Biliary endoscopy thru skin at MEDICAL CITY DALLAS HOSPITAL
7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984
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.
$948.00 with Superior Health Plan vs $21,630.00 with United — 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 | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| TEXAS HEALTH NETWORK | MCD | $2,777.05 | — |
| United | CHIP | $2,819.34 | — |
| United | STAR | $2,819.34 | — |
| Cook Childrens Health Plan | STAR | $2,819.34 | — |
| United | STARPerinate | $2,819.34 | — |
| Parkland Community Health Plan | MCD | $2,819.34 | — |
| United | STARPLUS | $2,819.34 | — |
| Cook Childrens Health Plan | CHIP | $2,819.34 | — |
| United | STARKids | $2,819.34 | — |
| Amerigroup | CHIP | $2,960.31 | — |
| Cigna Healthspring | MGMCD | $2,960.31 | — |
| Amerigroup | MGMCD | $2,960.31 | — |
| Molina | STAR+PLUS | $3,101.27 | — |
| Molina | CHIP | $3,101.27 | — |
| Molina | STARKIDS | $3,101.27 | — |
| Molina | MCDSTAR | $3,101.27 | — |
| Aetna Better Health | MCD | $3,383.21 | — |
| Aetna Better Health | CHIP | $3,383.21 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Humana | MGMCD | $3,524.18 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| BCBS | BluePremier | $6,283.82 | — |
| Oscar | HIX | $8,024.00 | — |
| Healthcare Highways NTX | NarrowNetwork | $8,189.00 | — |
| Healthcare Highways | NarrowNetwork | $8,517.00 | — |
| Curative Administrators | COMM | $8,778.00 | — |
| Cigna | LocalPlus | $8,843.00 | — |
| Cigna | NewBusiness | $8,852.00 | — |
| Evry Health | COMM | $9,417.00 | — |
| BCBS | MyBlueHealth | $9,570.75 | — |
| BCBS | BlueAdvantageHMO | $9,570.75 | — |
| Cigna | OpenAccessPlus | $9,880.00 | — |
| Cigna | NetworkBenefit | $9,880.00 | — |
| Cigna | HMO | $9,880.00 | — |
| Multiplan PHCS | PrimaryNetwork | $9,929.00 | — |
| Humana | COMM | $10,570.00 | — |
| WellMed | MGMCR | $10,731.66 | — |
| BCBS | BlueEssentialsAccess | $10,875.85 | — |
| BCBS | BlueEssentials | $10,875.85 | — |
| BCBS | EPOSOA | $11,407.56 | — |
| BCBS | PPO | $11,939.26 | — |
| United | NarrowNetworkIndivExchange | $12,210.00 | — |
| Cigna | AllOther | $12,499.00 | — |
| United | SmallGroup | $14,553.00 | — |
| United | AllPayerAppendix | $21,630.00 | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $8,456.40 | $2,819.34 – $3,044.89 |
| Covenant Children's Hospital | Lubbock | $5,961.90 | $4,833.48 – $10,295.80 |
| HCA HOUSTON KINGWOOD | HUMBLE | $12,366.52 | $2,762.95 – $10,731.66 |
| Baylor St Luke's Medical Center | Houston | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,594.60 | $1,160.87 – $9,112.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health College Station Hospital | College Station | $1,594.60 | $5,011.60 – $9,112.00 |