Tc-99m pyroph diag per dose up to 25 mci at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$205.06
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.
$205.06
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.
$14.35 with Superior Health Plan vs $558.70 with Cigna — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $14.35 | ↓ -93% |
| Superior Health Plan | STARHealth | $14.35 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $14.35 | ↓ -93% |
| Superior Health Plan | STARPLUS | $14.35 | ↓ -93% |
| Superior Health Plan | STARKids | $14.35 | ↓ -93% |
| Cigna | IFP | $27.68 | ↓ -87% |
| Cigna | QHP | $28.71 | ↓ -86% |
| United | OptionsPPO | $38.35 | ↓ -81% |
| Imperial Insurance Company | MCR | $38.96 | ↓ -81% |
| Oscar | HIX | $42.65 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $50.24 | ↓ -75% |
| Aetna | OON | $51.47 | ↓ -75% |
| Evry Health | COMM | $52.91 | ↓ -74% |
| Unicare | CHIP | $53.32 | ↓ -74% |
| United | NarrowNetworkIndivExchange | $65.59 | ↓ -68% |
| United | SmallGroup | $65.59 | ↓ -68% |
| United | AllPayerAppendix | $65.59 | ↓ -68% |
| Healthcare Highways | CityofPlano | $69.31 | ↓ -66% |
| Imaging Providers of Texas | HMOBlue | $70.00 | ↓ -66% |
| City of McKinney | COMM | $71.77 | ↓ -65% |
| Curative Administrators | COMM | $82.02 | ↓ -60% |
| BCBS | Traditional | $91.05 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $92.28 | ↓ -55% |
| National ChoiceCare | WCOMP | $102.53 | ↓ -50% |
| PC Texas Partners | WCOMP | $112.78 | ↓ -45% |
| Aetna | WCOMP | $112.78 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $112.78 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $112.78 | ↓ -45% |
| Averde Health, Inc | PPO | $118.93 | ↓ -42% |
| Magellan BH | Pinnacle | $123.04 | ↓ -40% |
| Value Options Behavioral Health | COMM | $123.04 | ↓ -40% |
| Magellan BH | Summit | $123.04 | ↓ -40% |
| Humana | BHCOMM | $133.29 | ↓ -35% |
| Mega Life | MGMCRPPO | $143.54 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $143.54 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $143.54 | ↓ -30% |
| Aetna Coventry First Health | COMM | $149.08 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $153.79 | ↓ -25% |
| Aetna | QHPHIX | $157.41 | ↓ -23% |
| USA Managed Care | COMM | $164.05 | ↓ -20% |
| ComPsych Corporation | COMM | $164.05 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $164.05 | ↓ -20% |
| Cigna Behavioral Health | COMM | $164.05 | ↓ -20% |
| BCBS | BlueAdvantageHMO | $171.81 | ↓ -16% |
| BCBS | MyBlueHealth | $171.81 | ↓ -16% |
| Galaxy Health Network | PPO | $174.30 | ↓ -15% |
| Unicare | MCD | $205.06 | ↑ +0% |
| National Healthcare Solutions | COMM | $205.06 | ↑ +0% |
| Independent Medical Systems | COMM | $205.06 | ↑ +0% |
| Aetna | NewBusiness | $215.83 | ↑ +5% |
| Aetna | COMM | $231.20 | ↑ +13% |
| Aetna | Meritain | $231.20 | ↑ +13% |
| BCBS | BlueEssentialsAccess | $251.49 | ↑ +23% |
| BCBS | BlueEssentials | $251.49 | ↑ +23% |
| BCBS | EPOSOA | $263.94 | ↑ +29% |
| BCBS | PPO | $276.39 | ↑ +35% |
| BCBS | BluePremier | $326.19 | ↑ +59% |
| Humana | COMM | $343.38 | ↑ +67% |
| Cigna | LocalPlus | $395.31 | ↑ +93% |
| Cigna | NewBusiness | $395.70 | ↑ +93% |
| Cigna | HMO | $441.63 | ↑ +115% |
| Cigna | OpenAccessPlus | $441.63 | ↑ +115% |
| Cigna | NetworkBenefit | $441.63 | ↑ +115% |
| Cigna | AllOther | $558.70 | ↑ +172% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m pyroph diag per dose up to 25 mci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $300.05 | $65.59 – $467.52 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,280.09 | $65.59 – $467.52 |
| Baylor St Luke's Medical Center | Houston | $109.90 | $44.82 – $314.00 |
| St. Joseph Health Madison Hospital | Madisonville | $54.95 | $38.49 – $282.60 |
| St. Luke's Health Memorial Lufkin | Lufkin | $87.37 | $34.64 – $513.90 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $109.90 | $54.28 – $314.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $109.90 | $54.28 – $314.00 |
| St. Joseph Health College Station Hospital | College Station | $54.95 | $38.49 – $266.90 |