Budesonide non-comp unit 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$1.15 with Humana vs $63.73 with National Healthcare Solutions — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| Humana | Tricare | $1.15 | — |
| United | AllPayerAppendix | $1.73 | — |
| United | SmallGroup | $1.73 | — |
| United | NarrowNetworkIndivExchange | $1.73 | — |
| Superior Health Plan | STARPLUS | $4.46 | — |
| Superior Health Plan | STARKids | $4.46 | — |
| Superior Health Plan | MCDSTAR | $4.46 | — |
| Superior Health Plan | STARHealth | $4.46 | — |
| Superior Health Plan | CHIP | $4.46 | — |
| Cigna | LocalPlus | $7.75 | — |
| Cigna | NewBusiness | $7.75 | — |
| Aetna | QHPHIX | $8.60 | — |
| Cigna | IFP | $8.60 | — |
| Cigna | NetworkBenefit | $8.65 | — |
| Cigna | HMO | $8.65 | — |
| Cigna | OpenAccessPlus | $8.65 | — |
| Cigna | QHP | $8.92 | — |
| Cigna | AllOther | $10.95 | — |
| United | OptionsPPO | $11.92 | — |
| Aetna | NewBusiness | $12.68 | — |
| Aetna | COMM | $13.57 | — |
| Aetna | Meritain | $13.57 | — |
| Aetna | OON | $16.00 | — |
| Humana | COMM | $16.17 | — |
| Unicare | CHIP | $16.57 | — |
| BCBS | BlueAdvantageHMO | $19.46 | — |
| BCBS | MyBlueHealth | $19.46 | — |
| Healthcare Highways | CityofPlano | $21.54 | — |
| City of McKinney | COMM | $22.31 | — |
| BCBS | Traditional | $28.30 | — |
| BCBS | BlueEssentials | $28.48 | — |
| BCBS | BlueEssentialsAccess | $28.48 | — |
| BCBS | EPOSOA | $29.89 | — |
| BCBS | PPO | $31.30 | — |
| National ChoiceCare | WCOMP | $31.86 | — |
| Aetna | ASA | $33.59 | — |
| Physicians Coop of TX | MGMCR | $35.05 | — |
| Aetna | WCOMP | $35.05 | — |
| PC Texas Partners | WCOMP | $35.05 | — |
| Rockport Health Group | WORKERSCOMP | $35.05 | — |
| BCBS | BluePremier | $36.94 | — |
| Averde Health, Inc | PPO | $36.96 | — |
| Magellan BH | Pinnacle | $38.24 | — |
| Value Options Behavioral Health | COMM | $38.24 | — |
| Magellan BH | Summit | $38.24 | — |
| Humana | BHCOMM | $41.42 | — |
| Mega Life | MGMCRPPO | $44.61 | — |
| Coastal Comp Health Networks | WCOMP | $44.61 | — |
| Aetna Coventry First Health | COMM | $46.33 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $47.80 | — |
| HealthSmart Preferred Care | PPO | $50.98 | — |
| Cigna Behavioral Health | COMM | $50.98 | — |
| USA Managed Care | COMM | $50.98 | — |
| Galaxy Health Network | PPO | $54.17 | — |
| Unicare | MCD | $63.73 | — |
| Independent Medical Systems | COMM | $63.73 | — |
| National Healthcare Solutions | COMM | $63.73 | — |
Visitor-reported prices
Comments
Budesonide non-comp unit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $73.03 | $3.84 – $22.52 |
| HCA HOUSTON SOUTHEAST | PASADENA | $67.60 | $1.19 – $22.01 |
| Covenant Medical Center | Lubbock | $73.03 | $3.84 – $29.28 |
| Covenant Hospital Plainview | Plainview | $84.45 | $20.92 – $20.92 |
| Covenant Hospital Levelland | Levelland | $38.63 | $20.92 – $20.92 |
| Covenant Specialty Hospital | Lubbock | $73.03 | not published |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $109.79 | $1.15 – $19.46 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $140.31 | $1.15 – $19.46 |