X-ray exam of jaw joint 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.
$34.75 with United vs $1,211.60 with Independent Medical Systems — 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 |
|---|---|---|---|
| United | CHIP | $34.75 | — |
| United | STARPerinate | $34.75 | — |
| Parkland Community Health Plan | MCD | $34.75 | — |
| United | STARPLUS | $34.75 | — |
| United | STARKids | $34.75 | — |
| United | STAR | $34.75 | — |
| Amerigroup | CHIP | $34.75 | — |
| Amerigroup | MGMCD | $34.75 | — |
| Cigna Healthspring | MGMCD | $36.49 | — |
| Aetna Better Health | CHIP | $37.53 | — |
| Aetna Better Health | MCD | $37.53 | — |
| Molina | CHIP | $38.23 | — |
| Molina | MCDSTAR | $38.23 | — |
| Molina | STARKIDS | $38.23 | — |
| Molina | STAR+PLUS | $38.23 | — |
| Humana | MGMCD | $43.44 | — |
| Aetna | QHPHIX | $43.70 | — |
| Aetna | NewBusiness | $59.92 | — |
| Aetna | COMM | $64.18 | — |
| Aetna | Meritain | $64.18 | — |
| Aetna | OON | $75.28 | — |
| United | SmallGroup | $83.86 | — |
| United | NarrowNetworkIndivExchange | $83.86 | — |
| Superior Health Plan | MCDSTAR | $84.81 | — |
| Superior Health Plan | STARHealth | $84.81 | — |
| Superior Health Plan | STARPLUS | $84.81 | — |
| Superior Health Plan | STARKids | $84.81 | — |
| Superior Health Plan | CHIP | $84.81 | — |
| Humana | COMM | $85.25 | — |
| BCBS | BluePremier | $94.97 | — |
| Cigna | LocalPlus | $100.48 | — |
| Cigna | NewBusiness | $100.58 | — |
| BCBS | BlueAdvantageHMO | $104.55 | — |
| BCBS | MyBlueHealth | $104.55 | — |
| Cigna | NetworkBenefit | $112.22 | — |
| Cigna | HMO | $112.22 | — |
| Cigna | OpenAccessPlus | $112.22 | — |
| Cigna | AllOther | $142.03 | — |
| Cigna | IFP | $163.57 | — |
| Cigna | QHP | $169.62 | — |
| United | AllPayerAppendix | $182.03 | — |
| United | OptionsPPO | $226.57 | — |
| Healthcare Highways | NarrowNetwork | $296.84 | — |
| BCBS | BlueEssentialsAccess | $310.46 | — |
| BCBS | BlueEssentials | $310.46 | — |
| Evry Health | COMM | $312.59 | — |
| Unicare | CHIP | $315.02 | — |
| BCBS | EPOSOA | $325.62 | — |
| BCBS | PPO | $340.79 | — |
| Healthcare Highways | CityofPlano | $409.52 | — |
| City of McKinney | COMM | $424.06 | — |
| Curative Administrators | COMM | $484.64 | — |
| BCBS | Traditional | $537.95 | — |
| Fidelis SecureCare | MGMCR | $545.22 | — |
| National ChoiceCare | WCOMP | $605.80 | — |
| Aetna | ASA | $638.51 | — |
| PC Texas Partners | WCOMP | $666.38 | — |
| Aetna | WCOMP | $666.38 | — |
| Rockport Health Group | WORKERSCOMP | $666.38 | — |
| Physicians Coop of TX | MGMCR | $666.38 | — |
| Averde Health, Inc | PPO | $702.73 | — |
| Value Options Behavioral Health | COMM | $726.96 | — |
| Magellan BH | Pinnacle | $726.96 | — |
| Magellan BH | Summit | $726.96 | — |
| Humana | BHCOMM | $787.54 | — |
| Multiplan PHCS | PrimaryNetwork | $848.12 | — |
| Mega Life | MGMCRPPO | $848.12 | — |
| Coastal Comp Health Networks | WCOMP | $848.12 | — |
| Aetna Coventry First Health | COMM | $880.83 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $908.70 | — |
| Cigna Behavioral Health | COMM | $969.28 | — |
| HealthSmart Preferred Care | PPO | $969.28 | — |
| USA Managed Care | COMM | $969.28 | — |
| ComPsych Corporation | COMM | $969.28 | — |
| Galaxy Health Network | PPO | $1,029.86 | — |
| Unicare | MCD | $1,211.60 | — |
| National Healthcare Solutions | COMM | $1,211.60 | — |
| Independent Medical Systems | COMM | $1,211.60 | — |
Visitor-reported prices
Comments
X-ray exam of jaw joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $115.69 | $34.75 – $225.11 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $115.69 | $34.75 – $225.11 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $115.69 | $34.75 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $251.32 | $51.73 – $376.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $256.34 | $34.75 – $320.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $115.69 | $34.75 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $251.32 | $37.18 – $376.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $251.32 | $34.75 – $376.98 |