Stent/tib/peroneal/unilat/initial 37230 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.
$1,009.54 with Aetna vs $21,200.16 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 |
|---|---|---|---|
| Aetna | QHPHIX | $1,009.54 | — |
| Cigna | IFP | $1,009.54 | — |
| Cigna | QHP | $1,046.94 | — |
| United | OptionsPPO | $1,398.41 | — |
| Aetna | NewBusiness | $1,488.14 | — |
| Aetna | Meritain | $1,592.84 | — |
| Aetna | COMM | $1,592.84 | — |
| BCBS | MyBlueHealth | $1,847.09 | — |
| BCBS | BlueAdvantageHMO | $1,847.09 | — |
| Aetna | OON | $1,877.01 | — |
| Unicare | CHIP | $1,944.31 | — |
| Cigna | LocalPlus | $1,974.22 | — |
| Cigna | NewBusiness | $1,974.22 | — |
| Cigna | NetworkBenefit | $2,206.04 | — |
| Cigna | HMO | $2,206.04 | — |
| Cigna | OpenAccessPlus | $2,206.04 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| BCBS | BlueEssentials | $2,385.52 | — |
| BCBS | BlueEssentialsAccess | $2,385.52 | — |
| BCBS | EPOSOA | $2,505.17 | — |
| Healthcare Highways | CityofPlano | $2,527.60 | — |
| BCBS | PPO | $2,617.34 | — |
| City of McKinney | COMM | $2,617.34 | — |
| Cigna | AllOther | $2,789.34 | — |
| Curative Administrators | COMM | $2,991.24 | — |
| BCBS | Traditional | $3,320.28 | — |
| Fidelis SecureCare | MGMCR | $3,365.15 | — |
| National ChoiceCare | WCOMP | $3,739.05 | — |
| Aetna | ASA | $3,940.96 | — |
| Aetna | WCOMP | $4,112.96 | — |
| PC Texas Partners | WCOMP | $4,112.96 | — |
| Physicians Coop of TX | MGMCR | $4,112.96 | — |
| Rockport Health Group | WORKERSCOMP | $4,112.96 | — |
| Averde Health, Inc | PPO | $4,337.30 | — |
| Value Options Behavioral Health | COMM | $4,486.87 | — |
| Magellan BH | Pinnacle | $4,486.87 | — |
| Magellan BH | Summit | $4,486.87 | — |
| Humana | BHCOMM | $4,860.77 | — |
| Coastal Comp Health Networks | WCOMP | $5,234.68 | — |
| Multiplan PHCS | PrimaryNetwork | $5,234.68 | — |
| Mega Life | MGMCRPPO | $5,234.68 | — |
| Aetna Coventry First Health | COMM | $5,436.59 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $5,608.58 | — |
| Cigna Behavioral Health | COMM | $5,982.49 | — |
| USA Managed Care | COMM | $5,982.49 | — |
| HealthSmart Preferred Care | PPO | $5,982.49 | — |
| ComPsych Corporation | COMM | $5,982.49 | — |
| Galaxy Health Network | PPO | $6,356.39 | — |
| Oscar | HIX | $7,008.00 | — |
| Humana | COMM | $7,113.00 | — |
| Independent Medical Systems | COMM | $7,478.11 | — |
| National Healthcare Solutions | COMM | $7,478.11 | — |
| Unicare | MCD | $7,478.11 | — |
| United | STARPerinate | $8,497.34 | — |
| Parkland Community Health Plan | MCD | $8,497.34 | — |
| United | STARPLUS | $8,497.34 | — |
| United | STARKids | $8,497.34 | — |
| United | STAR | $8,497.34 | — |
| United | CHIP | $8,497.34 | — |
| Amerigroup | MGMCD | $8,922.21 | — |
| Cigna Healthspring | MGMCD | $8,922.21 | — |
| Amerigroup | CHIP | $8,922.21 | — |
| Molina | MCDSTAR | $9,347.07 | — |
| Molina | STARKIDS | $9,347.07 | — |
| Molina | STAR+PLUS | $9,347.07 | — |
| Molina | CHIP | $9,347.07 | — |
| Aetna Better Health | CHIP | $10,196.81 | — |
| Aetna Better Health | MCD | $10,196.81 | — |
| Humana | MGMCD | $10,621.67 | — |
| Evry Health | COMM | $10,763.00 | — |
| BCBS | BluePremier | $21,200.16 | — |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $27,840.56 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $27,840.56 | $5,957.88 – $43,439.01 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,840.56 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29,957.43 | $71.00 – $44,936.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,036.28 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,840.56 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $29,957.43 | $85.00 – $44,936.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $29,957.43 | $14,096.00 – $44,936.14 |