Tl-201 thallium diag per mci at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$932.09
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.
$932.09
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.
$65.25 with Superior Health Plan vs $994.29 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $65.25 | ↓ -93% |
| Superior Health Plan | STARHealth | $65.25 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $65.25 | ↓ -93% |
| Superior Health Plan | CHIP | $65.25 | ↓ -93% |
| Superior Health Plan | STARPLUS | $65.25 | ↓ -93% |
| Imaging Providers of Texas | HMOBlue | $70.00 | ↓ -92% |
| United | AllPayerAppendix | $78.80 | ↓ -92% |
| United | SmallGroup | $78.80 | ↓ -92% |
| United | NarrowNetworkIndivExchange | $78.80 | ↓ -92% |
| Aetna | QHPHIX | $80.26 | ↓ -91% |
| Aetna | NewBusiness | $110.04 | ↓ -88% |
| Aetna | Meritain | $117.88 | ↓ -87% |
| Aetna | COMM | $117.88 | ↓ -87% |
| Cigna | IFP | $125.83 | ↓ -87% |
| Cigna | QHP | $130.49 | ↓ -86% |
| United | OptionsPPO | $174.30 | ↓ -81% |
| Imperial Insurance Company | MCR | $177.10 | ↓ -81% |
| Oscar | HIX | $193.87 | ↓ -79% |
| Cigna | LocalPlus | $201.56 | ↓ -78% |
| Cigna | NewBusiness | $201.76 | ↓ -78% |
| Cigna | HMO | $225.18 | ↓ -76% |
| Cigna | OpenAccessPlus | $225.18 | ↓ -76% |
| Cigna | NetworkBenefit | $225.18 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $228.36 | ↓ -76% |
| Aetna | OON | $233.95 | ↓ -75% |
| Evry Health | COMM | $240.48 | ↓ -74% |
| Unicare | CHIP | $242.34 | ↓ -74% |
| Humana | COMM | $250.24 | ↓ -73% |
| Cigna | AllOther | $284.87 | ↓ -69% |
| Healthcare Highways | CityofPlano | $315.05 | ↓ -66% |
| City of McKinney | COMM | $326.23 | ↓ -65% |
| Curative Administrators | COMM | $372.84 | ↓ -60% |
| BCBS | Traditional | $413.85 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $419.44 | ↓ -55% |
| National ChoiceCare | WCOMP | $466.05 | ↓ -50% |
| Physicians Coop of TX | MGMCR | $512.65 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $512.65 | ↓ -45% |
| Aetna | WCOMP | $512.65 | ↓ -45% |
| PC Texas Partners | WCOMP | $512.65 | ↓ -45% |
| BCBS | MyBlueHealth | $523.71 | ↓ -44% |
| BCBS | BlueAdvantageHMO | $523.71 | ↓ -44% |
| Averde Health, Inc | PPO | $540.61 | ↓ -42% |
| Value Options Behavioral Health | COMM | $559.25 | ↓ -40% |
| Magellan BH | Pinnacle | $559.25 | ↓ -40% |
| Magellan BH | Summit | $559.25 | ↓ -40% |
| Humana | BHCOMM | $605.86 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $652.46 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $652.46 | ↓ -30% |
| Mega Life | MGMCRPPO | $652.46 | ↓ -30% |
| Aetna Coventry First Health | COMM | $677.63 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $699.07 | ↓ -25% |
| ComPsych Corporation | COMM | $745.67 | ↓ -20% |
| USA Managed Care | COMM | $745.67 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $745.67 | ↓ -20% |
| Cigna Behavioral Health | COMM | $745.67 | ↓ -20% |
| BCBS | BlueEssentialsAccess | $766.59 | ↓ -18% |
| BCBS | BlueEssentials | $766.59 | ↓ -18% |
| Galaxy Health Network | PPO | $792.28 | ↓ -15% |
| BCBS | EPOSOA | $804.54 | ↓ -14% |
| BCBS | PPO | $842.49 | ↓ -10% |
| National Healthcare Solutions | COMM | $932.09 | ↑ +0% |
| Unicare | MCD | $932.09 | ↑ +0% |
| Independent Medical Systems | COMM | $932.09 | ↑ +0% |
| BCBS | BluePremier | $994.29 | ↑ +7% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $27.09 | $20.13 – $538.00 |
| Baylor St Luke's Medical Center | Houston | $28.35 | $21.87 – $538.00 |
| St. Joseph Health Madison Hospital | Madisonville | $33.78 | $24.59 – $193.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $171.90 | $38.72 – $954.90 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $28.35 | $21.06 – $538.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $28.35 | $21.06 – $538.00 |
| St. Joseph Health College Station Hospital | College Station | $33.78 | $38.60 – $193.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $28.35 | $21.06 – $538.00 |