Pentamidine non-comp unit at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
$877.23
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.
$877.23
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.
$61.41 with Superior Health Plan vs $983.81 with BCBS — 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 | STARHealth | $61.41 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $61.41 | ↓ -93% |
| Superior Health Plan | STARKids | $61.41 | ↓ -93% |
| Superior Health Plan | CHIP | $61.41 | ↓ -93% |
| Superior Health Plan | STARPLUS | $61.41 | ↓ -93% |
| Humana | Tricare | $77.11 | ↓ -91% |
| Aetna | QHPHIX | $118.43 | ↓ -86% |
| Cigna | IFP | $118.43 | ↓ -86% |
| Cigna | QHP | $122.81 | ↓ -86% |
| United | OptionsPPO | $164.04 | ↓ -81% |
| Aetna | NewBusiness | $174.57 | ↓ -80% |
| Aetna | Meritain | $186.85 | ↓ -79% |
| Aetna | COMM | $186.85 | ↓ -79% |
| Aetna | OON | $220.18 | ↓ -75% |
| Unicare | CHIP | $228.08 | ↓ -74% |
| United | NarrowNetworkIndivExchange | $271.29 | ↓ -69% |
| United | SmallGroup | $271.29 | ↓ -69% |
| United | AllPayerAppendix | $271.29 | ↓ -69% |
| Healthcare Highways | CityofPlano | $296.50 | ↓ -66% |
| City of McKinney | COMM | $307.03 | ↓ -65% |
| BCBS | Traditional | $389.49 | ↓ -56% |
| National ChoiceCare | WCOMP | $438.62 | ↓ -50% |
| Aetna | ASA | $462.30 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $482.48 | ↓ -45% |
| PC Texas Partners | WCOMP | $482.48 | ↓ -45% |
| Aetna | WCOMP | $482.48 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $482.48 | ↓ -45% |
| Cigna | LocalPlus | $498.42 | ↓ -43% |
| Cigna | NewBusiness | $498.92 | ↓ -43% |
| Averde Health, Inc | PPO | $508.79 | ↓ -42% |
| BCBS | MyBlueHealth | $518.19 | ↓ -41% |
| BCBS | BlueAdvantageHMO | $518.19 | ↓ -41% |
| Magellan BH | Summit | $526.34 | ↓ -40% |
| Magellan BH | Pinnacle | $526.34 | ↓ -40% |
| Value Options Behavioral Health | COMM | $526.34 | ↓ -40% |
| Cigna | OpenAccessPlus | $556.82 | ↓ -37% |
| Cigna | NetworkBenefit | $556.82 | ↓ -37% |
| Cigna | HMO | $556.82 | ↓ -37% |
| Humana | BHCOMM | $570.20 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $614.06 | ↓ -30% |
| Mega Life | MGMCRPPO | $614.06 | ↓ -30% |
| Aetna Coventry First Health | COMM | $637.75 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $657.92 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $701.78 | ↓ -20% |
| USA Managed Care | COMM | $701.78 | ↓ -20% |
| Cigna Behavioral Health | COMM | $701.78 | ↓ -20% |
| Cigna | AllOther | $704.43 | ↓ -20% |
| Galaxy Health Network | PPO | $745.65 | ↓ -15% |
| BCBS | BlueEssentials | $758.51 | ↓ -14% |
| BCBS | BlueEssentialsAccess | $758.51 | ↓ -14% |
| BCBS | EPOSOA | $796.06 | ↓ -9% |
| BCBS | PPO | $833.61 | ↓ -5% |
| Humana | COMM | $868.75 | ↓ -1% |
| Unicare | MCD | $877.23 | ↑ +0% |
| National Healthcare Solutions | COMM | $877.23 | ↑ +0% |
| Independent Medical Systems | COMM | $877.23 | ↑ +0% |
| BCBS | BluePremier | $983.81 | ↑ +12% |
Visitor-reported prices
Comments
Pentamidine non-comp unit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $352.30 | $79.50 – $1,182.83 |
| HCA HOUSTON MEDICAL CENTER | Houston | $846.88 | $79.50 – $1,182.83 |
| HCA HOUSTON CONROE | CONROE | $531.69 | $199.34 – $1,182.83 |
| Covenant Medical Center | Lubbock | $318.90 | $198.44 – $653.53 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $536.63 | $77.11 – $498.42 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $786.88 | $77.11 – $518.19 |
| Adventhealth Rollins Brook | Lampasas | not published | $578.27 – $578.27 |
| CHRISTUS Children's Hospital | San Antonio | not published | $312.19 – $312.19 |