99394 periodic comp preventive med 12 to 17 years est at MEDICAL CITY DALLAS HOSPITAL

7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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

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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.

$66.17 with Humana vs $474.33 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.

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Payer
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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
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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 $66.17
TriWest Health Alliance TRCR $68.22
Humana COMM $198.09
BCBS MyBlueHealth $243.81
BCBS BlueAdvantageHMO $243.81
BCBS BlueEssentialsAccess $431.77
BCBS BlueEssentials $431.77
BCBS EPOSOA $453.05
BCBS PPO $474.33

Visitor-reported prices

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99394 periodic comp preventive med 12 to 17 years est at other Texas hospitals

Hospital City Cash price Negotiated range
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $68.22 – $198.09
Covenant Hospital Plainview Plainview $94.50 $187.07 – $191.05
Covenant Hospital Levelland Levelland $94.50 $191.05 – $211.90
Adventhealth Rollins Brook Lampasas not published $341.34 – $341.34
CHRISTUS Children's Hospital San Antonio not published $305.12 – $305.12
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $69.75 – $269.70
HCA HOUSTON MEDICAL CENTER Houston not published $69.75 – $269.70
Covenant Children's Hospital Lubbock not published $302.33 – $302.33

All Texas hospitals for this procedure →