Urine screen for bacteria at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$212.80
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.
$212.80
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.
$14.90 with Superior Health Plan vs $269.77 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $14.90 | ↓ -93% |
| Superior Health Plan | STARKids | $14.90 | ↓ -93% |
| Superior Health Plan | STARPLUS | $14.90 | ↓ -93% |
| Superior Health Plan | STARHealth | $14.90 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $14.90 | ↓ -93% |
| Parkland Community Health Plan | MCD | $25.18 | ↓ -88% |
| Amerigroup | CHIP | $25.18 | ↓ -88% |
| United | STARKids | $25.18 | ↓ -88% |
| United | STARPLUS | $25.18 | ↓ -88% |
| United | CHIP | $25.18 | ↓ -88% |
| United | STAR | $25.18 | ↓ -88% |
| Amerigroup | MGMCD | $25.18 | ↓ -88% |
| United | STARPerinate | $25.18 | ↓ -88% |
| Cigna Healthspring | MGMCD | $26.44 | ↓ -88% |
| Aetna Better Health | CHIP | $27.19 | ↓ -87% |
| Aetna Better Health | MCD | $27.19 | ↓ -87% |
| Molina | MCDSTAR | $27.70 | ↓ -87% |
| Molina | STARKIDS | $27.70 | ↓ -87% |
| Molina | STAR+PLUS | $27.70 | ↓ -87% |
| Molina | CHIP | $27.70 | ↓ -87% |
| Cigna | IFP | $28.73 | ↓ -86% |
| Cigna | QHP | $29.79 | ↓ -86% |
| WellMed | MGMCR | $29.83 | ↓ -86% |
| BCBS | MCRPPO | $29.98 | ↓ -86% |
| Devoted Health | SNP | $29.98 | ↓ -86% |
| Devoted Health | HMO | $29.98 | ↓ -86% |
| Devoted Health | POS | $29.98 | ↓ -86% |
| Devoted Health | MCR | $29.98 | ↓ -86% |
| Devoted Health | MME | $29.98 | ↓ -86% |
| Humana | MGMCR | $29.98 | ↓ -86% |
| United | AllPayerAppendix | $29.98 | ↓ -86% |
| United | NarrowNetworkIndivExchange | $29.98 | ↓ -86% |
| United | SmallGroup | $29.98 | ↓ -86% |
| Amerigroup | DualEligible | $29.98 | ↓ -86% |
| TriWest Veterans | FEDERAL | $29.98 | ↓ -86% |
| Mutual of Omaha | MGMCR | $29.98 | ↓ -86% |
| Devoted Health | PPO | $29.98 | ↓ -86% |
| BCBS | MGMCRHMO | $29.98 | ↓ -86% |
| United | MGMCR | $30.13 | ↓ -86% |
| Aetna | MCR | $30.23 | ↓ -86% |
| Care N Care | MGMCR | $30.28 | ↓ -86% |
| Cigna Healthspring | MGMCR | $30.58 | ↓ -86% |
| Integranet | MGMCR | $30.88 | ↓ -85% |
| WellCare | MGMCR | $30.88 | ↓ -85% |
| Superior Health Plan | MGMCRPPO | $31.48 | ↓ -85% |
| American Health Plan of Texas, Inc. | MGMCR | $31.48 | ↓ -85% |
| ProCare Advantge | MCR | $31.48 | ↓ -85% |
| Humana | Tricare | $31.48 | ↓ -85% |
| Humana | MGMCD | $31.48 | ↓ -85% |
| Superior Health Plan | MGMCRHMO | $31.48 | ↓ -85% |
| Superior Health Plan | MGMCRSNP | $31.48 | ↓ -85% |
| Superior Health Plan | MGMCRPOS | $31.48 | ↓ -85% |
| Superior Health Plan | MGMCRPFFS | $31.48 | ↓ -85% |
| Superior Health Plan | MGMCRDualEligible | $31.48 | ↓ -85% |
| Texas Independent Health Plan | MGMCR | $31.78 | ↓ -85% |
| Provider Partners Health Plan | MCR | $31.78 | ↓ -85% |
| Cenpatico | BHMGMCR | $32.68 | ↓ -85% |
| Molina | MCR | $32.68 | ↓ -85% |
| Molina | MME | $32.68 | ↓ -85% |
| Molina | MMP | $32.68 | ↓ -85% |
| Imperial Insurance Company | MCR | $32.98 | ↓ -85% |
| Universal Healthcare Group | MCR | $35.98 | ↓ -83% |
| Aetna | QHPHIX | $38.14 | ↓ -82% |
| Verda Health Plan | MGMCR | $38.97 | ↓ -82% |
| United | OptionsPPO | $39.79 | ↓ -81% |
| Bravo Health | MCRPFFS | $44.97 | ↓ -79% |
| Bravo Health | MCRHMO | $44.97 | ↓ -79% |
| Bravo Health | MCRPPO | $44.97 | ↓ -79% |
