Sleep study attended at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$18,170.40
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.
$18,170.40
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.
$752.37 with Aetna vs $18,170.40 with Independent Medical Systems — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $752.37 | ↓ -96% |
| BCBS | BluePremier | $883.70 | ↓ -95% |
| Aetna | NewBusiness | $1,028.24 | ↓ -94% |
| BCBS | MyBlueHealth | $1,029.74 | ↓ -94% |
| BCBS | BlueAdvantageHMO | $1,029.74 | ↓ -94% |
| Aetna | Meritain | $1,098.46 | ↓ -94% |
| Aetna | COMM | $1,098.46 | ↓ -94% |
| Superior Health Plan | STARHealth | $1,271.93 | ↓ -93% |
| Superior Health Plan | CHIP | $1,271.93 | ↓ -93% |
| Superior Health Plan | STARKids | $1,271.93 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1,271.93 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $1,271.93 | ↓ -93% |
| Aetna | OON | $1,291.57 | ↓ -93% |
| BCBS | BlueEssentials | $1,823.57 | ↓ -90% |
| BCBS | BlueEssentialsAccess | $1,823.57 | ↓ -90% |
| BCBS | EPOSOA | $1,913.44 | ↓ -89% |
| United | NarrowNetworkIndivExchange | $1,927.00 | ↓ -89% |
| BCBS | PPO | $2,003.31 | ↓ -89% |
| United | SmallGroup | $2,348.00 | ↓ -87% |
| Cigna | IFP | $2,453.00 | ↓ -87% |
| Cigna | QHP | $2,543.86 | ↓ -86% |
| Humana | COMM | $2,722.27 | ↓ -85% |
| United | AllPayerAppendix | $3,130.00 | ↓ -83% |
| United | OptionsPPO | $3,397.86 | ↓ -81% |
| Oscar | HIX | $3,779.44 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $4,451.75 | ↓ -75% |
| Evry Health | COMM | $4,687.96 | ↓ -74% |
| Unicare | CHIP | $4,724.30 | ↓ -74% |
| Cigna | NewBusiness | $4,796.99 | ↓ -74% |
| Cigna | LocalPlus | $4,796.99 | ↓ -74% |
| Cigna | NetworkBenefit | $5,360.27 | ↓ -70% |
| Cigna | HMO | $5,360.27 | ↓ -70% |
| Cigna | OpenAccessPlus | $5,360.27 | ↓ -70% |
| Healthcare Highways | CityofPlano | $6,141.60 | ↓ -66% |
| City of McKinney | COMM | $6,359.64 | ↓ -65% |
| Cigna | AllOther | $6,777.56 | ↓ -63% |
| Curative Administrators | COMM | $7,268.16 | ↓ -60% |
| BCBS | Traditional | $8,067.66 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $8,176.68 | ↓ -55% |
| National ChoiceCare | WCOMP | $9,085.20 | ↓ -50% |
| Aetna | ASA | $9,575.80 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $9,993.72 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $9,993.72 | ↓ -45% |
| PC Texas Partners | WCOMP | $9,993.72 | ↓ -45% |
| Aetna | WCOMP | $9,993.72 | ↓ -45% |
| Averde Health, Inc | PPO | $10,538.83 | ↓ -42% |
| Value Options Behavioral Health | COMM | $10,902.24 | ↓ -40% |
| Magellan BH | Summit | $10,902.24 | ↓ -40% |
| Magellan BH | Pinnacle | $10,902.24 | ↓ -40% |
| Humana | BHCOMM | $11,810.76 | ↓ -35% |
| Mega Life | MGMCRPPO | $12,719.28 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $12,719.28 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $12,719.28 | ↓ -30% |
| Aetna Coventry First Health | COMM | $13,209.88 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $13,627.80 | ↓ -25% |
| ComPsych Corporation | COMM | $14,536.32 | ↓ -20% |
| Cigna Behavioral Health | COMM | $14,536.32 | ↓ -20% |
| USA Managed Care | COMM | $14,536.32 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $14,536.32 | ↓ -20% |
| Galaxy Health Network | PPO | $15,444.84 | ↓ -15% |
| National Healthcare Solutions | COMM | $18,170.40 | ↑ +0% |
| Unicare | MCD | $18,170.40 | ↑ +0% |
| Independent Medical Systems | COMM | $18,170.40 | ↑ +0% |
Visitor-reported prices
Comments
Sleep study attended at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,625.75 | $334.63 – $2,438.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,830.09 | $356.12 – $3,537.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,625.75 | $356.12 – $2,438.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,625.75 | $839.97 – $2,438.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,830.09 | $356.12 – $4,245.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,625.75 | $325.15 – $2,062.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,625.75 | $356.12 – $2,438.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $2,830.09 | $356.12 – $4,245.14 |