Epoetin alfa-epbx 40,000 unit/ml injection solution 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.
$6.86 with Humana vs $275.30 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 | $6.86 | — |
| United | AllPayerAppendix | $12.49 | — |
| United | SmallGroup | $12.49 | — |
| United | NarrowNetworkIndivExchange | $12.49 | — |
| Superior Health Plan | STARHealth | $19.27 | — |
| Superior Health Plan | STARPLUS | $19.27 | — |
| Superior Health Plan | STARKids | $19.27 | — |
| Superior Health Plan | CHIP | $19.27 | — |
| Superior Health Plan | MCDSTAR | $19.27 | — |
| BCBS | MyBlueHealth | $36.98 | — |
| BCBS | BlueAdvantageHMO | $36.98 | — |
| Aetna | QHPHIX | $37.17 | — |
| Cigna | IFP | $37.17 | — |
| Cigna | QHP | $38.54 | — |
| Cigna | LocalPlus | $45.81 | — |
| Cigna | NewBusiness | $45.85 | — |
| Cigna | NetworkBenefit | $51.17 | — |
| Cigna | HMO | $51.17 | — |
| Cigna | OpenAccessPlus | $51.17 | — |
| United | OptionsPPO | $51.48 | — |
| BCBS | BlueEssentialsAccess | $54.14 | — |
| BCBS | BlueEssentials | $54.14 | — |
| Aetna | NewBusiness | $54.78 | — |
| BCBS | EPOSOA | $56.82 | — |
| Aetna | Meritain | $58.64 | — |
| Aetna | COMM | $58.64 | — |
| BCBS | PPO | $59.50 | — |
| Cigna | AllOther | $64.74 | — |
| Aetna | OON | $69.10 | — |
| BCBS | BluePremier | $70.22 | — |
| Unicare | CHIP | $71.58 | — |
| Humana | COMM | $83.63 | — |
| Healthcare Highways | CityofPlano | $93.05 | — |
| City of McKinney | COMM | $96.36 | — |
| BCBS | Traditional | $122.23 | — |
| National ChoiceCare | WCOMP | $137.65 | — |
| Aetna | ASA | $145.08 | — |
| PC Texas Partners | WCOMP | $151.41 | — |
| Rockport Health Group | WORKERSCOMP | $151.41 | — |
| Aetna | WCOMP | $151.41 | — |
| Physicians Coop of TX | MGMCR | $151.41 | — |
| Averde Health, Inc | PPO | $159.67 | — |
| Magellan BH | Pinnacle | $165.18 | — |
| Value Options Behavioral Health | COMM | $165.18 | — |
| Magellan BH | Summit | $165.18 | — |
| Humana | BHCOMM | $178.94 | — |
| Mega Life | MGMCRPPO | $192.71 | — |
| Coastal Comp Health Networks | WCOMP | $192.71 | — |
| Aetna Coventry First Health | COMM | $200.14 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $206.47 | — |
| USA Managed Care | COMM | $220.24 | — |
| Cigna Behavioral Health | COMM | $220.24 | — |
| HealthSmart Preferred Care | PPO | $220.24 | — |
| Galaxy Health Network | PPO | $234.00 | — |
| Unicare | MCD | $275.30 | — |
| Independent Medical Systems | COMM | $275.30 | — |
| National Healthcare Solutions | COMM | $275.30 | — |
Visitor-reported prices
Comments
Epoetin alfa-epbx 40,000 unit/ml injection solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $779.13 | $41.27 – $41.27 |
| Covenant Children's Hospital | Lubbock | $2,721.47 | $26.48 – $42.80 |
| St. Luke's Health Memorial Lufkin | Lufkin | $382.79 | $10.74 – $459.32 |
| Texas Health Presbyterian Hospital Allen | Allen | $873.58 | $13.99 – $29.00 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $873.58 | $21.95 – $29.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $397.16 | $10.97 – $103.99 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $873.58 | $13.99 – $29.00 |
| Texas Health Arlington Memorial Hospital | Arlington | $873.58 | $13.99 – $29.00 |