Vein x-ray spleen/liver at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$5,544.55
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.
$5,544.55
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.
$388.12 with Superior Health Plan vs $8,200.88 with Aetna — 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 | STARKids | $388.12 | ↓ -93% |
| Superior Health Plan | STARPLUS | $388.12 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $388.12 | ↓ -93% |
| Superior Health Plan | STARHealth | $388.12 | ↓ -93% |
| Superior Health Plan | CHIP | $388.12 | ↓ -93% |
| Parkland Community Health Plan | MCD | $612.59 | ↓ -89% |
| Amerigroup | CHIP | $612.59 | ↓ -89% |
| United | STARPerinate | $612.59 | ↓ -89% |
| United | STARPLUS | $612.59 | ↓ -89% |
| United | STARKids | $612.59 | ↓ -89% |
| United | STAR | $612.59 | ↓ -89% |
| United | CHIP | $612.59 | ↓ -89% |
| Amerigroup | MGMCD | $612.59 | ↓ -89% |
| Cigna Healthspring | MGMCD | $643.22 | ↓ -88% |
| Aetna Better Health | CHIP | $661.60 | ↓ -88% |
| Aetna Better Health | MCD | $661.60 | ↓ -88% |
| Molina | CHIP | $673.85 | ↓ -88% |
| Molina | STAR+PLUS | $673.85 | ↓ -88% |
| Molina | STARKIDS | $673.85 | ↓ -88% |
| Molina | MCDSTAR | $673.85 | ↓ -88% |
| Cigna | IFP | $748.51 | ↓ -87% |
| Humana | MGMCD | $765.74 | ↓ -86% |
| Cigna | QHP | $776.24 | ↓ -86% |
| United | OptionsPPO | $1,036.83 | ↓ -81% |
| BCBS | BluePremier | $1,301.61 | ↓ -77% |
| United | SmallGroup | $1,327.01 | ↓ -76% |
| United | NarrowNetworkIndivExchange | $1,327.01 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,358.41 | ↓ -76% |
| Evry Health | COMM | $1,430.49 | ↓ -74% |
| BCBS | BlueAdvantageHMO | $1,432.86 | ↓ -74% |
| BCBS | MyBlueHealth | $1,432.86 | ↓ -74% |
| Unicare | CHIP | $1,441.58 | ↓ -74% |
| Cigna | LocalPlus | $1,478.94 | ↓ -73% |
| Cigna | NewBusiness | $1,480.41 | ↓ -73% |
| Cigna | NetworkBenefit | $1,651.87 | ↓ -70% |
| Cigna | HMO | $1,651.87 | ↓ -70% |
| Cigna | OpenAccessPlus | $1,651.87 | ↓ -70% |
| Healthcare Highways | CityofPlano | $1,874.06 | ↓ -66% |
| City of McKinney | COMM | $1,940.59 | ↓ -65% |
| Cigna | AllOther | $2,090.64 | ↓ -62% |
| Curative Administrators | COMM | $2,217.82 | ↓ -60% |
| Humana | COMM | $2,324.67 | ↓ -58% |
| BCBS | Traditional | $2,461.78 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $2,495.05 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,772.28 | ↓ -50% |
| Aetna | ASA | $2,921.98 | ↓ -47% |
| PC Texas Partners | WCOMP | $3,049.50 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $3,049.50 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $3,049.50 | ↓ -45% |
| Aetna | WCOMP | $3,049.50 | ↓ -45% |
| Averde Health, Inc | PPO | $3,215.84 | ↓ -42% |
| Value Options Behavioral Health | COMM | $3,326.73 | ↓ -40% |
| Magellan BH | Pinnacle | $3,326.73 | ↓ -40% |
| Magellan BH | Summit | $3,326.73 | ↓ -40% |
| Humana | BHCOMM | $3,603.96 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $3,881.18 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3,881.18 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,881.18 | ↓ -30% |
| Aetna Coventry First Health | COMM | $4,030.89 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,158.41 | ↓ -25% |
| BCBS | BlueEssentials | $4,254.84 | ↓ -23% |
| BCBS | BlueEssentialsAccess | $4,254.84 | ↓ -23% |
| ComPsych Corporation | COMM | $4,435.64 | ↓ -20% |
| Cigna Behavioral Health | COMM | $4,435.64 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $4,435.64 | ↓ -20% |
| USA Managed Care | COMM | $4,435.64 | ↓ -20% |
| BCBS | EPOSOA | $4,462.66 | ↓ -20% |
| BCBS | PPO | $4,670.48 | ↓ -16% |
| Galaxy Health Network | PPO | $4,712.87 | ↓ -15% |
| Aetna | QHPHIX | $4,760.60 | ↓ -14% |
| National Healthcare Solutions | COMM | $5,544.55 | ↑ +0% |
| Unicare | MCD | $5,544.55 | ↑ +0% |
| Independent Medical Systems | COMM | $5,544.55 | ↑ +0% |
| United | AllPayerAppendix | $6,438.74 | ↑ +16% |
| Aetna | NewBusiness | $6,527.23 | ↑ +18% |
| Aetna | COMM | $6,992.13 | ↑ +26% |
| Aetna | Meritain | $6,992.13 | ↑ +26% |
| Aetna | OON | $8,200.88 | ↑ +48% |
Visitor-reported prices
Comments
Vein x-ray spleen/liver at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,320.33 | $612.59 – $7,896.23 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $2,320.33 | $612.59 – $7,896.23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,320.33 | $612.59 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,880.40 | $387.05 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,880.40 | $612.59 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,320.33 | $612.59 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,880.40 | $655.47 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,880.40 | $612.59 – $7,896.23 |