Sock fracture or equal each at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$1,823.00
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.
$1,823.00
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.
$46.50 with Humana vs $1,823.00 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 |
|---|---|---|---|
| Humana | Tricare | $46.50 | ↓ -97% |
| BCBS | MGMCRHMO | $47.00 | ↓ -97% |
| BCBS | MCRPPO | $47.00 | ↓ -97% |
| WellMed | MGMCR | $47.70 | ↓ -97% |
| Devoted Health | MCR | $47.94 | ↓ -97% |
| Devoted Health | MME | $47.94 | ↓ -97% |
| Humana | MGMCR | $47.94 | ↓ -97% |
| Mutual of Omaha | MGMCR | $47.94 | ↓ -97% |
| Devoted Health | SNP | $47.94 | ↓ -97% |
| Devoted Health | HMO | $47.94 | ↓ -97% |
| Devoted Health | POS | $47.94 | ↓ -97% |
| TriWest Veterans | FEDERAL | $47.94 | ↓ -97% |
| Amerigroup | DualEligible | $47.94 | ↓ -97% |
| Devoted Health | PPO | $47.94 | ↓ -97% |
| United | MGMCR | $48.18 | ↓ -97% |
| Aetna | MCR | $48.35 | ↓ -97% |
| Care N Care | MGMCR | $48.42 | ↓ -97% |
| Cigna Healthspring | MGMCR | $48.90 | ↓ -97% |
| Integranet | MGMCR | $49.38 | ↓ -97% |
| WellCare | MGMCR | $49.38 | ↓ -97% |
| Superior Health Plan | MGMCRDualEligible | $50.34 | ↓ -97% |
| American Health Plan of Texas, Inc. | MGMCR | $50.34 | ↓ -97% |
| Superior Health Plan | MGMCRPOS | $50.34 | ↓ -97% |
| Superior Health Plan | MGMCRSNP | $50.34 | ↓ -97% |
| Superior Health Plan | MGMCRPFFS | $50.34 | ↓ -97% |
| ProCare Advantge | MCR | $50.34 | ↓ -97% |
| Superior Health Plan | MGMCRHMO | $50.34 | ↓ -97% |
| Superior Health Plan | MGMCRPPO | $50.34 | ↓ -97% |
| Texas Independent Health Plan | MGMCR | $50.82 | ↓ -97% |
| Provider Partners Health Plan | MCR | $50.82 | ↓ -97% |
| Molina | MME | $52.25 | ↓ -97% |
| Cenpatico | BHMGMCR | $52.25 | ↓ -97% |
| Molina | MCR | $52.25 | ↓ -97% |
| Molina | MMP | $52.25 | ↓ -97% |
| Imperial Insurance Company | MCR | $52.73 | ↓ -97% |
| Universal Healthcare Group | MCR | $57.53 | ↓ -97% |
| Verda Health Plan | MGMCR | $62.32 | ↓ -97% |
| Bravo Health | MCRSNP | $71.91 | ↓ -96% |
| Bravo Health | MCRPPO | $71.91 | ↓ -96% |
| Bravo Health | MCRHMO | $71.91 | ↓ -96% |
| Bravo Health | MCRPOS | $71.91 | ↓ -96% |
| Bravo Health | MCRPFFS | $71.91 | ↓ -96% |
| Superior | ValueHMO | $85.81 | ↓ -95% |
| USA Managed Care | WORKERSCOMP | $91.09 | ↓ -95% |
| Corvel Corporation | WORKERSCOMP | $94.92 | ↓ -95% |
| Superior | EPO | $107.39 | ↓ -94% |
| Superior | HMO | $107.39 | ↓ -94% |
| Molina Healthcare | HIX | $125.60 | ↓ -93% |
| Superior Health Plan | STARHealth | $127.61 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $127.61 | ↓ -93% |
| Superior Health Plan | STARPLUS | $127.61 | ↓ -93% |
| Superior Health Plan | CHIP | $127.61 | ↓ -93% |
| Superior Health Plan | STARKids | $127.61 | ↓ -93% |
| Cigna | IFP | $246.10 | ↓ -87% |
| Cigna | QHP | $255.22 | ↓ -86% |
| Humana | COMM | $270.84 | ↓ -85% |
| United | OptionsPPO | $340.90 | ↓ -81% |
| BCBS | MyBlueHealth | $450.28 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $450.28 | ↓ -75% |
| Unicare | CHIP | $473.98 | ↓ -74% |
| Cigna | LocalPlus | $481.27 | ↓ -74% |
| Cigna | NewBusiness | $481.27 | ↓ -74% |
| Cigna | NetworkBenefit | $537.78 | ↓ -71% |
| Cigna | OpenAccessPlus | $537.78 | ↓ -71% |
| Cigna | HMO | $537.78 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $581.54 | ↓ -68% |
| BCBS | BlueEssentials | $581.54 | ↓ -68% |
| BCBS | EPOSOA | $610.71 | ↓ -66% |
| Healthcare Highways | CityofPlano | $616.17 | ↓ -66% |
| City of McKinney | COMM | $638.05 | ↓ -65% |
| BCBS | PPO | $638.05 | ↓ -65% |
| Cigna | AllOther | $679.98 | ↓ -63% |
| BCBS | Traditional | $809.41 | ↓ -56% |
| National ChoiceCare | WCOMP | $911.50 | ↓ -50% |
| Aetna | ASA | $960.72 | ↓ -47% |
| PC Texas Partners | WCOMP | $1,002.65 | ↓ -45% |
| Aetna | WCOMP | $1,002.65 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,002.65 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,002.65 | ↓ -45% |
| Averde Health, Inc | PPO | $1,057.34 | ↓ -42% |
| Magellan BH | Summit | $1,093.80 | ↓ -40% |
| Magellan BH | Pinnacle | $1,093.80 | ↓ -40% |
| Value Options Behavioral Health | COMM | $1,093.80 | ↓ -40% |
| Humana | BHCOMM | $1,184.95 | ↓ -35% |
| Mega Life | MGMCRPPO | $1,276.10 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,325.32 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,367.25 | ↓ -25% |
| USA Managed Care | COMM | $1,458.40 | ↓ -20% |
| Cigna Behavioral Health | COMM | $1,458.40 | ↓ -20% |
| ComPsych Corporation | COMM | $1,458.40 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $1,458.40 | ↓ -20% |
| Galaxy Health Network | PPO | $1,549.55 | ↓ -15% |
| National Healthcare Solutions | COMM | $1,823.00 | ↑ +0% |
| Unicare | MCD | $1,823.00 | ↑ +0% |
| Independent Medical Systems | COMM | $1,823.00 | ↑ +0% |
Visitor-reported prices
Comments
Sock fracture or equal each at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $19.00 | $46.98 – $103.07 |
| Texas Health Presbyterian Hospital Allen | Allen | $78.08 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $78.08 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $78.08 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $78.08 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $78.08 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $78.08 | not published |
| Texas Health Hospital Rockwall | Rockwall | $78.08 | not published |