Financial Information

Understanding Hospital Charges, Billing, & Payments

The Charge, Billing, & Payment Process

Methodist McKinney Hospital is committed to providing compassionate health care services to every patient who walks through our doors. We’ll help you navigate the charge, billing, and payment process prior to your visit so you can make an informed decision regarding your out-of-pocket costs. 

Generally, patients make financial arrangements and verify their insurance coverage prior to hospital registration. All patients are responsible for paying for every health care service they receive at our facility. 

We look forward to partnering with you on your health care journey.

For financial inquiries or billing questions, please call 972-569-2700, option 5.

Charges

How to Request a Hospital Charge Estimate

Every patient should understand their potential financial liability before receiving any medical services. We encourage patients to request a free charge estimate for any hospital procedure, service, or test by calling a financial counselor at (972) 569-2700 and choosing option five when prompted.

We based charge estimates on the information you (the patient) provide. These charges do not include additional procedures, services, or tests that your physician orders after the initial estimate, after unforeseen complications occur, or charges you receive from your physician that are billed separately.

Physician Billing Process

Physicians are independent contractors that aren’t employed by Methodist McKinney Hospital. Each individual physician practice sets its own prices. After services are provided, each physician will send a bill with the related charges. These charges are separate from any fees charged by the hospital. Keep in mind that some physicains may be considered out-of-network by your insurance provider. If this is the case, you must work with your insurance provider to address the issue.

Physicians who bill separately and might be out-of-network include (but are not limited to):

  • Primary Care Physicians
  • Specialty Care Physicians
  • Radiologists
  • Pathologists
  • Anesthesiologists
  • Surgeons
  • Emergency Room Physicians
  • Hospitalists
  • DME Products

Billing

With Insurance

Methodist McKinney Hospital will send a bill—after health care services have been rendered—to every insured patients’ insurance provider. We also will send each patient a letter notifying you that we have billed your insurance provider. The average bill payment time is 30-45 days. Once we have received payment from your insurance provider, we will send you a bill detailing the amount you owe after insurance has been applied. 

 

Methodist McKinney Hospital bills your primary and secondary insurance providers or governmental agency directly for facility fees. It’s important that you bring your most current primary and secondary insurance, Medicare, or public assistance card on the day you receive hospital services. 

Make note of your insurance plan’s admission policies. You or your physician might need to adhere to specific requirements to ensure maximum reimbursement. Failure to obtain pre-authorization, a physician referral, or a second medical opinion might significantly reduce or eliminate your benefits.

Without Insurance

Soon after you receive health care services at our facility, we will bill you for any outstanding balance that wasn’t paid when you registered or were discharged. We base the billing process on the information you provide us with during the registration process.

Payment

Patients should prepare to pay any co-pay or deductible amounts on the day they receive health care services. Patients without insurance coverage or those who receive cosmetic surgery must pay all charges in advance. Please contact our business office for pricing information.

We understand that patients sometimes require special financial arrangements. If this is the case for you, please call our business office at (972) 569-2700 and choose option 5 when prompted. Call prior to your surgery so we can discuss alternative payment methods. Our patient account representatives are available 8 a.m.-5 p.m. Monday through Friday to discuss financial arrangements. Methodist McKinney Hospital accepts cash, cashier’s checks, all major credit cards, and personal checks accompanied by a valid ID. 

Methodist McKinney Hospital bills your primary and secondary insurance providers or governmental agency directly for facility fees. It’s important that you bring your most current primary and secondary insurance, Medicare, or public assistance card on the day you receive hospital services. 

Make note of your insurance plan’s admission policies. You or your physician might need to adhere to specific requirements to ensure maximum reimbursement. Failure to obtain pre-authorization, a physician referral, or a second medical opinion might significantly reduce or eliminate your benefits. 

For your convenience, you also can pay your bill online with a credit card or bank transfer. Click here to be directed to Methodist McKinney Hospital’s secure online payment page.

Chargemaster Transparency FAQs

Where are the Methodist McKinney Hospital (MMH) chargemasters located?

Patients and Visitors can access the MMH chargemaster by visiting our website at MethodistMckinneyHospital.com. A hospital financial counselor will provide a hospital estimate or help you access the chargemaster system.

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.

I don’t understand the charges published in the chargemaster—I can’t find any prices for my surgery.

Surgery pricing at MMH is based on how much time the patient spends in the operating room and recovery and includes additional services that you may receive—such as labs, drugs, or 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 that are generally performed for a specific test, procedure, or surgery. They also will apply insurance and uninsured discounts.

Methodist McKinney Hospital 972-569-2917

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 their current standard charges as reflected in the chargemaster.

How much is the hospital uninsured discount?

Currently, our uninsured discount is set at 40%.

How much is the hospital insurance discount?

Insurance discounts vary by payor but, on average, are around 40%.

Can I download a copy of the chargemaster?

Yes. The chargemaster is in a format that can be exported easily.

Where do I find a public list of the diagnosis-related group standard charges?

Each facility’s financial counselor can provide an estimate with a list of charges specific to diagnosis-related groups (DRGs). You also can review the Texas Price Point link that’s located on our website under estimates and charges.

Are physicians required to post their chargemaster?

The CMS rule is specific to hospitals only. A few unique circumstances exist 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.

Physician Billing Process

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

Important Terminology to Know

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.

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