| Bravo Health | MCRPOS | $44.97 | ↓ -79% |
| Bravo Health | MCRSNP | $44.97 | ↓ -79% |
| BCBS | BluePremier | $46.47 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $52.14 | ↓ -75% |
| BCBS | MyBlueHealth | $52.47 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $52.47 | ↓ -75% |
| Aetna | NewBusiness | $52.53 | ↓ -75% |
| Superior | ValueHMO | $53.66 | ↓ -75% |
| Evry Health | COMM | $54.90 | ↓ -74% |
| Unicare | CHIP | $55.33 | ↓ -74% |
| Aetna | Meritain | $55.95 | ↓ -74% |
| Aetna | COMM | $55.95 | ↓ -74% |
| USA Managed Care | WORKERSCOMP | $56.96 | ↓ -73% |
| Corvel Corporation | WORKERSCOMP | $59.36 | ↓ -72% |
| Aetna | OON | $65.84 | ↓ -69% |
| Superior | EPO | $67.16 | ↓ -68% |
| Superior | HMO | $67.16 | ↓ -68% |
| Healthcare Highways | CityofPlano | $71.93 | ↓ -66% |
| BCBS | BlueEssentialsAccess | $74.05 | ↓ -65% |
| BCBS | BlueEssentials | $74.05 | ↓ -65% |
| City of McKinney | COMM | $74.48 | ↓ -65% |
| BCBS | EPOSOA | $77.65 | ↓ -64% |
| Oscar | HIX | $77.95 | ↓ -63% |
| Molina Healthcare | HIX | $78.55 | ↓ -63% |
| BCBS | PPO | $81.25 | ↓ -62% |
| BCBS | Traditional | $94.48 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $95.76 | ↓ -55% |
| National ChoiceCare | WCOMP | $106.40 | ↓ -50% |
| Aetna | ASA | $112.15 | ↓ -47% |
| Cigna | LocalPlus | $113.63 | ↓ -47% |
| Cigna | NewBusiness | $113.74 | ↓ -47% |
| PC Texas Partners | WCOMP | $117.04 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $117.04 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $117.04 | ↓ -45% |
| Aetna | WCOMP | $117.04 | ↓ -45% |
| Averde Health, Inc | PPO | $123.42 | ↓ -42% |
| Cigna | HMO | $126.92 | ↓ -40% |
| Cigna | NetworkBenefit | $126.92 | ↓ -40% |
| Cigna | OpenAccessPlus | $126.92 | ↓ -40% |
| Value Options Behavioral Health | COMM | $127.68 | ↓ -40% |
| Magellan BH | Pinnacle | $127.68 | ↓ -40% |
| Magellan BH | Summit | $127.68 | ↓ -40% |
| Humana | BHCOMM | $138.32 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $148.96 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $148.96 | ↓ -30% |
| Mega Life | MGMCRPPO | $148.96 | ↓ -30% |
| Aetna Coventry First Health | COMM | $154.71 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $159.60 | ↓ -25% |
| Cigna | AllOther | $160.63 | ↓ -25% |
| Cigna Behavioral Health | COMM | $170.24 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $170.24 | ↓ -20% |
| USA Managed Care | COMM | $170.24 | ↓ -20% |
| ComPsych Corporation | COMM | $170.24 | ↓ -20% |
| Galaxy Health Network | PPO | $180.88 | ↓ -15% |
| Unicare | MCD | $212.80 | ↑ +0% |
| National Healthcare Solutions | COMM | $212.80 | ↑ +0% |
| Independent Medical Systems | COMM | $212.80 | ↑ +0% |
| Humana | COMM | $269.77 | ↑ +27% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Urine screen for bacteria at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $110.45 | $17.99 – $118.14 |
| Adventhealth Rollins Brook | Lampasas | not published | $26.98 – $115.42 |
| CHRISTUS Children's Hospital | San Antonio | not published | $9.54 – $31.48 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $24.68 – $122.67 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $25.18 – $122.67 |
| Covenant Children's Hospital | Lubbock | not published | $65.49 – $130.71 |
| HCA HOUSTON CONROE | CONROE | not published | $24.68 – $122.67 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $24.68 – $122.67 |