Medical Center of McKinney
4500 Medical Center Drive, McKinney, TX 75069 · 124 Priced Procedures · 68% Patient Recommendation
Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.96× fair market pricing.
Aligned Regional Benchmark Peer
Medical Center of McKinney prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (67/100 safety score) with 68% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Commercial insurance median sits at 0.98× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 16.2× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Medical Center of McKinney
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Trauma team activation HCPCS Code: G0390 | $37,914 | 26.1× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $28,573 | 0.9× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $20,656 | 1.1× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $18,034 | 0.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $16,566 | 0.9× |
| Total hip replacement CPT Code: 27130 | $16,121 | 1.2× |
| Total knee replacement CPT Code: 27447 | $16,121 | 1.2× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,519 | 1.0× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,429 | 1.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $5,270 | 1.6× |
| Vaginal delivery (full package) CPT Code: 59400 | $4,332 | 1.6× |
| C-section delivery (full package) CPT Code: 59510 | $4,332 | 1.5× |
| Bunion correction surgery CPT Code: 28296 | $3,682 | 1.1× |
| Inguinal hernia repair CPT Code: 49505 | $3,682 | 1.0× |
| Breast lump removal CPT Code: 19120 | $3,682 | 1.0× |
| Cataract surgery with lens implant CPT Code: 66984 | $3,445 | 1.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $2,214 | 1.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,993 | 2.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,993 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,954 | 1.9× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,844 | 2.2× |
| Group therapy session CPT Code: 90853 | $935 | 9.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $660 | 1.1× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $585 | 3.9× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $595 | unverified |
Audit a Bill or Quote at Medical Center of McKinney (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Medical Center of McKinney's published 45 CFR § 180 self-pay cash rate is $37,914 (vs. $37,914 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)
Your bill ($37,914) is $36,461 above the denoised Fair BaseRate ($1,453) and 27.8× the $1,362 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Medical Center of McKinney as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (648 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Medical Center of McKinney.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.