Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.50 with Superior Health Plan vs $178.52 with Unicare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | MCDSTAR | $12.50 | — |
| Superior Health Plan | STARHealth | $12.50 | — |
| Superior Health Plan | CHIP | $12.50 | — |
| Superior Health Plan | STARKids | $12.50 | — |
| Superior Health Plan | STARPLUS | $12.50 | — |
| Aetna | QHPHIX | $24.10 | — |
| Cigna | IFP | $24.10 | — |
| Cigna | QHP | $24.99 | — |
| United | OptionsPPO | $33.38 | — |
| Imperial Insurance Company | MCR | $33.92 | — |
| Aetna | NewBusiness | $35.53 | — |
| Aetna | Meritain | $38.02 | — |
| Aetna | COMM | $38.02 | — |
| Oscar | HIX | $39.01 | — |
| Healthcare Highways | NarrowNetwork | $43.74 | — |
| Aetna | OON | $44.81 | — |
| Evry Health | COMM | $46.06 | — |
| Unicare | CHIP | $46.42 | — |
| Cigna | NewBusiness | $49.52 | — |
| Cigna | LocalPlus | $49.52 | — |
| Cigna | NetworkBenefit | $55.33 | — |
| Cigna | HMO | $55.33 | — |
| Cigna | OpenAccessPlus | $55.33 | — |
| BCBS | BluePremier | $56.14 | — |
| Healthcare Highways | CityofPlano | $60.34 | — |
| City of McKinney | COMM | $62.48 | — |
| BCBS | MyBlueHealth | $65.42 | — |
| BCBS | BlueAdvantageHMO | $65.42 | — |
| Cigna | AllOther | $69.96 | — |
| Curative Administrators | COMM | $71.41 | — |
| BCBS | Traditional | $79.26 | — |
| Fidelis SecureCare | MGMCR | $80.33 | — |
| Humana | COMM | $83.27 | — |
| National ChoiceCare | WCOMP | $89.26 | — |
| Aetna | ASA | $94.08 | — |
| Physicians Coop of TX | MGMCR | $98.19 | — |
| Aetna | WCOMP | $98.19 | — |
| PC Texas Partners | WCOMP | $98.19 | — |
| Rockport Health Group | WORKERSCOMP | $98.19 | — |
| Averde Health, Inc | PPO | $103.54 | — |
| Magellan BH | Pinnacle | $107.11 | — |
| Magellan BH | Summit | $107.11 | — |
| Value Options Behavioral Health | COMM | $107.11 | — |
| BCBS | BlueEssentials | $115.86 | — |
| BCBS | BlueEssentialsAccess | $115.86 | — |
| Humana | BHCOMM | $116.04 | — |
| BCBS | EPOSOA | $121.57 | — |
| Multiplan PHCS | PrimaryNetwork | $124.96 | — |
| Coastal Comp Health Networks | WCOMP | $124.96 | — |
| Mega Life | MGMCRPPO | $124.96 | — |
| BCBS | PPO | $127.28 | — |
| Aetna Coventry First Health | COMM | $129.78 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $133.89 | — |
| Cigna Behavioral Health | COMM | $142.82 | — |
| HealthSmart Preferred Care | PPO | $142.82 | — |
| ComPsych Corporation | COMM | $142.82 | — |
| USA Managed Care | COMM | $142.82 | — |
| Galaxy Health Network | PPO | $151.74 | — |
| National Healthcare Solutions | COMM | $178.52 | — |
| Independent Medical Systems | COMM | $178.52 | — |
| Unicare | MCD | $178.52 | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $216.67 | $61.39 – $306.95 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $216.67 | $46.37 – $306.95 |
| Adventhealth Rollins Brook | Lampasas | $541.16 | $91.59 – $91.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $216.67 | $61.39 – $306.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $211.78 | $43.59 – $317.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $325.54 | $65.11 – $406.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $216.67 | $55.67 – $306.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $211.78 | $67.98 – $317.66 |