CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Medical Center of McKinney
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$122
about 1.3× the $95 Medicare rate · typically $66–$259
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $122 Cash price $131 Hospital's list price $131
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $24 - $55 | 25% |
| Blue Cross Blue Shieldmajor | $56 - $278 | 59% |
| Aetnamajor | $17 - $213 | 18% |
| Cignamajor | $17 - $234 | 18% |
| Humanamajor | $83 - $191 | 87% |
| Fidelis Care | $57 - $60 | 60% |
| Health Net | $89 - $205 | 93% |
| Healthcare Highways | $31 - $99 | 33% |
| UniCare | $33 - $293 | 35% |
| + 15 smaller / regional plans | $24 - $293 |
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Medical Center of McKinney
Compare: Office visit, established patient (20-29 min) at other TX hospitals
- Northwest Texas Hospital · Amarillo $34
- Ochiltree General Hospital · Perryton $43
- PAM Specialty Hospital of Texarkana North · Texarkana $47
- Riceland Medical Center · Winnie $48
- Cook Childrens Medical Center · Fort Worth $51
- Cook Childrens Medical Center Prosper · Prosper $51
- Peterson Regional Medical Center · Kerrville $52
- North Texas Medical Center · Gainesville $52
Insurance negotiated median for the same procedure, sorted lowest first.