Medicine & Surgery ยท Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$41,025 - $62,020
from 4 insurers ยท median $45,618
182 Medicare discharges for this DRG in CMS hospital data
HCA Healthcare ยท Mckinney, TX
35
In-network payers
519
Disclosed rate categories
257
Beds
4
Care quality
Medical City Mckinney is a 257-bed proprietary hospital in Mckinney, TX, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 519 disclosed rate categories.
CCN (Medicare provider number)
450403
NPI
1437102639
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
257
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Medical City Mckinney most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery ยท Inpatient
MS-DRG 470
$41,025 - $62,020
from 4 insurers ยท median $45,618
182 Medicare discharges for this DRG in CMS hospital data
Childbirth ยท Inpatient
MS-DRG 807
$10,989 - $13,850
from 4 insurers ยท median $11,289
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth ยท Inpatient
MS-DRG 788
$11,484 - $19,141
from 4 insurers ยท median $15,378
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth ยท Inpatient
MS-DRG 807
$10,989 - $13,850
from 4 insurers ยท median $11,289
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$11,311 - $16,194
from 4 insurers ยท median $14,414
39 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$13,066 - $21,352
from 4 insurers ยท median $18,698
19 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery ยท Inpatient
MS-DRG 216
$68,863 - $193,995
from 4 insurers ยท median $97,613
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74177
$828 - $1,742
from 4 insurers ยท median $1,312
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$11,311 - $20,100
from 4 insurers ยท median $13,697
39 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,568 - $11,236
from 4 insurers ยท median $3,970
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$245 - $1,742
from 4 insurers ยท median $852
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$549 - $2,684
from 4 insurers ยท median $2,242
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$11,347 - $16,194
from 4 insurers ยท median $14,625
39 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery ยท Inpatient
MS-DRG 473
$33,964 - $49,246
from 4 insurers ยท median $47,986
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45380
$2,621 - $10,632
from 4 insurers ยท median $3,970
Common here, based on CMS Medicare volume
Medicine & Surgery ยท Inpatient
MS-DRG 460
$20,189 - $90,889
from 4 insurers ยท median $36,245
Hospital reports neurosurgical services to CMS
CT imaging
CPT 74176
$518 - $1,742
from 4 insurers ยท median $974
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$402 - $1,742
from 4 insurers ยท median $971
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$828 - $2,033
from 4 insurers ยท median $1,724
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$123 - $259
from 4 insurers ยท median $200
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$6,002 - $17,582
from 4 insurers ยท median $9,923
Typical for a hospital with this service line
Gynecology
CPT 58661
$11,299 - $18,841
from 4 insurers ยท median $13,743
Typical for a hospital with this service line
Urology
CPT 50590
$7,441 - $15,185
from 4 insurers ยท median $13,361
15 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
MRI imaging
CPT 72148
$518 - $2,033
from 4 insurers ยท median $1,363
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 422% | 19 | 2 |
| Insurer B* | 24 | 388% | 19 | 2 |
| Insurer C* | 24 | 232% | 13 | 6 |
| Insurer D* | 24 | 195% | 7 | 8 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Medical City Mckinney.
4500 Medical Center Drive, Mckinney, TX 75069
(972) 547-8000
About Medical City Mckinney's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Medical City Mckinney range from $828 to $2,033 across 4 insurers. Blue Cross Blue Shield's rate is $1,631. The median at nearby comparable hospitals is $1,296. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Medical City Mckinney range from $828 to $1,742 across 4 insurers. Blue Cross Blue Shield's rate is $1,297. The median at nearby comparable hospitals is $1,412. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Medical City Mckinney range from $2,621 to $10,632 across 4 insurers. Cigna's rate is $4,113. The median at nearby comparable hospitals is $3,061. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Medical City Mckinney range from $10,989 to $13,850 across 4 insurers. UnitedHealthcare's rate is $11,396. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Medical City Mckinney range from $123 to $259 across 4 insurers. UnitedHealthcare's rate is $217. The median at nearby comparable hospitals is $231. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Medical City Mckinney range from $41,025 to $62,020 across 4 insurers. Aetna's rate is $48,395. The median at nearby comparable hospitals is $28,089. What a patient pays depends on their plan's deductible, coinsurance and network status.
Medical City Mckinney has 257 beds. Facility type: Short Term Acute Care Hospital.
Medical City Mckinney is located at 4500 Medical Center Drive, Mckinney, TX 75069. Its main phone number is (972) 547-8000.
Medical City Mckinney's CMS Certification Number (CCN), also called its Medicare provider number, is 450403.
The National Provider Identifier (NPI) on file for Medical City Mckinney is 1437102639.
Medical City Mckinney is affiliated with HCA Healthcare.
Medical City Mckinney lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
519 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers