Tlso rigid plastic cust fab 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.
$1.75 with Superior Health Plan vs $11,537.27 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $1.75 | — |
| Superior Health Plan | MCDSTAR | $1.75 | — |
| Superior Health Plan | STARPLUS | $1.75 | — |
| Superior Health Plan | STARKids | $1.75 | — |
| Superior Health Plan | CHIP | $1.75 | — |
| Cigna | IFP | $3.38 | — |
| Cigna | QHP | $3.50 | — |
| United | OptionsPPO | $4.67 | — |
| BCBS | BlueAdvantageHMO | $6.17 | — |
| BCBS | MyBlueHealth | $6.17 | — |
| Unicare | CHIP | $6.50 | — |
| Cigna | NewBusiness | $6.60 | — |
| Cigna | LocalPlus | $6.60 | — |
| Cigna | HMO | $7.38 | — |
| Cigna | OpenAccessPlus | $7.38 | — |
| Cigna | NetworkBenefit | $7.38 | — |
| BCBS | BlueEssentials | $7.97 | — |
| BCBS | BlueEssentialsAccess | $7.97 | — |
| BCBS | EPOSOA | $8.38 | — |
| Healthcare Highways | CityofPlano | $8.45 | — |
| BCBS | PPO | $8.75 | — |
| City of McKinney | COMM | $8.75 | — |
| Cigna | AllOther | $9.32 | — |
| BCBS | Traditional | $11.10 | — |
| National ChoiceCare | WCOMP | $12.50 | — |
| Aetna | ASA | $13.18 | — |
| Rockport Health Group | WORKERSCOMP | $13.75 | — |
| PC Texas Partners | WCOMP | $13.75 | — |
| Aetna | WCOMP | $13.75 | — |
| Physicians Coop of TX | MGMCR | $13.75 | — |
| Averde Health, Inc | PPO | $14.50 | — |
| Magellan BH | Summit | $15.00 | — |
| Magellan BH | Pinnacle | $15.00 | — |
| Value Options Behavioral Health | COMM | $15.00 | — |
| Humana | BHCOMM | $16.25 | — |
| Mega Life | MGMCRPPO | $17.50 | — |
| Aetna Coventry First Health | COMM | $18.18 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $18.75 | — |
| ComPsych Corporation | COMM | $20.00 | — |
| Cigna Behavioral Health | COMM | $20.00 | — |
| HealthSmart Preferred Care | PPO | $20.00 | — |
| USA Managed Care | COMM | $20.00 | — |
| Galaxy Health Network | PPO | $21.25 | — |
| Unicare | MCD | $25.00 | — |
| Independent Medical Systems | COMM | $25.00 | — |
| National Healthcare Solutions | COMM | $25.00 | — |
| Humana | Tricare | $1,980.88 | — |
| BCBS | MGMCRHMO | $2,002.10 | — |
| BCBS | MCRPPO | $2,002.10 | — |
| WellMed | MGMCR | $2,031.93 | — |
| Amerigroup | DualEligible | $2,042.14 | — |
| Devoted Health | SNP | $2,042.14 | — |
| Devoted Health | HMO | $2,042.14 | — |
| Devoted Health | POS | $2,042.14 | — |
| Devoted Health | MCR | $2,042.14 | — |
| Devoted Health | MME | $2,042.14 | — |
| Humana | MGMCR | $2,042.14 | — |
| Devoted Health | PPO | $2,042.14 | — |
| Mutual of Omaha | MGMCR | $2,042.14 | — |
| TriWest Veterans | FEDERAL | $2,042.14 | — |
| United | MGMCR | $2,052.35 | — |
| Aetna | MCR | $2,059.50 | — |
| Care N Care | MGMCR | $2,062.56 | — |
| Cigna Healthspring | MGMCR | $2,082.98 | — |
| WellCare | MGMCR | $2,103.40 | — |
| Integranet | MGMCR | $2,103.40 | — |
| Superior Health Plan | MGMCRDualEligible | $2,144.25 | — |
| Superior Health Plan | MGMCRPFFS | $2,144.25 | — |
| Superior Health Plan | MGMCRPOS | $2,144.25 | — |
| Superior Health Plan | MGMCRPPO | $2,144.25 | — |
| Superior Health Plan | MGMCRHMO | $2,144.25 | — |
| American Health Plan of Texas, Inc. | MGMCR | $2,144.25 | — |
| ProCare Advantge | MCR | $2,144.25 | — |
| Superior Health Plan | MGMCRSNP | $2,144.25 | — |
| Provider Partners Health Plan | MCR | $2,164.67 | — |
| Texas Independent Health Plan | MGMCR | $2,164.67 | — |
| Molina | MMP | $2,225.93 | — |
| Cenpatico | BHMGMCR | $2,225.93 | — |
| Molina | MME | $2,225.93 | — |
| Molina | MCR | $2,225.93 | — |
| Imperial Insurance Company | MCR | $2,246.35 | — |
| Universal Healthcare Group | MCR | $2,450.57 | — |
| Verda Health Plan | MGMCR | $2,654.78 | — |
| Bravo Health | MCRPPO | $3,063.21 | — |
| Bravo Health | MCRHMO | $3,063.21 | — |
| Bravo Health | MCRPOS | $3,063.21 | — |
| Bravo Health | MCRSNP | $3,063.21 | — |
| Bravo Health | MCRPFFS | $3,063.21 | — |
| Superior | ValueHMO | $3,655.43 | — |
| USA Managed Care | WORKERSCOMP | $3,880.07 | — |
| Corvel Corporation | WORKERSCOMP | $4,043.44 | — |
| Superior | EPO | $4,574.39 | — |
| Superior | HMO | $4,574.39 | — |
| Molina Healthcare | HIX | $5,350.41 | — |
| Humana | COMM | $11,537.27 | — |
Visitor-reported prices
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Tlso rigid plastic cust fab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,347.16 | $665.03 – $3,129.54 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $2,347.16 | $502.29 – $3,129.54 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,347.16 | $665.03 – $3,129.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,554.60 | $319.99 – $2,331.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,554.60 | $310.92 – $2,072.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,347.16 | $625.91 – $3,129.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,554.60 | $499.03 – $2,331.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,554.60 | $803.21 – $2,331.90 |