Sept9 promoter methylation analysis 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.
$161.28 with United vs $1,034.95 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 |
|---|---|---|---|
| United | STAR | $161.28 | — |
| United | STARKids | $161.28 | — |
| United | STARPLUS | $161.28 | — |
| United | CHIP | $161.28 | — |
| United | STARPerinate | $161.28 | — |
| Amerigroup | MGMCD | $161.28 | — |
| Amerigroup | CHIP | $161.28 | — |
| Parkland Community Health Plan | MCD | $161.28 | — |
| Cigna Healthspring | MGMCD | $169.34 | — |
| Aetna Better Health | CHIP | $174.18 | — |
| Aetna Better Health | MCD | $174.18 | — |
| Molina | STARKIDS | $177.41 | — |
| Molina | CHIP | $177.41 | — |
| Molina | MCDSTAR | $177.41 | — |
| Molina | STAR+PLUS | $177.41 | — |
| WellMed | MGMCR | $191.04 | — |
| Devoted Health | SNP | $192.00 | — |
| United | NarrowNetworkIndivExchange | $192.00 | — |
| Devoted Health | PPO | $192.00 | — |
| Devoted Health | HMO | $192.00 | — |
| Devoted Health | POS | $192.00 | — |
| Devoted Health | MCR | $192.00 | — |
| Devoted Health | MME | $192.00 | — |
| TriWest Veterans | FEDERAL | $192.00 | — |
| Amerigroup | DualEligible | $192.00 | — |
| United | AllPayerAppendix | $192.00 | — |
| BCBS | MGMCRHMO | $192.00 | — |
| BCBS | MCRPPO | $192.00 | — |
| Mutual of Omaha | MGMCR | $192.00 | — |
| Humana | MGMCR | $192.00 | — |
| United | SmallGroup | $192.00 | — |
| United | MGMCR | $192.96 | — |
| Aetna | MCR | $193.63 | — |
| Care N Care | MGMCR | $193.92 | — |
| Cigna Healthspring | MGMCR | $195.84 | — |
| Integranet | MGMCR | $197.76 | — |
| WellCare | MGMCR | $197.76 | — |
| Superior Health Plan | MGMCRHMO | $201.60 | — |
| Humana | MGMCD | $201.60 | — |
| Superior Health Plan | MGMCRPPO | $201.60 | — |
| Superior Health Plan | MGMCRDualEligible | $201.60 | — |
| Superior Health Plan | MGMCRPFFS | $201.60 | — |
| Superior Health Plan | MGMCRPOS | $201.60 | — |
| Superior Health Plan | MGMCRSNP | $201.60 | — |
| American Health Plan of Texas, Inc. | MGMCR | $201.60 | — |
| ProCare Advantge | MCR | $201.60 | — |
| Texas Independent Health Plan | MGMCR | $203.52 | — |
| Provider Partners Health Plan | MCR | $203.52 | — |
| Cenpatico | BHMGMCR | $209.28 | — |
| Molina | MMP | $209.28 | — |
| Molina | MCR | $209.28 | — |
| Molina | MME | $209.28 | — |
| Imperial Insurance Company | MCR | $211.20 | — |
| Universal Healthcare Group | MCR | $230.40 | — |
| Aetna | QHPHIX | $244.22 | — |
| Verda Health Plan | MGMCR | $249.60 | — |
| Bravo Health | MCRPFFS | $288.00 | — |
| Bravo Health | MCRSNP | $288.00 | — |
| Bravo Health | MCRPPO | $288.00 | — |
| Bravo Health | MCRPOS | $288.00 | — |
| Bravo Health | MCRHMO | $288.00 | — |
| BCBS | BluePremier | $297.60 | — |
| BCBS | MyBlueHealth | $336.00 | — |
| BCBS | BlueAdvantageHMO | $336.00 | — |
| Aetna | NewBusiness | $336.38 | — |
| Superior | ValueHMO | $343.68 | — |
| Aetna | COMM | $358.27 | — |
| Aetna | Meritain | $358.27 | — |
| USA Managed Care | WORKERSCOMP | $364.80 | — |
| Corvel Corporation | WORKERSCOMP | $380.16 | — |
| Aetna | OON | $421.63 | — |
| Superior | EPO | $430.08 | — |
| Superior | HMO | $430.08 | — |
| BCBS | BlueEssentialsAccess | $474.24 | — |
| BCBS | BlueEssentials | $474.24 | — |
| BCBS | EPOSOA | $497.28 | — |
| Oscar | HIX | $499.20 | — |
| Molina Healthcare | HIX | $503.04 | — |
| BCBS | PPO | $520.32 | — |
| Cigna | LocalPlus | $732.13 | — |
| Cigna | NewBusiness | $732.86 | — |
| Humana | COMM | $752.89 | — |
| Cigna | HMO | $817.73 | — |
| Cigna | NetworkBenefit | $817.73 | — |
| Cigna | OpenAccessPlus | $817.73 | — |
| Cigna | AllOther | $1,034.95 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Sept9 promoter methylation analysis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $376.58 | $35.00 – $470.73 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $376.58 | $35.00 – $470.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $376.58 | $35.00 – $470.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $358.65 | $36.00 – $537.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $358.65 | $36.00 – $460.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $376.58 | $35.00 – $470.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $358.65 | $36.00 – $537.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $358.65 | $26.00 – $537.98 |