Tomosynthesis breast diagnostic left at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$261.63
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.
$261.63
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.
$11.99 with WellMed vs $261.63 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 |
|---|---|---|---|
| WellMed | MGMCR | $11.99 | ↓ -95% |
| Amerigroup | DualEligible | $12.05 | ↓ -95% |
| TriWest Veterans | FEDERAL | $12.05 | ↓ -95% |
| Devoted Health | PPO | $12.05 | ↓ -95% |
| Devoted Health | MCR | $12.05 | ↓ -95% |
| Devoted Health | MME | $12.05 | ↓ -95% |
| Mutual of Omaha | MGMCR | $12.05 | ↓ -95% |
| Devoted Health | POS | $12.05 | ↓ -95% |
| Devoted Health | HMO | $12.05 | ↓ -95% |
| Devoted Health | SNP | $12.05 | ↓ -95% |
| Humana | MGMCR | $12.05 | ↓ -95% |
| United | MGMCR | $12.11 | ↓ -95% |
| Aetna | MCR | $12.15 | ↓ -95% |
| Care N Care | MGMCR | $12.17 | ↓ -95% |
| Cigna Healthspring | MGMCR | $12.29 | ↓ -95% |
| Integranet | MGMCR | $12.41 | ↓ -95% |
| WellCare | MGMCR | $12.41 | ↓ -95% |
| Superior Health Plan | MGMCRHMO | $12.65 | ↓ -95% |
| ProCare Advantge | MCR | $12.65 | ↓ -95% |
| Superior Health Plan | MGMCRPPO | $12.65 | ↓ -95% |
| Superior Health Plan | MGMCRDualEligible | $12.65 | ↓ -95% |
| Superior Health Plan | MGMCRPFFS | $12.65 | ↓ -95% |
| Superior Health Plan | MGMCRPOS | $12.65 | ↓ -95% |
| Superior Health Plan | MGMCRSNP | $12.65 | ↓ -95% |
| American Health Plan of Texas, Inc. | MGMCR | $12.65 | ↓ -95% |
| Provider Partners Health Plan | MCR | $12.77 | ↓ -95% |
| Texas Independent Health Plan | MGMCR | $12.77 | ↓ -95% |
| Molina | MMP | $13.13 | ↓ -95% |
| Molina | MCR | $13.13 | ↓ -95% |
| Molina | MME | $13.13 | ↓ -95% |
| Cenpatico | BHMGMCR | $13.13 | ↓ -95% |
| Imperial Insurance Company | MCR | $13.26 | ↓ -95% |
| Humana | Tricare | $13.95 | ↓ -95% |
| BCBS | MCRPPO | $14.37 | ↓ -95% |
| BCBS | MGMCRHMO | $14.37 | ↓ -95% |
| Universal Healthcare Group | MCR | $14.46 | ↓ -94% |
| Verda Health Plan | MGMCR | $15.67 | ↓ -94% |
| Bravo Health | MCRPOS | $18.08 | ↓ -93% |
| Bravo Health | MCRSNP | $18.08 | ↓ -93% |
| Bravo Health | MCRPPO | $18.08 | ↓ -93% |
| Bravo Health | MCRHMO | $18.08 | ↓ -93% |
| Bravo Health | MCRPFFS | $18.08 | ↓ -93% |
| Superior Health Plan | STARPLUS | $18.31 | ↓ -93% |
| Superior Health Plan | CHIP | $18.31 | ↓ -93% |
| Superior Health Plan | STARKids | $18.31 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $18.31 | ↓ -93% |
| Superior Health Plan | STARHealth | $18.31 | ↓ -93% |
| Superior | ValueHMO | $21.57 | ↓ -92% |
| USA Managed Care | WORKERSCOMP | $22.89 | ↓ -91% |
| Corvel Corporation | WORKERSCOMP | $23.86 | ↓ -91% |
| Superior | HMO | $26.99 | ↓ -90% |
| Superior | EPO | $26.99 | ↓ -90% |
| BCBS | BluePremier | $30.02 | ↓ -89% |
| Molina Healthcare | HIX | $31.57 | ↓ -88% |
| BCBS | BlueAdvantageHMO | $33.05 | ↓ -87% |
| BCBS | MyBlueHealth | $33.05 | ↓ -87% |
| United | NarrowNetworkIndivExchange | $34.51 | ↓ -87% |
| United | SmallGroup | $34.51 | ↓ -87% |
| Aetna | QHPHIX | $35.32 | ↓ -87% |
| Cigna | IFP | $35.32 | ↓ -87% |
| Cigna | QHP | $36.63 | ↓ -86% |
| United | STARKids | $47.45 | ↓ -82% |
| United | STAR | $47.45 | ↓ -82% |
| Parkland Community Health Plan | MCD | $47.45 | ↓ -82% |
