Injection, ruconest at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$44,089.27
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.
$44,089.27
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.
$33.71 with Humana vs $44,089.27 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 | $33.71 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $60.69 | ↓ -100% |
| United | AllPayerAppendix | $60.69 | ↓ -100% |
| United | SmallGroup | $60.69 | ↓ -100% |
| BCBS | MyBlueHealth | $98.77 | ↓ -100% |
| BCBS | BlueAdvantageHMO | $98.77 | ↓ -100% |
| BCBS | BlueEssentialsAccess | $144.58 | ↓ -100% |
| BCBS | BlueEssentials | $144.58 | ↓ -100% |
| BCBS | EPOSOA | $151.74 | ↓ -100% |
| BCBS | PPO | $158.90 | ↓ -100% |
| BCBS | BluePremier | $187.53 | ↓ -100% |
| Humana | COMM | $197.80 | ↓ -100% |
| Cigna | LocalPlus | $222.31 | ↓ -99% |
| Cigna | NewBusiness | $222.53 | ↓ -99% |
| Cigna | NetworkBenefit | $248.36 | ↓ -99% |
| Cigna | OpenAccessPlus | $248.36 | ↓ -99% |
| Cigna | HMO | $248.36 | ↓ -99% |
| Cigna | AllOther | $314.20 | ↓ -99% |
| Superior Health Plan | MCDSTAR | $3,086.25 | ↓ -93% |
| Superior Health Plan | CHIP | $3,086.25 | ↓ -93% |
| Superior Health Plan | STARKids | $3,086.25 | ↓ -93% |
| Superior Health Plan | STARPLUS | $3,086.25 | ↓ -93% |
| Superior Health Plan | STARHealth | $3,086.25 | ↓ -93% |
| Aetna | QHPHIX | $5,952.05 | ↓ -87% |
| Cigna | IFP | $5,952.05 | ↓ -87% |
| Cigna | QHP | $6,172.50 | ↓ -86% |
| United | OptionsPPO | $8,244.69 | ↓ -81% |
| Aetna | NewBusiness | $8,773.76 | ↓ -80% |
| Aetna | Meritain | $9,391.01 | ↓ -79% |
| Aetna | COMM | $9,391.01 | ↓ -79% |
| Aetna | OON | $11,066.41 | ↓ -75% |
| Unicare | CHIP | $11,463.21 | ↓ -74% |
| Healthcare Highways | CityofPlano | $14,902.17 | ↓ -66% |
| City of McKinney | COMM | $15,431.24 | ↓ -65% |
| BCBS | Traditional | $19,575.64 | ↓ -56% |
| National ChoiceCare | WCOMP | $22,044.63 | ↓ -50% |
| Aetna | ASA | $23,235.05 | ↓ -47% |
| Aetna | WCOMP | $24,249.10 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $24,249.10 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $24,249.10 | ↓ -45% |
| PC Texas Partners | WCOMP | $24,249.10 | ↓ -45% |
| Averde Health, Inc | PPO | $25,571.78 | ↓ -42% |
| Value Options Behavioral Health | COMM | $26,453.56 | ↓ -40% |
| Magellan BH | Pinnacle | $26,453.56 | ↓ -40% |
| Magellan BH | Summit | $26,453.56 | ↓ -40% |
| Humana | BHCOMM | $28,658.03 | ↓ -35% |
| Mega Life | MGMCRPPO | $30,862.49 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $30,862.49 | ↓ -30% |
| Aetna Coventry First Health | COMM | $32,052.90 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $33,066.95 | ↓ -25% |
| Cigna Behavioral Health | COMM | $35,271.42 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $35,271.42 | ↓ -20% |
| USA Managed Care | COMM | $35,271.42 | ↓ -20% |
| Galaxy Health Network | PPO | $37,475.88 | ↓ -15% |
| Unicare | MCD | $44,089.27 | ↑ +0% |
| Independent Medical Systems | COMM | $44,089.27 | ↑ +0% |
| National Healthcare Solutions | COMM | $44,089.27 | ↑ +0% |
Visitor-reported prices
Comments
Injection, ruconest at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $110.23 – $110.23 |
| CHRISTUS Children's Hospital | San Antonio | not published | $75.85 – $75.85 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $34.75 – $269.31 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $34.75 – $269.31 |
| Covenant Children's Hospital | Lubbock | not published | $107.08 – $128.58 |
| HCA HOUSTON CONROE | CONROE | not published | $36.78 – $269.31 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $36.78 – $269.31 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $34.75 – $269.31 |