Strep b assay w/optic at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$846.10
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.
$846.10
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.
$10.69 with Parkland Community Health Plan vs $846.10 with Unicare — 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 |
|---|---|---|---|
| Parkland Community Health Plan | MCD | $10.69 | ↓ -99% |
| Amerigroup | MGMCD | $10.69 | ↓ -99% |
| United | STARPLUS | $10.69 | ↓ -99% |
| Amerigroup | CHIP | $10.69 | ↓ -99% |
| United | STARKids | $10.69 | ↓ -99% |
| United | STAR | $10.69 | ↓ -99% |
| United | STARPerinate | $10.69 | ↓ -99% |
| United | CHIP | $10.69 | ↓ -99% |
| Cigna Healthspring | MGMCD | $11.22 | ↓ -99% |
| Aetna Better Health | CHIP | $11.55 | ↓ -99% |
| Aetna Better Health | MCD | $11.55 | ↓ -99% |
| Molina | MCDSTAR | $11.76 | ↓ -99% |
| Molina | CHIP | $11.76 | ↓ -99% |
| Molina | STARKIDS | $11.76 | ↓ -99% |
| Molina | STAR+PLUS | $11.76 | ↓ -99% |
| WellMed | MGMCR | $12.67 | ↓ -99% |
| TriWest Veterans | FEDERAL | $12.73 | ↓ -98% |
| BCBS | MGMCRHMO | $12.73 | ↓ -98% |
| BCBS | MCRPPO | $12.73 | ↓ -98% |
| Devoted Health | MME | $12.73 | ↓ -98% |
| Humana | MGMCR | $12.73 | ↓ -98% |
| Mutual of Omaha | MGMCR | $12.73 | ↓ -98% |
| Amerigroup | DualEligible | $12.73 | ↓ -98% |
| Devoted Health | SNP | $12.73 | ↓ -98% |
| Devoted Health | HMO | $12.73 | ↓ -98% |
| Devoted Health | POS | $12.73 | ↓ -98% |
| Devoted Health | PPO | $12.73 | ↓ -98% |
| Devoted Health | MCR | $12.73 | ↓ -98% |
| United | AllPayerAppendix | $12.73 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $12.73 | ↓ -98% |
| United | SmallGroup | $12.73 | ↓ -98% |
| United | MGMCR | $12.79 | ↓ -98% |
| Aetna | MCR | $12.84 | ↓ -98% |
| Care N Care | MGMCR | $12.86 | ↓ -98% |
| Cigna Healthspring | MGMCR | $12.98 | ↓ -98% |
| Integranet | MGMCR | $13.11 | ↓ -98% |
| WellCare | MGMCR | $13.11 | ↓ -98% |
| Humana | MGMCD | $13.36 | ↓ -98% |
| Superior Health Plan | MGMCRDualEligible | $13.37 | ↓ -98% |
| Superior Health Plan | MGMCRPFFS | $13.37 | ↓ -98% |
| Superior Health Plan | MGMCRPOS | $13.37 | ↓ -98% |
| Superior Health Plan | MGMCRSNP | $13.37 | ↓ -98% |
| ProCare Advantge | MCR | $13.37 | ↓ -98% |
| American Health Plan of Texas, Inc. | MGMCR | $13.37 | ↓ -98% |
| Superior Health Plan | MGMCRHMO | $13.37 | ↓ -98% |
| Superior Health Plan | MGMCRPPO | $13.37 | ↓ -98% |
| Humana | Tricare | $13.37 | ↓ -98% |
| Provider Partners Health Plan | MCR | $13.49 | ↓ -98% |
| Texas Independent Health Plan | MGMCR | $13.49 | ↓ -98% |
| Molina | MMP | $13.88 | ↓ -98% |
| Molina | MCR | $13.88 | ↓ -98% |
| Cenpatico | BHMGMCR | $13.88 | ↓ -98% |
| Molina | MME | $13.88 | ↓ -98% |
| Imperial Insurance Company | MCR | $14.00 | ↓ -98% |
| Universal Healthcare Group | MCR | $15.28 | ↓ -98% |
| Aetna | QHPHIX | $16.20 | ↓ -98% |
| Verda Health Plan | MGMCR | $16.55 | ↓ -98% |
| Bravo Health | MCRSNP | $19.09 | ↓ -98% |
| Bravo Health | MCRHMO | $19.09 | ↓ -98% |
| Bravo Health | MCRPOS | $19.09 | ↓ -98% |
| Bravo Health | MCRPPO | $19.09 | ↓ -98% |
| Bravo Health | MCRPFFS | $19.09 | ↓ -98% |
| BCBS | BluePremier | $19.73 | ↓ -98% |
| BCBS | MyBlueHealth | $22.28 | ↓ -97% |
| BCBS | BlueAdvantageHMO | $22.28 | ↓ -97% |
| Aetna | NewBusiness | $22.31 | ↓ -97% |
| Superior | ValueHMO | $22.79 | ↓ -97% |
| Aetna | Meritain | $23.76 | ↓ -97% |
