Financial Assistance

Understanding your physician billing process

Physicians are independent contractors and are not employed by Methodist McKinney Hospital and physician prices are set by the individual practice. Professional fees charged by these physicians for services provided to you will be billed by these physicians separately from the fees charged by the hospital. Some of these physicians may be considered out of network by your insurance carrier despite the hospital being in-network with your insurance carrier. You will need to work with your insurance carrier to address this issue.

Physicians who will bill you separately and may be out of network include but are not limited to:

• Primary care physicians
• Specialty care physicians
• Radiologists
• Pathologists
• Anesthesiologists- assigned by your surgeon
• Surgeons
• Emergency room physicians
• Hospitalists
• DME Products

Estimated Insurance Contractual Discount: This is the expected adjustment to be applied to our standard fee.

Estimated Insurance Responsibility: This is the maximum amount that the payor considers payable for this procedure.

Co-Payment: A co-pay is a specified dollar amount that a member must pay out-of-pocket for service at the time the service is rendered.

Deductible: A deductible is the annual amount a member must pay before the health plans begins to pay benefits.

Co-Insurance: A co-insurance is a pre-determined ratio of healthcare expenses for which the patient is responsible.

Less: Out of Pocket Maximum Applied: The maximum annual out-ofpocket costs to be paid by a member for covered services.

Disclaimer: Methodist McKinney Hospital and Methodist Craig Ranch Surgery Center make no guarantees regarding the accuracy of the pricing information provided herein. The pricing information provided by this website is strictly an estimate of prices, and we cannot guarantee the accuracy of any estimates. All estimates are based on information provided by a prospective patient and do not include, among other things, any unforeseen complications, additional tests or procedures, and non-facility related charges, any of which may increase the ultimate cost of the services provided. Any prospective patient should understand that a final bill for services rendered at either of our facilities may differ substantially from the information provided by this website, and Methodist McKinney Hospital and Methodist Craig Ranch Surgery Center shall not be liable for any inaccuracies.