Administration immunization each additional vaccine at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$2.81 with Superior Health Plan vs $88.99 with Humana — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Superior Health Plan | STARKids | $2.81 | — |
| Superior Health Plan | CHIP | $2.81 | — |
| Superior Health Plan | MCDSTAR | $2.81 | — |
| Superior Health Plan | STARPLUS | $2.81 | — |
| Superior Health Plan | STARHealth | $2.81 | — |
| Aetna | QHPHIX | $5.41 | — |
| Cigna | IFP | $5.41 | — |
| Cigna | QHP | $5.61 | — |
| United | OptionsPPO | $7.50 | — |
| Imperial Insurance Company | MCR | $7.62 | — |
| Aetna | NewBusiness | $7.98 | — |
| Oscar | HIX | $8.34 | — |
| Aetna | COMM | $8.54 | — |
| Aetna | Meritain | $8.54 | — |
| Healthcare Highways | NarrowNetwork | $9.82 | — |
| Aetna | OON | $10.07 | — |
| Evry Health | COMM | $10.35 | — |
| Unicare | CHIP | $10.43 | — |
| Cigna | LocalPlus | $10.59 | — |
| Cigna | NewBusiness | $10.59 | — |
| Cigna | OpenAccessPlus | $11.83 | — |
| Cigna | HMO | $11.83 | — |
| Cigna | NetworkBenefit | $11.83 | — |
| Healthcare Highways | CityofPlano | $13.55 | — |
| City of McKinney | COMM | $14.04 | — |
| Cigna | AllOther | $14.96 | — |
| Curative Administrators | COMM | $16.04 | — |
| BCBS | Traditional | $17.80 | — |
| Fidelis SecureCare | MGMCR | $18.05 | — |
| National ChoiceCare | WCOMP | $20.05 | — |
| Aetna | ASA | $21.13 | — |
| Aetna | WCOMP | $22.05 | — |
| PC Texas Partners | WCOMP | $22.05 | — |
| Physicians Coop of TX | MGMCR | $22.05 | — |
| Rockport Health Group | WORKERSCOMP | $22.05 | — |
| Averde Health, Inc | PPO | $23.26 | — |
| Magellan BH | Summit | $24.06 | — |
| Magellan BH | Pinnacle | $24.06 | — |
| Value Options Behavioral Health | COMM | $24.06 | — |
| Humana | BHCOMM | $26.07 | — |
| Mega Life | MGMCRPPO | $28.07 | — |
| Multiplan PHCS | PrimaryNetwork | $28.07 | — |
| Coastal Comp Health Networks | WCOMP | $28.07 | — |
| Aetna Coventry First Health | COMM | $29.15 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $30.07 | — |
| BCBS | BluePremier | $30.61 | — |
| USA Managed Care | COMM | $32.08 | — |
| Cigna Behavioral Health | COMM | $32.08 | — |
| ComPsych Corporation | COMM | $32.08 | — |
| HealthSmart Preferred Care | PPO | $32.08 | — |
| Galaxy Health Network | PPO | $34.09 | — |
| BCBS | BlueAdvantageHMO | $35.67 | — |
| BCBS | MyBlueHealth | $35.67 | — |
| Unicare | MCD | $40.10 | — |
| Independent Medical Systems | COMM | $40.10 | — |
| National Healthcare Solutions | COMM | $40.10 | — |
| BCBS | BlueEssentialsAccess | $63.16 | — |
| BCBS | BlueEssentials | $63.16 | — |
| BCBS | EPOSOA | $66.28 | — |
| BCBS | PPO | $69.39 | — |
| Humana | COMM | $88.99 | — |
Visitor-reported prices
Comments
Administration immunization each additional vaccine at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $53.42 | $15.14 – $75.68 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $53.42 | $11.43 – $75.68 |
| Adventhealth Rollins Brook | Lampasas | $34.95 | $49.93 – $49.93 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $53.42 | $15.14 – $75.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48.02 | $9.88 – $72.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $43.55 | $8.71 – $54.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $53.42 | $14.25 – $75.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $48.02 | $15.42 – $72.04 |