| Aetna | COMM | $23.76 | ↓ -97% |
| USA Managed Care | WORKERSCOMP | $24.19 | ↓ -97% |
| Corvel Corporation | WORKERSCOMP | $25.21 | ↓ -97% |
| Aetna | OON | $27.96 | ↓ -97% |
| Superior | HMO | $28.52 | ↓ -97% |
| Superior | EPO | $28.52 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $31.44 | ↓ -96% |
| BCBS | BlueEssentials | $31.44 | ↓ -96% |
| BCBS | EPOSOA | $32.97 | ↓ -96% |
| Oscar | HIX | $33.10 | ↓ -96% |
| Molina Healthcare | HIX | $33.35 | ↓ -96% |
| BCBS | PPO | $34.50 | ↓ -96% |
| Cigna | LocalPlus | $49.05 | ↓ -94% |
| Cigna | NewBusiness | $49.10 | ↓ -94% |
| Cigna | HMO | $54.79 | ↓ -94% |
| Cigna | OpenAccessPlus | $54.79 | ↓ -94% |
| Cigna | NetworkBenefit | $54.79 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $59.23 | ↓ -93% |
| Superior Health Plan | CHIP | $59.23 | ↓ -93% |
| Superior Health Plan | STARKids | $59.23 | ↓ -93% |
| Superior Health Plan | STARPLUS | $59.23 | ↓ -93% |
| Superior Health Plan | STARHealth | $59.23 | ↓ -93% |
| Cigna | AllOther | $69.34 | ↓ -92% |
| Cigna | IFP | $114.22 | ↓ -87% |
| Cigna | QHP | $118.45 | ↓ -86% |
| Humana | COMM | $133.17 | ↓ -84% |
| United | OptionsPPO | $158.22 | ↓ -81% |
| Healthcare Highways | NarrowNetwork | $207.29 | ↓ -76% |
| Evry Health | COMM | $218.29 | ↓ -74% |
| Unicare | CHIP | $219.99 | ↓ -74% |
| Healthcare Highways | CityofPlano | $285.98 | ↓ -66% |
| City of McKinney | COMM | $296.13 | ↓ -65% |
| BCBS | Traditional | $375.67 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $380.75 | ↓ -55% |
| National ChoiceCare | WCOMP | $423.05 | ↓ -50% |
| Aetna | ASA | $445.89 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $465.36 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $465.36 | ↓ -45% |
| Aetna | WCOMP | $465.36 | ↓ -45% |
| PC Texas Partners | WCOMP | $465.36 | ↓ -45% |
| Averde Health, Inc | PPO | $490.74 | ↓ -42% |
| Value Options Behavioral Health | COMM | $507.66 | ↓ -40% |
| Magellan BH | Summit | $507.66 | ↓ -40% |
| Magellan BH | Pinnacle | $507.66 | ↓ -40% |
| Humana | BHCOMM | $549.97 | ↓ -35% |
| Mega Life | MGMCRPPO | $592.27 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $592.27 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $592.27 | ↓ -30% |
| Aetna Coventry First Health | COMM | $615.11 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $634.58 | ↓ -25% |
| Cigna Behavioral Health | COMM | $676.88 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $676.88 | ↓ -20% |
| USA Managed Care | COMM | $676.88 | ↓ -20% |
| ComPsych Corporation | COMM | $676.88 | ↓ -20% |
| Galaxy Health Network | PPO | $719.18 | ↓ -15% |
| National Healthcare Solutions | COMM | $846.10 | ↑ +0% |
| Independent Medical Systems | COMM | $846.10 | ↑ +0% |
| Unicare | MCD | $846.10 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Strep b assay w/optic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $723.35 | $10.48 – $52.96 |
| HCA HOUSTON MEDICAL CENTER | Houston | $701.60 | $10.69 – $52.96 |
| HCA HOUSTON KINGWOOD | HUMBLE | $729.33 | $10.48 – $52.96 |
| HCA HOUSTON NORTHWEST | SPRING | $605.91 | $10.69 – $52.96 |
| HCA HOUSTON WEST | HOUSTON | $367.00 | $10.48 – $52.96 |
| Texas Health Hospital Mansfield | Mansfield | $104.20 | $12.73 – $53.29 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $183.96 | $10.69 – $229.95 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $118.80 | $6.37 – $48.03 |