Varus/valgus strap padded/li at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$316.00
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.
$316.00
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.
$22.12 with Superior Health Plan vs $348.67 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 | CHIP | $22.12 | ↓ -93% |
| Superior Health Plan | STARHealth | $22.12 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $22.12 | ↓ -93% |
| Superior Health Plan | STARPLUS | $22.12 | ↓ -93% |
| Superior Health Plan | STARKids | $22.12 | ↓ -93% |
| Cigna | IFP | $42.66 | ↓ -87% |
| Cigna | QHP | $44.24 | ↓ -86% |
| United | OptionsPPO | $59.09 | ↓ -81% |
| Humana | Tricare | $59.86 | ↓ -81% |
| BCBS | MGMCRHMO | $60.50 | ↓ -81% |
| BCBS | MCRPPO | $60.50 | ↓ -81% |
| WellMed | MGMCR | $61.40 | ↓ -81% |
| Amerigroup | DualEligible | $61.71 | ↓ -80% |
| Humana | MGMCR | $61.71 | ↓ -80% |
| Devoted Health | PPO | $61.71 | ↓ -80% |
| Mutual of Omaha | MGMCR | $61.71 | ↓ -80% |
| TriWest Veterans | FEDERAL | $61.71 | ↓ -80% |
| Devoted Health | SNP | $61.71 | ↓ -80% |
| Devoted Health | HMO | $61.71 | ↓ -80% |
| Devoted Health | POS | $61.71 | ↓ -80% |
| Devoted Health | MCR | $61.71 | ↓ -80% |
| Devoted Health | MME | $61.71 | ↓ -80% |
| United | MGMCR | $62.02 | ↓ -80% |
| Aetna | MCR | $62.23 | ↓ -80% |
| Care N Care | MGMCR | $62.33 | ↓ -80% |
| Cigna Healthspring | MGMCR | $62.94 | ↓ -80% |
| WellCare | MGMCR | $63.56 | ↓ -80% |
| Integranet | MGMCR | $63.56 | ↓ -80% |
| American Health Plan of Texas, Inc. | MGMCR | $64.80 | ↓ -79% |
| Superior Health Plan | MGMCRHMO | $64.80 | ↓ -79% |
| Superior Health Plan | MGMCRPPO | $64.80 | ↓ -79% |
| Superior Health Plan | MGMCRDualEligible | $64.80 | ↓ -79% |
| Superior Health Plan | MGMCRPFFS | $64.80 | ↓ -79% |
| Superior Health Plan | MGMCRPOS | $64.80 | ↓ -79% |
| Superior Health Plan | MGMCRSNP | $64.80 | ↓ -79% |
| ProCare Advantge | MCR | $64.80 | ↓ -79% |
| Texas Independent Health Plan | MGMCR | $65.41 | ↓ -79% |
| Provider Partners Health Plan | MCR | $65.41 | ↓ -79% |
| Molina | MMP | $67.26 | ↓ -79% |
| Molina | MCR | $67.26 | ↓ -79% |
| Molina | MME | $67.26 | ↓ -79% |
| Cenpatico | BHMGMCR | $67.26 | ↓ -79% |
| Imperial Insurance Company | MCR | $67.88 | ↓ -79% |
| Universal Healthcare Group | MCR | $74.05 | ↓ -77% |
| BCBS | BlueAdvantageHMO | $78.05 | ↓ -75% |
| BCBS | MyBlueHealth | $78.05 | ↓ -75% |
| Verda Health Plan | MGMCR | $80.22 | ↓ -75% |
| Unicare | CHIP | $82.16 | ↓ -74% |
| Cigna | LocalPlus | $83.42 | ↓ -74% |
| Cigna | NewBusiness | $83.42 | ↓ -74% |
| Bravo Health | MCRHMO | $92.56 | ↓ -71% |
| Bravo Health | MCRPOS | $92.56 | ↓ -71% |
| Bravo Health | MCRPPO | $92.56 | ↓ -71% |
| Bravo Health | MCRSNP | $92.56 | ↓ -71% |
| Bravo Health | MCRPFFS | $92.56 | ↓ -71% |
| Cigna | NetworkBenefit | $93.22 | ↓ -71% |
| Cigna | OpenAccessPlus | $93.22 | ↓ -71% |
| Cigna | HMO | $93.22 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $100.80 | ↓ -68% |
| BCBS | BlueEssentials | $100.80 | ↓ -68% |
| BCBS | EPOSOA | $105.86 | ↓ -67% |
| Healthcare Highways | CityofPlano | $106.81 | ↓ -66% |
| Superior | ValueHMO | $110.46 | ↓ -65% |
| City of McKinney | COMM | $110.60 | ↓ -65% |
| BCBS | PPO | $110.60 | ↓ -65% |
| USA Managed Care | WORKERSCOMP | $117.25 | ↓ -63% |
| Cigna | AllOther | $117.87 | ↓ -63% |
| Corvel Corporation | WORKERSCOMP | $122.19 | ↓ -61% |
| Superior | HMO | $138.23 | ↓ -56% |
| Superior | EPO | $138.23 | ↓ -56% |
| BCBS | Traditional | $140.30 | ↓ -56% |
| National ChoiceCare | WCOMP | $158.00 | ↓ -50% |
| Molina Healthcare | HIX | $161.68 | ↓ -49% |
| Aetna | ASA | $166.53 | ↓ -47% |
| PC Texas Partners | WCOMP | $173.80 | ↓ -45% |
| Aetna | WCOMP | $173.80 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $173.80 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $173.80 | ↓ -45% |
| Averde Health, Inc | PPO | $183.28 | ↓ -42% |
| Value Options Behavioral Health | COMM | $189.60 | ↓ -40% |
| Magellan BH | Pinnacle | $189.60 | ↓ -40% |
| Magellan BH | Summit | $189.60 | ↓ -40% |
| Humana | BHCOMM | $205.40 | ↓ -35% |
| Mega Life | MGMCRPPO | $221.20 | ↓ -30% |
| Aetna Coventry First Health | COMM | $229.73 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $237.00 | ↓ -25% |
| ComPsych Corporation | COMM | $252.80 | ↓ -20% |
| Cigna Behavioral Health | COMM | $252.80 | ↓ -20% |
| USA Managed Care | COMM | $252.80 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $252.80 | ↓ -20% |
| Galaxy Health Network | PPO | $268.60 | ↓ -15% |
| Unicare | MCD | $316.00 | ↑ +0% |
| Independent Medical Systems | COMM | $316.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $316.00 | ↑ +0% |
| Humana | COMM | $348.67 | ↑ +10% |
Visitor-reported prices
Comments
Varus/valgus strap padded/li at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $136.41 | $38.65 – $181.88 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $136.41 | $29.19 – $181.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $136.41 | $38.65 – $181.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $136.41 | $36.38 – $181.88 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $136.41 | $36.38 – $181.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $136.41 | $34.10 – $181.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $136.41 | $25.01 – $181.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $136.41 | $25.01 – $181.88 |