Financial Information

Understanding Hospital Charges, Billing, and Payment

The charge, Billing, and Payment Process

Methodist McKinney Hospital is committed to fulfilling its mission to provide quality and compassionate health care services to people from all walks of life.  Our goal is to help you understand the charge, billing, and payment process prior to your visit so you can make an informed decision regarding your health care out of pocket costs.

In most cases, financial arrangements and insurance verification are confirmed with the patient prior to or at hospital registration.  As a patient of Methodist McKinney Hospital, and a partner of our health care team, it is your responsibility to pay for the health care services provided to you.

How to Request a Hospital Charge Estimate 

Methodist McKinney Hospital believes it is important for our patients to understand their potential financial liability before services are performed. Patients are encouraged to request a charge estimate for any hospital procedure/service/test by calling our facility financial counselor at 972-569-2700 and choosing option 5. Estimates are based on information provided by you (the patient) and do not include additional tests/procedures/services ordered by your physician after the initial estimate or post unforeseen complications, or physician charges which are billed separately by your physician.

Physician Billing Process
Physicians are independent contractors and are not employed by Methodist McKinney Hospital and physician prices are set by the individual physician 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. 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
  • Surgeons
  • Emergency Room Physicians
  • Hospitalists
With Insurance

If you have insurance, we will bill your insurance company shortly after health care services are provided and you will receive a letter notifying you your insurance has been billed.  It usually takes 30-45 days for your insurance company to pay your bill.  After your insurance company pays us, we will send you a bill for the amount you owe after insurance.

This facility will bill your primary and secondary insurance carriers or governmental agency directly for the facility fees. Be sure to bring your most current primary and secondary insurance, Medicare or public assistance card with you on the day you receive hospital services.

Please be aware of your insurance plan’s admission policies. You or your physician may have to adhere to certain requirements in order to ensure maximum reimbursement. Failure to obtain pre-authorization, physician referral or a second opinion may greatly reduce or eliminate your benefits.

Without Insurance

We will bill you shortly after health care services have been rendered for any outstanding balance that was not paid at the time of registration/discharge. This billing is based on information you provided us during your registration process.

Be prepared to pay any co-pay or deductible amounts on the day services are rendered. Patients who do not have insurance coverage or those having cosmetic surgery are required to pay their charges in advance. Please contact our business office for pricing information.

We realize that at times you may require special financial arrangements. In these instances, please call our business office at (972) 569-2700 and choosing option 5 prior to your surgery to discuss alternative methods of payment. Our patient account representatives are available 8 a.m. to 5 p.m. Monday through Friday to discuss financial arrangements with you. Methodist McKinney Hospital accepts cash, cashier’s checks, all major credit cards and personal checks with a valid I.D.

This facility will bill your primary and secondary insurance carriers or governmental agency directly for the facility fees. Be sure to bring your most current primary and secondary insurance, Medicare or public assistance card with you on the day you receive hospital services.

Please be aware of your insurance plan’s admission policies. You or your physician may have to adhere to certain requirements in order to ensure maximum reimbursement. Failure to obtain pre-authorization, physician referral or a second opinion may greatly reduce or eliminate your benefits.

For your convenience, you may also pay your bill online with a credit card or bank transfer. Please click the button below to be directed to Methodist McKinney Hospital’s secure online payment page.

Download The 2019 Chargemaster

Download The Chargemaster FAQs

Chargemaster Transparency
Frequently Asked Questions

  1. Where are the Methodist McKinney Hospital (MMH) chargemasters located?
    • Patients and Visitors may access the MMH chargemaster by visiting our website at MethodistMckinneyHospital.com Any hospital financial counselor may provide a hospital estimate or help you access the chargemaster.
  1. How often is the chargemaster information updated?
    • The chargemaster is updated annually as required by section 2718(e) of the Public Health Service Act, which was enacted as part of the Affordable Care Act.
  1. I don’t understand the charges you have published in the chargemaster—I cannot find any prices for my surgery.
    • Surgery pricing at MMH is based on how much time the patient spends in the operating room, recovery, as well as additional services that you may receive such as labs, drugs, radiology.
    • To obtain an estimated list of charges, we recommend contacting a facility financial counselor to customize an estimate for you. The estimate will include a list of charges for the services generally performed for a specific test, procedure, or surgery and will also apply insurance and uninsured discounts.

Methodist McKinney Hospital 972-569-2917

  1. Are you required to publish all items and services provided by the hospital?
    • Yes, the current requirement states that all hospitals must provide a list of our current standard charges as reflected in the chargemaster.
  1. How much is the hospital uninsured discount?
    • Currently, our uninsured discount is set at 40%.
  1. How much is the hospital insurance discount?
    • Insurance discounts vary by payor but on average are around 40%.
  1. Can I download a copy of the chargemaster?
    • Yes, the chargemaster is in a format that can be easily exported.
  1. Where would I find a public list of the diagnosis related group standard charges?
    • Each facility financial counselor can provide an estimate with a list of charges specific to diagnosis related groups (DRG’s).  You may also review the Texas Price Point link located on our website under estimates and charges.
  1. Are physicians required to post their chargemaster?
    • The CMS rule is specific to hospitals only.
      • There are a few unique circumstances where a physician’s charge may be included in the chargemaster such as a hospital based clinic.

 

Disclaimer:  Methodist McKinney Hospital makes no guarantees regarding the charge information provided on this website.  The charge information is strictly an estimate of charges and Methodist McKinney Hospital cannot guarantee the estimates because patient services may vary by patient due to physician treatment decisions, unforeseen complications, additional tests or services ordered by your physician, and the needs of each individual patient.  In addition, estimates may change based on your contracted insurance benefits or pending state/federal program aid.

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Title Address Description
Methodist McKinney Hospital
8000 Eldorado Pkwy, McKinney, TX 75070, USA

8000 W. Eldorado Pkwy. McKinney, Texas 75070

(972) 569-2709 | Emergency

This number connects directly to the ER

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Texas Law Disclaimer

Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist McKinney Hospital medical staff including those referenced on this website are independent practitioners who are not employees or agents of Methodist McKinney Hospital or any of its affiliated locations.

Attention/ Atención

If you don’t speak English, language assistance services, free of charge, are available to you. Call 1-(972) 569-2700 (TTY: 7-1-1).
Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-(972) 569-2700 (TTY: 7-1-1).