Paliperidone 117 mg/0.75 ml inj at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$10,213.25
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.
$10,213.25
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.
$14.30 with Humana vs $10,213.25 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 | $14.30 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $24.93 | ↓ -100% |
| United | AllPayerAppendix | $24.93 | ↓ -100% |
| United | SmallGroup | $24.93 | ↓ -100% |
| BCBS | MyBlueHealth | $38.12 | ↓ -100% |
| BCBS | BlueAdvantageHMO | $38.12 | ↓ -100% |
| BCBS | BlueEssentialsAccess | $55.80 | ↓ -99% |
| BCBS | BlueEssentials | $55.80 | ↓ -99% |
| BCBS | EPOSOA | $58.57 | ↓ -99% |
| BCBS | PPO | $61.33 | ↓ -99% |
| BCBS | BluePremier | $72.38 | ↓ -99% |
| Humana | COMM | $78.26 | ↓ -99% |
| Cigna | LocalPlus | $91.25 | ↓ -99% |
| Cigna | NewBusiness | $91.34 | ↓ -99% |
| Cigna | NetworkBenefit | $101.94 | ↓ -99% |
| Cigna | OpenAccessPlus | $101.94 | ↓ -99% |
| Cigna | HMO | $101.94 | ↓ -99% |
| Cigna | AllOther | $128.96 | ↓ -99% |
| Superior Health Plan | MCDSTAR | $714.93 | ↓ -93% |
| Superior Health Plan | CHIP | $714.93 | ↓ -93% |
| Superior Health Plan | STARKids | $714.93 | ↓ -93% |
| Superior Health Plan | STARPLUS | $714.93 | ↓ -93% |
| Superior Health Plan | STARHealth | $714.93 | ↓ -93% |
| Aetna | QHPHIX | $1,378.79 | ↓ -86% |
| Cigna | IFP | $1,378.79 | ↓ -86% |
| Cigna | QHP | $1,429.86 | ↓ -86% |
| United | OptionsPPO | $1,909.88 | ↓ -81% |
| Aetna | NewBusiness | $2,032.44 | ↓ -80% |
| Aetna | Meritain | $2,175.42 | ↓ -79% |
| Aetna | COMM | $2,175.42 | ↓ -79% |
| Aetna | OON | $2,563.53 | ↓ -75% |
| Unicare | CHIP | $2,655.45 | ↓ -74% |
| Healthcare Highways | CityofPlano | $3,452.08 | ↓ -66% |
| City of McKinney | COMM | $3,574.64 | ↓ -65% |
| BCBS | Traditional | $4,534.68 | ↓ -56% |
| National ChoiceCare | WCOMP | $5,106.63 | ↓ -50% |
| Aetna | ASA | $5,382.38 | ↓ -47% |
| Aetna | WCOMP | $5,617.29 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $5,617.29 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $5,617.29 | ↓ -45% |
| PC Texas Partners | WCOMP | $5,617.29 | ↓ -45% |
| Averde Health, Inc | PPO | $5,923.69 | ↓ -42% |
| Value Options Behavioral Health | COMM | $6,127.95 | ↓ -40% |
| Magellan BH | Pinnacle | $6,127.95 | ↓ -40% |
| Magellan BH | Summit | $6,127.95 | ↓ -40% |
| Humana | BHCOMM | $6,638.61 | ↓ -35% |
| Mega Life | MGMCRPPO | $7,149.27 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $7,149.27 | ↓ -30% |
| Aetna Coventry First Health | COMM | $7,425.03 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $7,659.94 | ↓ -25% |
| Cigna Behavioral Health | COMM | $8,170.60 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $8,170.60 | ↓ -20% |
| USA Managed Care | COMM | $8,170.60 | ↓ -20% |
| Galaxy Health Network | PPO | $8,681.26 | ↓ -15% |
| Unicare | MCD | $10,213.25 | ↑ +0% |
| Independent Medical Systems | COMM | $10,213.25 | ↑ +0% |
| National Healthcare Solutions | COMM | $10,213.25 | ↑ +0% |
Visitor-reported prices
Comments
Paliperidone 117 mg/0.75 ml inj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $6,887.83 | $14.42 – $54.97 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $6,887.83 | $22.63 – $54.97 |
| HCA HOUSTON WEST | HOUSTON | $15,631.00 | $15.11 – $106.56 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $6,887.83 | $14.42 – $54.97 |
| Texas Health Arlington Memorial Hospital | Arlington | $6,887.83 | $14.42 – $54.97 |
| Texas Health Presbyterian Hospital Denton | Denton | $6,887.83 | $14.42 – $54.97 |
| Texas Health Presbyterian Hospital Plano | Plano | $6,887.83 | $14.42 – $54.97 |
| Texas Health Hospital Rockwall | Rockwall | $6,887.83 | $22.63 – $54.97 |