Tc-99m mertiatide at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$3,019.24
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.
$3,019.24
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.
$70.00 with Imaging Providers of Texas vs $6,651.01 with Humana — 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 |
|---|---|---|---|
| Imaging Providers of Texas | HMOBlue | $70.00 | ↓ -98% |
| Superior Health Plan | STARHealth | $211.35 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $211.35 | ↓ -93% |
| Superior Health Plan | STARPLUS | $211.35 | ↓ -93% |
| Superior Health Plan | CHIP | $211.35 | ↓ -93% |
| Superior Health Plan | STARKids | $211.35 | ↓ -93% |
| Cigna | IFP | $407.60 | ↓ -86% |
| Cigna | QHP | $422.69 | ↓ -86% |
| United | OptionsPPO | $564.60 | ↓ -81% |
| Imperial Insurance Company | MCR | $573.66 | ↓ -81% |
| Oscar | HIX | $628.00 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $739.71 | ↓ -76% |
| Aetna | OON | $757.83 | ↓ -75% |
| Evry Health | COMM | $778.96 | ↓ -74% |
| Unicare | CHIP | $785.00 | ↓ -74% |
| Cigna | LocalPlus | $797.08 | ↓ -74% |
| Cigna | NewBusiness | $797.08 | ↓ -74% |
| Cigna | NetworkBenefit | $890.68 | ↓ -70% |
| Cigna | OpenAccessPlus | $890.68 | ↓ -70% |
| Cigna | HMO | $890.68 | ↓ -70% |
| Healthcare Highways | CityofPlano | $1,020.50 | ↓ -66% |
| City of McKinney | COMM | $1,056.73 | ↓ -65% |
| Cigna | AllOther | $1,126.18 | ↓ -63% |
| Curative Administrators | COMM | $1,207.70 | ↓ -60% |
| United | AllPayerAppendix | $1,308.90 | ↓ -57% |
| United | NarrowNetworkIndivExchange | $1,308.90 | ↓ -57% |
| United | SmallGroup | $1,308.90 | ↓ -57% |
| BCBS | Traditional | $1,340.54 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $1,358.66 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,509.62 | ↓ -50% |
| Aetna | QHPHIX | $1,527.04 | ↓ -49% |
| PC Texas Partners | WCOMP | $1,660.58 | ↓ -45% |
| Aetna | WCOMP | $1,660.58 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,660.58 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,660.58 | ↓ -45% |
| Averde Health, Inc | PPO | $1,751.16 | ↓ -42% |
| Magellan BH | Summit | $1,811.54 | ↓ -40% |
| Value Options Behavioral Health | COMM | $1,811.54 | ↓ -40% |
| Magellan BH | Pinnacle | $1,811.54 | ↓ -40% |
| Humana | BHCOMM | $1,962.51 | ↓ -35% |
| Aetna | NewBusiness | $2,093.71 | ↓ -31% |
| Coastal Comp Health Networks | WCOMP | $2,113.47 | ↓ -30% |
| Mega Life | MGMCRPPO | $2,113.47 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $2,113.47 | ↓ -30% |
| Aetna Coventry First Health | COMM | $2,194.99 | ↓ -27% |
| Aetna | Meritain | $2,242.84 | ↓ -26% |
| Aetna | COMM | $2,242.84 | ↓ -26% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,264.43 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $2,415.39 | ↓ -20% |
| USA Managed Care | COMM | $2,415.39 | ↓ -20% |
| ComPsych Corporation | COMM | $2,415.39 | ↓ -20% |
| Cigna Behavioral Health | COMM | $2,415.39 | ↓ -20% |
| Galaxy Health Network | PPO | $2,566.35 | ↓ -15% |
| BCBS | MyBlueHealth | $2,662.30 | ↓ -12% |
| BCBS | BlueAdvantageHMO | $2,662.30 | ↓ -12% |
| Independent Medical Systems | COMM | $3,019.24 | ↑ +0% |
| National Healthcare Solutions | COMM | $3,019.24 | ↑ +0% |
| Unicare | MCD | $3,019.24 | ↑ +0% |
| BCBS | BlueEssentialsAccess | $3,896.98 | ↑ +29% |
| BCBS | BlueEssentials | $3,896.98 | ↑ +29% |
| BCBS | EPOSOA | $4,089.90 | ↑ +35% |
| BCBS | PPO | $4,282.82 | ↑ +42% |
| BCBS | BluePremier | $5,054.50 | ↑ +67% |
| Humana | COMM | $6,651.01 | ↑ +120% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m mertiatide at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $3,133.94 | $1,308.90 – $9,055.57 |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,515.31 | $1,308.90 – $9,055.57 |
| HCA HOUSTON NORTHWEST | SPRING | $2,611.33 | $1,308.90 – $9,055.57 |
| St. Luke's Health - Patients Medical Center | Pasadena | $893.40 | $100.00 – $1,914.42 |
| Baylor St Luke's Medical Center | Houston | $944.65 | $100.00 – $2,699.00 |
| St. Joseph Health Madison Hospital | Madisonville | $343.70 | $250.22 – $1,767.60 |
| St. Luke's Health Memorial Lufkin | Lufkin | $290.54 | $100.00 – $1,651.40 |
| HCA HOUSTON PEARLAND | Pearland | $2,699.87 | $1,308.90 – $9,055.57 |