Injection, pentamidine iseth at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$1,180.38
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.
$1,180.38
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.
$82.63 with Superior Health Plan vs $1,180.38 with Independent Medical Systems — 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 | STARKids | $82.63 | ↓ -93% |
| Superior Health Plan | CHIP | $82.63 | ↓ -93% |
| Superior Health Plan | STARHealth | $82.63 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $82.63 | ↓ -93% |
| Superior Health Plan | STARPLUS | $82.63 | ↓ -93% |
| Cigna | IFP | $159.35 | ↓ -87% |
| Aetna | QHPHIX | $159.35 | ↓ -87% |
| Cigna | QHP | $165.25 | ↓ -86% |
| United | OptionsPPO | $220.73 | ↓ -81% |
| Aetna | NewBusiness | $234.90 | ↓ -80% |
| Superior | HMO | $236.08 | ↓ -80% |
| Superior | ValueHMO | $236.08 | ↓ -80% |
| Superior | EPO | $236.08 | ↓ -80% |
| Aetna | Meritain | $251.42 | ↓ -79% |
| Aetna | COMM | $251.42 | ↓ -79% |
| BCBS | MyBlueHealth | $291.55 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $291.55 | ↓ -75% |
| Molina Healthcare | HIX | $295.10 | ↓ -75% |
| Aetna | OON | $296.28 | ↓ -75% |
| Unicare | CHIP | $306.90 | ↓ -74% |
| Humana | COMM | $369.56 | ↓ -69% |
| BCBS | BlueEssentials | $376.54 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $376.54 | ↓ -68% |
| BCBS | EPOSOA | $395.43 | ↓ -66% |
| Healthcare Highways | CityofPlano | $398.97 | ↓ -66% |
| BCBS | PPO | $413.13 | ↓ -65% |
| City of McKinney | COMM | $413.13 | ↓ -65% |
| BCBS | Traditional | $524.09 | ↓ -56% |
| National ChoiceCare | WCOMP | $590.19 | ↓ -50% |
| Cigna | LocalPlus | $602.98 | ↓ -49% |
| Cigna | NewBusiness | $603.58 | ↓ -49% |
| Physicians Coop of TX | MGMCR | $649.21 | ↓ -45% |
| Aetna | WCOMP | $649.21 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $649.21 | ↓ -45% |
| PC Texas Partners | WCOMP | $649.21 | ↓ -45% |
| Cigna | NetworkBenefit | $673.63 | ↓ -43% |
| Cigna | OpenAccessPlus | $673.63 | ↓ -43% |
| Cigna | HMO | $673.63 | ↓ -43% |
| BCBS | BluePremier | $681.00 | ↓ -42% |
| Averde Health, Inc | PPO | $684.62 | ↓ -42% |
| Value Options Behavioral Health | COMM | $708.23 | ↓ -40% |
| Magellan BH | Pinnacle | $708.23 | ↓ -40% |
| Magellan BH | Summit | $708.23 | ↓ -40% |
| Humana | BHCOMM | $767.25 | ↓ -35% |
| Mega Life | MGMCRPPO | $826.27 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $826.27 | ↓ -30% |
| Cigna | AllOther | $852.21 | ↓ -28% |
| Aetna Coventry First Health | COMM | $858.14 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $885.29 | ↓ -25% |
| Cigna Behavioral Health | COMM | $944.30 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $944.30 | ↓ -20% |
| USA Managed Care | COMM | $944.30 | ↓ -20% |
| Galaxy Health Network | PPO | $1,003.32 | ↓ -15% |
| National Healthcare Solutions | COMM | $1,180.38 | ↑ +0% |
| Unicare | MCD | $1,180.38 | ↑ +0% |
| Independent Medical Systems | COMM | $1,180.38 | ↑ +0% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Injection, pentamidine iseth at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $23.80 | $203.78 – $503.17 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,727.48 | $203.78 – $503.17 |
| Covenant Children's Hospital | Lubbock | $782.53 | $388.85 – $415.12 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $2,205.42 | $358.70 – $602.98 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $536.63 | $290.08 – $602.98 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $2,172.38 | $358.70 – $602.98 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $1,759.40 | $358.70 – $602.98 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $783.41 | $344.14 – $602.98 |