X-ray sinus tract/fistula/abscess 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.
$59.81 with United vs $2,383.80 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 | STAR | $59.81 | — |
| Parkland Community Health Plan | MCD | $59.81 | — |
| Amerigroup | MGMCD | $59.81 | — |
| Amerigroup | CHIP | $59.81 | — |
| United | STARPerinate | $59.81 | — |
| United | STARPLUS | $59.81 | — |
| United | STARKids | $59.81 | — |
| United | CHIP | $59.81 | — |
| Aetna | QHPHIX | $60.03 | — |
| Cigna Healthspring | MGMCD | $62.80 | — |
| Aetna Better Health | MCD | $64.59 | — |
| Aetna Better Health | CHIP | $64.59 | — |
| Molina | MCDSTAR | $65.79 | — |
| Molina | CHIP | $65.79 | — |
| Molina | STAR+PLUS | $65.79 | — |
| Molina | STARKIDS | $65.79 | — |
| Humana | MGMCD | $74.76 | — |
| Aetna | NewBusiness | $82.31 | — |
| Aetna | Meritain | $88.17 | — |
| Aetna | COMM | $88.17 | — |
| Aetna | OON | $103.41 | — |
| Humana | COMM | $115.15 | — |
| Cigna | LocalPlus | $136.61 | — |
| Cigna | NewBusiness | $136.75 | — |
| Cigna | HMO | $152.59 | — |
| Cigna | NetworkBenefit | $152.59 | — |
| Cigna | OpenAccessPlus | $152.59 | — |
| Superior Health Plan | STARPLUS | $166.87 | — |
| Superior Health Plan | CHIP | $166.87 | — |
| Superior Health Plan | STARHealth | $166.87 | — |
| Superior Health Plan | MCDSTAR | $166.87 | — |
| Superior Health Plan | STARKids | $166.87 | — |
| Cigna | AllOther | $193.12 | — |
| United | SmallGroup | $313.62 | — |
| United | NarrowNetworkIndivExchange | $313.62 | — |
| Cigna | IFP | $321.81 | — |
| Cigna | QHP | $333.73 | — |
| United | OptionsPPO | $445.77 | — |
| BCBS | BluePremier | $573.08 | — |
| Healthcare Highways | NarrowNetwork | $584.03 | — |
| Evry Health | COMM | $615.02 | — |
| Unicare | CHIP | $619.79 | — |
| BCBS | MyBlueHealth | $630.87 | — |
| BCBS | BlueAdvantageHMO | $630.87 | — |
| Healthcare Highways | CityofPlano | $805.72 | — |
| City of McKinney | COMM | $834.33 | — |
| Curative Administrators | COMM | $953.52 | — |
| BCBS | Traditional | $1,058.41 | — |
| Fidelis SecureCare | MGMCR | $1,072.71 | — |
| United | AllPayerAppendix | $1,086.50 | — |
| National ChoiceCare | WCOMP | $1,191.90 | — |
| Aetna | ASA | $1,256.26 | — |
| PC Texas Partners | WCOMP | $1,311.09 | — |
| Aetna | WCOMP | $1,311.09 | — |
| Rockport Health Group | WORKERSCOMP | $1,311.09 | — |
| Physicians Coop of TX | MGMCR | $1,311.09 | — |
| Averde Health, Inc | PPO | $1,382.60 | — |
| Value Options Behavioral Health | COMM | $1,430.28 | — |
| Magellan BH | Pinnacle | $1,430.28 | — |
| Magellan BH | Summit | $1,430.28 | — |
| Humana | BHCOMM | $1,549.47 | — |
| Multiplan PHCS | PrimaryNetwork | $1,668.66 | — |
| Coastal Comp Health Networks | WCOMP | $1,668.66 | — |
| Mega Life | MGMCRPPO | $1,668.66 | — |
| Aetna Coventry First Health | COMM | $1,733.02 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,787.85 | — |
| BCBS | BlueEssentialsAccess | $1,873.35 | — |
| BCBS | BlueEssentials | $1,873.35 | — |
| USA Managed Care | COMM | $1,907.04 | — |
| Cigna Behavioral Health | COMM | $1,907.04 | — |
| ComPsych Corporation | COMM | $1,907.04 | — |
| HealthSmart Preferred Care | PPO | $1,907.04 | — |
| BCBS | EPOSOA | $1,964.85 | — |
| Galaxy Health Network | PPO | $2,026.23 | — |
| BCBS | PPO | $2,056.35 | — |
| Unicare | MCD | $2,383.80 | — |
| National Healthcare Solutions | COMM | $2,383.80 | — |
| Independent Medical Systems | COMM | $2,383.80 | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $492.03 | $59.81 – $1,366.64 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $492.03 | $59.81 – $1,366.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $492.03 | $59.81 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $601.93 | $123.90 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $735.32 | $59.81 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $492.03 | $59.81 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $601.93 | $64.00 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $601.93 | $59.81 – $1,366.64 |