Alteplase 100 mg infusion from pyxis vial 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.

$42.79 with Superior Health Plan vs $805.17 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.

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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
Superior Health Plan CHIP $42.79
Superior Health Plan STARHealth $42.79
Superior Health Plan MCDSTAR $42.79
Superior Health Plan STARPLUS $42.79
Superior Health Plan STARKids $42.79
Optum Health MCD $67.24
Cigna IFP $82.53
Cigna QHP $85.58
Humana Tricare $88.72
TriWest Health Alliance TRCR $91.46
Aetna QHPHIX $99.64
BCBS BluePremier $105.04
Religious Order of Jehovah Witness LOGOV $122.26
BCBS MyBlueHealth $129.89
BCBS BlueAdvantageHMO $129.89
United OptionsPPO $131.43
Aetna NewBusiness $145.49
Unicare CHIP $146.71
United SmallGroup $154.82
United AllPayerAppendix $154.82
United NarrowNetworkIndivExchange $154.82
Aetna COMM $156.50
Aetna Meritain $156.50
Aetna OON $183.39
BCBS BlueEssentialsAccess $190.13
BCBS BlueEssentials $190.13
BCBS EPOSOA $199.54
Healthcare Highways CityofPlano $206.62
BCBS PPO $208.96
Healthcare Highways NTX CityofPlanoEmployeeBenefitPlan $213.96
Prominence Health Plan HIX $244.52
BCBS Traditional $271.42
City of McKinney COMM $275.09
Emerging Therapy Solutions MCR $299.54
National ChoiceCare WCOMP $305.65
Aetna ASA $322.16
Aetna WCOMP $336.22
Physicians Coop of TX MGMCR $336.22
Rockport Health Group WORKERSCOMP $336.22
Cigna Lifesource COMM $336.22
PC Texas Partners WCOMP $336.22
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $342.33
Averde Health, Inc PPO $354.56
Aetna Coventry First Health NONEXCLUSIVE $360.06
Aetna Coventry First Health EXCLUSIVE $360.06
Emerging Therapy Solutions COMM $409.58
Mega Life MGMCRPPO $427.92
Coastal Comp Health Networks WCOMP $427.92
HealthSmart Preferred Care PPO $434.03
LEWISVILLE ISD/DLS CONSULTING COMMPPO $458.48
USA Managed Care COMM $489.05
USC Health Services COMM $489.05
Galaxy Health Network PPO $519.61
Optum Health (URN) COMM $544.07
Cigna LocalPlus $569.70
Cigna NewBusiness $570.27
National Healthcare Solutions COMM $611.31
Independent Medical Systems COMM $611.31
Unicare MCD $611.31
Humana COMM $627.95
Cigna OpenAccessPlus $636.45
Cigna HMO $636.45
Cigna NetworkBenefit $636.45
Cigna AllOther $805.17

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $15,857.45 $90.34 – $616.15
Texas Health Presbyterian Hospital Dallas Dallas $17,424.72 $49.13 – $344.58
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $91.46 – $627.95
Adventhealth Rollins Brook Lampasas $766.25 $144.95 – $144.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $15,857.45 $101.46 – $739.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $15,857.45 $90.34 – $616.15
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $15,857.45 $90.34 – $616.15
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $15,857.45 $90.34 – $739.39

All Texas hospitals for this procedure →