Inj, tofidence, 1 mg 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.
$2.10 with Superior Health Plan vs $49.52 with Cigna — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $2.10 | — |
| Superior Health Plan | STARHealth | $2.10 | — |
| Superior Health Plan | MCDSTAR | $2.10 | — |
| Superior Health Plan | STARPLUS | $2.10 | — |
| Superior Health Plan | STARKids | $2.10 | — |
| Aetna | QHPHIX | $4.05 | — |
| Cigna | IFP | $4.05 | — |
| Cigna | QHP | $4.20 | — |
| United | OptionsPPO | $5.60 | — |
| Humana | Tricare | $5.79 | — |
| Aetna | NewBusiness | $5.96 | — |
| Aetna | Meritain | $6.38 | — |
| Aetna | COMM | $6.38 | — |
| Aetna | OON | $7.52 | — |
| Unicare | CHIP | $7.79 | — |
| United | NarrowNetworkIndivExchange | $9.22 | — |
| United | AllPayerAppendix | $9.22 | — |
| United | SmallGroup | $9.22 | — |
| Healthcare Highways | CityofPlano | $10.13 | — |
| City of McKinney | COMM | $10.49 | — |
| BCBS | Traditional | $13.31 | — |
| National ChoiceCare | WCOMP | $14.98 | — |
| Aetna | ASA | $15.79 | — |
| Physicians Coop of TX | MGMCR | $16.48 | — |
| PC Texas Partners | WCOMP | $16.48 | — |
| Rockport Health Group | WORKERSCOMP | $16.48 | — |
| Aetna | WCOMP | $16.48 | — |
| Averde Health, Inc | PPO | $17.38 | — |
| Magellan BH | Summit | $17.98 | — |
| Value Options Behavioral Health | COMM | $17.98 | — |
| Magellan BH | Pinnacle | $17.98 | — |
| Humana | BHCOMM | $19.48 | — |
| Coastal Comp Health Networks | WCOMP | $20.98 | — |
| Mega Life | MGMCRPPO | $20.98 | — |
| Aetna Coventry First Health | COMM | $21.79 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $22.48 | — |
| BCBS | MyBlueHealth | $23.22 | — |
| BCBS | BlueAdvantageHMO | $23.22 | — |
| USA Managed Care | COMM | $23.98 | — |
| HealthSmart Preferred Care | PPO | $23.98 | — |
| Cigna Behavioral Health | COMM | $23.98 | — |
| Galaxy Health Network | PPO | $25.47 | — |
| National Healthcare Solutions | COMM | $29.97 | — |
| Unicare | MCD | $29.97 | — |
| Independent Medical Systems | COMM | $29.97 | — |
| BCBS | BlueEssentialsAccess | $33.99 | — |
| BCBS | BlueEssentials | $33.99 | — |
| Cigna | LocalPlus | $35.04 | — |
| Cigna | NewBusiness | $35.07 | — |
| BCBS | EPOSOA | $35.67 | — |
| BCBS | PPO | $37.35 | — |
| Cigna | OpenAccessPlus | $39.14 | — |
| Cigna | NetworkBenefit | $39.14 | — |
| Cigna | HMO | $39.14 | — |
| BCBS | BluePremier | $44.08 | — |
| Cigna | AllOther | $49.52 | — |
Visitor-reported prices
Comments
Inj, tofidence, 1 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $25.91 – $25.91 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $5.97 – $14.01 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5.97 – $14.01 |
| Covenant Children's Hospital | Lubbock | not published | $20.28 – $20.28 |
| HCA HOUSTON CONROE | CONROE | not published | $5.59 – $14.01 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $5.59 – $14.01 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $5.97 – $14.01 |
| HCA HOUSTON PEARLAND | Pearland | not published | $5.97 – $14.01 |