| Amerigroup | CHIP | $47.45 | ↓ -82% |
| United | CHIP | $47.45 | ↓ -82% |
| United | STARPerinate | $47.45 | ↓ -82% |
| United | STARPLUS | $47.45 | ↓ -82% |
| Amerigroup | MGMCD | $47.45 | ↓ -82% |
| United | OptionsPPO | $48.92 | ↓ -81% |
| Cigna Healthspring | MGMCD | $49.82 | ↓ -81% |
| Aetna Better Health | CHIP | $51.25 | ↓ -80% |
| Aetna Better Health | MCD | $51.25 | ↓ -80% |
| Aetna | NewBusiness | $52.06 | ↓ -80% |
| Molina | MCDSTAR | $52.20 | ↓ -80% |
| Molina | CHIP | $52.20 | ↓ -80% |
| Molina | STAR+PLUS | $52.20 | ↓ -80% |
| Molina | STARKIDS | $52.20 | ↓ -80% |
| Aetna | COMM | $55.73 | ↓ -79% |
| Aetna | Meritain | $55.73 | ↓ -79% |
| United | AllPayerAppendix | $57.31 | ↓ -78% |
| Humana | MGMCD | $59.31 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $64.10 | ↓ -75% |
| Aetna | OON | $65.67 | ↓ -75% |
| Evry Health | COMM | $67.50 | ↓ -74% |
| Unicare | CHIP | $68.02 | ↓ -74% |
| Healthcare Highways | CityofPlano | $88.43 | ↓ -66% |
| City of McKinney | COMM | $91.57 | ↓ -65% |
| BCBS | BlueEssentialsAccess | $98.14 | ↓ -62% |
| BCBS | BlueEssentials | $98.14 | ↓ -62% |
| BCBS | EPOSOA | $102.94 | ↓ -61% |
| Curative Administrators | COMM | $104.65 | ↓ -60% |
| BCBS | PPO | $107.73 | ↓ -59% |
| BCBS | Traditional | $116.16 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $117.73 | ↓ -55% |
| National ChoiceCare | WCOMP | $130.81 | ↓ -50% |
| Aetna | ASA | $137.88 | ↓ -47% |
| Aetna | WCOMP | $143.90 | ↓ -45% |
| PC Texas Partners | WCOMP | $143.90 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $143.90 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $143.90 | ↓ -45% |
| Averde Health, Inc | PPO | $151.75 | ↓ -42% |
| Magellan BH | Pinnacle | $156.98 | ↓ -40% |
| Value Options Behavioral Health | COMM | $156.98 | ↓ -40% |
| Magellan BH | Summit | $156.98 | ↓ -40% |
| Humana | BHCOMM | $170.06 | ↓ -35% |
| Humana | COMM | $171.47 | ↓ -34% |
| Mega Life | MGMCRPPO | $183.14 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $183.14 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $183.14 | ↓ -30% |
| Aetna Coventry First Health | COMM | $190.21 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $196.22 | ↓ -25% |
| Cigna Behavioral Health | COMM | $209.30 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $209.30 | ↓ -20% |
| USA Managed Care | COMM | $209.30 | ↓ -20% |
| ComPsych Corporation | COMM | $209.30 | ↓ -20% |
| Galaxy Health Network | PPO | $222.39 | ↓ -15% |
| Independent Medical Systems | COMM | $261.63 | ↑ +0% |
| National Healthcare Solutions | COMM | $261.63 | ↑ +0% |
| Unicare | MCD | $261.63 | ↑ +0% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $69.72 | $81.74 – $110.00 |
| Baylor St Luke's Medical Center | Houston | $55.30 | $17.38 – $158.00 |
| St. Joseph Health Madison Hospital | Madisonville | $19.78 | $14.40 – $158.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $31.80 | $47.43 – $183.60 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $55.30 | $15.80 – $158.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $55.30 | $12.64 – $158.00 |
| St. Joseph Health College Station Hospital | College Station | $19.78 | $47.45 – $158.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $55.30 | $12.64 – $158.00 |