Ultrasound ob >=14wks ea addl gest 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$51.47 with BCBS vs $1,667.94 with Independent Medical Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS | BluePremier | $51.47 | — |
| BCBS | MyBlueHealth | $56.66 | — |
| BCBS | BlueAdvantageHMO | $56.66 | — |
| Aetna | QHPHIX | $70.17 | — |
| United | STARPerinate | $87.54 | — |
| United | CHIP | $87.54 | — |
| Parkland Community Health Plan | MCD | $87.54 | — |
| Amerigroup | MGMCD | $87.54 | — |
| United | STAR | $87.54 | — |
| Amerigroup | CHIP | $87.54 | — |
| United | STARPLUS | $87.54 | — |
| United | STARKids | $87.54 | — |
| Cigna Healthspring | MGMCD | $91.92 | — |
| Aetna Better Health | MCD | $94.54 | — |
| Aetna Better Health | CHIP | $94.54 | — |
| Aetna | NewBusiness | $96.21 | — |
| Molina | STAR+PLUS | $96.29 | — |
| Molina | STARKIDS | $96.29 | — |
| Molina | CHIP | $96.29 | — |
| Molina | MCDSTAR | $96.29 | — |
| Aetna | COMM | $103.06 | — |
| Aetna | Meritain | $103.06 | — |
| Humana | MGMCD | $109.43 | — |
| Superior Health Plan | MCDSTAR | $116.76 | — |
| Superior Health Plan | CHIP | $116.76 | — |
| Superior Health Plan | STARKids | $116.76 | — |
| Superior Health Plan | STARPLUS | $116.76 | — |
| Superior Health Plan | STARHealth | $116.76 | — |
| Aetna | OON | $120.88 | — |
| BCBS | BlueEssentialsAccess | $168.24 | — |
| BCBS | BlueEssentials | $168.24 | — |
| Humana | COMM | $175.17 | — |
| BCBS | EPOSOA | $176.46 | — |
| BCBS | PPO | $184.68 | — |
| Cigna | IFP | $225.17 | — |
| Cigna | QHP | $233.51 | — |
| United | OptionsPPO | $311.90 | — |
| Imperial Insurance Company | MCR | $316.91 | — |
| Healthcare Highways | NarrowNetwork | $408.65 | — |
| Evry Health | COMM | $430.33 | — |
| Unicare | CHIP | $433.66 | — |
| Healthcare Highways | CityofPlano | $563.76 | — |
| City of McKinney | COMM | $583.78 | — |
| Curative Administrators | COMM | $667.18 | — |
| BCBS | Traditional | $740.57 | — |
| Fidelis SecureCare | MGMCR | $750.57 | — |
| National ChoiceCare | WCOMP | $833.97 | — |
| Aetna | ASA | $879.00 | — |
| Physicians Coop of TX | MGMCR | $917.37 | — |
| Aetna | WCOMP | $917.37 | — |
| Rockport Health Group | WORKERSCOMP | $917.37 | — |
| PC Texas Partners | WCOMP | $917.37 | — |
| Averde Health, Inc | PPO | $967.41 | — |
| Value Options Behavioral Health | COMM | $1,000.76 | — |
| Magellan BH | Pinnacle | $1,000.76 | — |
| Magellan BH | Summit | $1,000.76 | — |
| Humana | BHCOMM | $1,084.16 | — |
| Coastal Comp Health Networks | WCOMP | $1,167.56 | — |
| Mega Life | MGMCRPPO | $1,167.56 | — |
| Multiplan PHCS | PrimaryNetwork | $1,167.56 | — |
| Aetna Coventry First Health | COMM | $1,212.59 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,250.95 | — |
| ComPsych Corporation | COMM | $1,334.35 | — |
| USA Managed Care | COMM | $1,334.35 | — |
| HealthSmart Preferred Care | PPO | $1,334.35 | — |
| Cigna Behavioral Health | COMM | $1,334.35 | — |
| Galaxy Health Network | PPO | $1,417.75 | — |
| Unicare | MCD | $1,667.94 | — |
| National Healthcare Solutions | COMM | $1,667.94 | — |
| Independent Medical Systems | COMM | $1,667.94 | — |
Visitor-reported prices
Comments
Ultrasound ob >=14wks ea addl gest at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $470.69 | $86.50 – $666.82 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $470.69 | $86.50 – $666.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $470.69 | $86.50 – $666.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $567.63 | $94.99 – $851.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $459.43 | $87.54 – $574.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $470.69 | $87.54 – $666.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $567.63 | $93.67 – $851.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $567.63 | $87.54 – $851.45 |