Treat kneecap fracture 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.
$948.00 with Superior Health Plan vs $19,055.00 with United — 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 | STARPLUS | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| United | STARKids | $2,398.52 | — |
| United | STARPerinate | $2,398.52 | — |
| Parkland Community Health Plan | MCD | $2,398.52 | — |
| United | CHIP | $2,398.52 | — |
| United | STAR | $2,398.52 | — |
| United | STARPLUS | $2,398.52 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Amerigroup | MGMCD | $2,518.45 | — |
| Cigna Healthspring | MGMCD | $2,518.45 | — |
| Amerigroup | CHIP | $2,518.45 | — |
| Molina | STAR+PLUS | $2,638.37 | — |
| Molina | STARKIDS | $2,638.37 | — |
| Molina | MCDSTAR | $2,638.37 | — |
| Molina | CHIP | $2,638.37 | — |
| Aetna Better Health | MCD | $2,878.22 | — |
| Aetna Better Health | CHIP | $2,878.22 | — |
| Humana | MGMCD | $2,998.15 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Humana | COMM | $5,319.13 | — |
| WellMed | MGMCR | $7,325.73 | — |
| Cigna | LocalPlus | $7,679.00 | — |
| Cigna | NewBusiness | $7,687.00 | — |
| BCBS | BluePremier | $7,955.99 | — |
| Oscar | HIX | $8,024.00 | — |
| Cigna | NetworkBenefit | $8,580.00 | — |
| Cigna | HMO | $8,580.00 | — |
| Cigna | OpenAccessPlus | $8,580.00 | — |
| Curative Administrators | COMM | $8,778.00 | — |
| Healthcare Highways | NarrowNetwork | $8,858.00 | — |
| Evry Health | COMM | $9,417.00 | — |
| Cigna | AllOther | $10,853.00 | — |
| United | NarrowNetworkIndivExchange | $11,345.00 | — |
| United | SmallGroup | $13,245.00 | — |
| BCBS | MyBlueHealth | $13,459.39 | — |
| BCBS | BlueAdvantageHMO | $13,459.39 | — |
| BCBS | BlueEssentialsAccess | $16,031.63 | — |
| BCBS | BlueEssentials | $16,031.63 | — |
| BCBS | EPOSOA | $16,869.10 | — |
| BCBS | PPO | $17,646.75 | — |
| United | AllPayerAppendix | $19,055.00 | — |
Visitor-reported prices
Comments
Treat kneecap fracture at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | not published | $2,398.52 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,635.41 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,051.25 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,635.41 | $85.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,635.41 | $2,398.52 – $17,722.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,051.25 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $7,635.41 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $7,635.41 | $71.00 – $17,722.46 |