 – $57.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $28.90 | $7.71 – $57.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $28.90 | $9.28 – $57.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $28.90 | $8.00 – $57.79 |