Oprelvekin injection at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$5,418.99
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.
$5,418.99
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.
$379.33 with Superior Health Plan vs $5,418.99 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $379.33 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $379.33 | ↓ -93% |
| Superior Health Plan | STARPLUS | $379.33 | ↓ -93% |
| Superior Health Plan | CHIP | $379.33 | ↓ -93% |
| Superior Health Plan | STARHealth | $379.33 | ↓ -93% |
| United | SmallGroup | $407.83 | ↓ -92% |
| United | NarrowNetworkIndivExchange | $407.83 | ↓ -92% |
| United | AllPayerAppendix | $407.83 | ↓ -92% |
| Cigna | IFP | $731.56 | ↓ -87% |
| Aetna | QHPHIX | $731.56 | ↓ -87% |
| Cigna | QHP | $758.66 | ↓ -86% |
| United | OptionsPPO | $1,013.35 | ↓ -81% |
| Aetna | NewBusiness | $1,078.38 | ↓ -80% |
| Aetna | Meritain | $1,154.24 | ↓ -79% |
| Aetna | COMM | $1,154.24 | ↓ -79% |
| Aetna | OON | $1,360.17 | ↓ -75% |
| Unicare | CHIP | $1,408.94 | ↓ -74% |
| BCBS | BlueAdvantageHMO | $1,514.55 | ↓ -72% |
| BCBS | MyBlueHealth | $1,514.55 | ↓ -72% |
| Healthcare Highways | CityofPlano | $1,831.62 | ↓ -66% |
| City of McKinney | COMM | $1,896.65 | ↓ -65% |
| BCBS | BlueEssentialsAccess | $2,216.95 | ↓ -59% |
| BCBS | BlueEssentials | $2,216.95 | ↓ -59% |
| BCBS | EPOSOA | $2,326.70 | ↓ -57% |
| BCBS | Traditional | $2,406.03 | ↓ -56% |
| BCBS | PPO | $2,436.45 | ↓ -55% |
| Cigna | LocalPlus | $2,583.29 | ↓ -52% |
| Cigna | NewBusiness | $2,585.85 | ↓ -52% |
| National ChoiceCare | WCOMP | $2,709.49 | ↓ -50% |
| Aetna | ASA | $2,855.81 | ↓ -47% |
| BCBS | BluePremier | $2,875.45 | ↓ -47% |
| Cigna | HMO | $2,885.98 | ↓ -47% |
| Cigna | NetworkBenefit | $2,885.98 | ↓ -47% |
| Cigna | OpenAccessPlus | $2,885.98 | ↓ -47% |
| Aetna | WCOMP | $2,980.44 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,980.44 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,980.44 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,980.44 | ↓ -45% |
| Humana | COMM | $3,054.06 | ↓ -44% |
| Averde Health, Inc | PPO | $3,143.01 | ↓ -42% |
| Value Options Behavioral Health | COMM | $3,251.39 | ↓ -40% |
| Magellan BH | Pinnacle | $3,251.39 | ↓ -40% |
| Magellan BH | Summit | $3,251.39 | ↓ -40% |
| Humana | BHCOMM | $3,522.34 | ↓ -35% |
| Cigna | AllOther | $3,651.02 | ↓ -33% |
| Coastal Comp Health Networks | WCOMP | $3,793.29 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,793.29 | ↓ -30% |
| Aetna Coventry First Health | COMM | $3,939.61 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,064.24 | ↓ -25% |
| Cigna Behavioral Health | COMM | $4,335.19 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $4,335.19 | ↓ -20% |
| USA Managed Care | COMM | $4,335.19 | ↓ -20% |
| Galaxy Health Network | PPO | $4,606.14 | ↓ -15% |
| Unicare | MCD | $5,418.99 | ↑ +0% |
| Independent Medical Systems | COMM | $5,418.99 | ↑ +0% |
| National Healthcare Solutions | COMM | $5,418.99 | ↑ +0% |
Visitor-reported prices
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Oprelvekin injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Cedar Park Hospital | Cedar Park | $507.83 | $417.79 – $417.79 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $327.87 | $417.79 – $714.84 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $327.87 | $417.79 – $714.84 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $327.87 | $417.79 – $714.84 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $637.53 | $417.79 – $714.84 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $327.87 | $417.79 – $417.79 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $6,085.94 | $407.83 – $3,054.06 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $6,068.57 | $407.83 – $3,054.06 |