Ustekinumab 45 mg/0.5 ml subcutaneous solution 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$672.72 with United vs $2,472.30 with Cigna — 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 |
|---|---|---|---|
| United | SmallGroup | $672.72 | — |
| United | AllPayerAppendix | $672.72 | — |
| United | NarrowNetworkIndivExchange | $672.72 | — |
| BCBS | BlueAdvantageHMO | $819.06 | — |
| BCBS | MyBlueHealth | $819.06 | — |
| BCBS | BlueEssentialsAccess | $1,198.92 | — |
| BCBS | BlueEssentials | $1,198.92 | — |
| BCBS | EPOSOA | $1,258.27 | — |
| BCBS | PPO | $1,317.63 | — |
| Humana | COMM | $1,366.57 | — |
| BCBS | BluePremier | $1,555.04 | — |
| Cigna | LocalPlus | $1,749.28 | — |
| Cigna | NewBusiness | $1,751.02 | — |
| Cigna | NetworkBenefit | $1,954.25 | — |
| Cigna | OpenAccessPlus | $1,954.25 | — |
| Cigna | HMO | $1,954.25 | — |
| Cigna | AllOther | $2,472.30 | — |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $44,889.99 | $585.05 – $947.91 |
| Texas Health Presbyterian Hospital Allen | Allen | $55,128.85 | $309.82 – $570.69 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $55,128.85 | $486.22 – $570.69 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $55,128.85 | $309.82 – $570.69 |
| Texas Health Arlington Memorial Hospital | Arlington | $55,128.85 | $309.82 – $570.69 |
| Texas Health Presbyterian Hospital Denton | Denton | $55,128.85 | $309.82 – $570.69 |
| Texas Health Presbyterian Hospital Plano | Plano | $55,128.85 | $309.82 – $570.69 |
| Texas Health Hospital Rockwall | Rockwall | $55,128.85 | $486.22 – $570.69 |