Mycophenolate mofetil 250 mg capsule 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.
$0.15 with Humana vs $21.61 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Humana | Tricare | $0.15 | — |
| United | NarrowNetworkIndivExchange | $0.25 | — |
| United | SmallGroup | $0.25 | — |
| United | AllPayerAppendix | $0.25 | — |
| Cigna | LocalPlus | $0.97 | — |
| Cigna | NewBusiness | $0.97 | — |
| Cigna | NetworkBenefit | $1.08 | — |
| Cigna | OpenAccessPlus | $1.08 | — |
| Cigna | HMO | $1.08 | — |
| Cigna | AllOther | $1.37 | — |
| Superior Health Plan | STARHealth | $1.51 | — |
| Superior Health Plan | CHIP | $1.51 | — |
| Superior Health Plan | STARKids | $1.51 | — |
| Superior Health Plan | STARPLUS | $1.51 | — |
| Superior Health Plan | MCDSTAR | $1.51 | — |
| BCBS | BlueAdvantageHMO | $1.97 | — |
| BCBS | MyBlueHealth | $1.97 | — |
| BCBS | BlueEssentials | $2.88 | — |
| BCBS | BlueEssentialsAccess | $2.88 | — |
| Aetna | QHPHIX | $2.92 | — |
| Cigna | IFP | $2.92 | — |
| BCBS | EPOSOA | $3.02 | — |
| Cigna | QHP | $3.03 | — |
| BCBS | PPO | $3.16 | — |
| BCBS | BluePremier | $3.73 | — |
| United | OptionsPPO | $4.04 | — |
| Aetna | NewBusiness | $4.30 | — |
| Aetna | Meritain | $4.60 | — |
| Aetna | COMM | $4.60 | — |
| Aetna | OON | $5.42 | — |
| Unicare | CHIP | $5.62 | — |
| Healthcare Highways | CityofPlano | $7.30 | — |
| City of McKinney | COMM | $7.56 | — |
| BCBS | Traditional | $9.59 | — |
| National ChoiceCare | WCOMP | $10.80 | — |
| Aetna | ASA | $11.39 | — |
| PC Texas Partners | WCOMP | $11.89 | — |
| Rockport Health Group | WORKERSCOMP | $11.89 | — |
| Aetna | WCOMP | $11.89 | — |
| Physicians Coop of TX | MGMCR | $11.89 | — |
| Averde Health, Inc | PPO | $12.53 | — |
| Humana | COMM | $12.66 | — |
| Value Options Behavioral Health | COMM | $12.97 | — |
| Magellan BH | Summit | $12.97 | — |
| Magellan BH | Pinnacle | $12.97 | — |
| Humana | BHCOMM | $14.05 | — |
| Mega Life | MGMCRPPO | $15.13 | — |
| Coastal Comp Health Networks | WCOMP | $15.13 | — |
| Aetna Coventry First Health | COMM | $15.71 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $16.21 | — |
| USA Managed Care | COMM | $17.29 | — |
| Cigna Behavioral Health | COMM | $17.29 | — |
| HealthSmart Preferred Care | PPO | $17.29 | — |
| Galaxy Health Network | PPO | $18.37 | — |
| Unicare | MCD | $21.61 | — |
| Independent Medical Systems | COMM | $21.61 | — |
| National Healthcare Solutions | COMM | $21.61 | — |
Visitor-reported prices
Comments
Mycophenolate mofetil 250 mg capsule at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $10.79 | $0.07 – $3.06 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $10.79 | $0.05 – $3.06 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10.79 | $0.07 – $3.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10.79 | $0.05 – $0.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10.79 | $0.05 – $3.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10.79 | $0.06 – $3.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10.79 | $0.08 – $3.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10.79 | $0.12 – $0.36 |