Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr 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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.04 with Superior Health Plan vs $5.22 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 →

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 $0.04
Superior Health Plan STARHealth $0.04
Superior Health Plan MCDSTAR $0.04
Superior Health Plan STARPLUS $0.04
Superior Health Plan STARKids $0.04
Optum Health MCD $0.06
Cigna IFP $0.07
Cigna QHP $0.07
Aetna QHPHIX $0.09
Superior HMO $0.11
United OptionsPPO $0.11
Superior ValueHMO $0.11
Religious Order of Jehovah Witness LOGOV $0.11
Superior EPO $0.11
Aetna NewBusiness $0.13
Unicare CHIP $0.13
Molina Healthcare HIX $0.13
Aetna Meritain $0.14
Aetna COMM $0.14
Aetna OON $0.16
Healthcare Highways CityofPlano $0.18
Prominence Health Plan HIX $0.21
BCBS Traditional $0.24
City of McKinney COMM $0.24
Emerging Therapy Solutions MCR $0.26
National ChoiceCare WCOMP $0.27
Aetna ASA $0.28
PC Texas Partners WCOMP $0.29
Cigna Lifesource COMM $0.29
Rockport Health Group WORKERSCOMP $0.29
Aetna WCOMP $0.29
Physicians Coop of TX MGMCR $0.29
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $0.30
Aetna Coventry First Health NONEXCLUSIVE $0.31
Aetna Coventry First Health EXCLUSIVE $0.31
Averde Health, Inc PPO $0.31
Emerging Therapy Solutions COMM $0.36
Coastal Comp Health Networks WCOMP $0.37
Mega Life MGMCRPPO $0.37
HealthSmart Preferred Care PPO $0.38
LEWISVILLE ISD/DLS CONSULTING COMMPPO $0.40
USA Managed Care COMM $0.42
USC Health Services COMM $0.42
Galaxy Health Network PPO $0.45
Optum Health (URN) COMM $0.47
National Healthcare Solutions COMM $0.53
Independent Medical Systems COMM $0.53
Unicare MCD $0.53
Humana Tricare $0.55
TriWest Health Alliance TRCR $0.57
United AllPayerAppendix $0.59
United NarrowNetworkIndivExchange $0.59
United SmallGroup $0.59
Healthcare Highways NTX CityofPlanoEmployeeBenefitPlan $0.99
BCBS BluePremier $2.06
BCBS MyBlueHealth $2.55
BCBS BlueAdvantageHMO $2.55
Cigna LocalPlus $3.69
Cigna NewBusiness $3.69
BCBS BlueEssentialsAccess $3.74
BCBS BlueEssentials $3.74
BCBS EPOSOA $3.92
BCBS PPO $4.11
Cigna OpenAccessPlus $4.12
Cigna NetworkBenefit $4.12
Cigna HMO $4.12
Cigna AllOther $5.22

Visitor-reported prices

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Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $0.57 – $0.57
Adventhealth Rollins Brook Lampasas $57.12 $2.85 – $2.85
Covenant Children's Hospital Lubbock $56.70 $2.13 – $2.77
St. Luke's Health Memorial Lufkin Lufkin $23.78 $5.46 – $33.42
St. Luke's Health Memorial Livingston Livingston $23.78 $5.46 – $33.42
Covenant Medical Center Lubbock $56.70 $2.13 – $2.77
St. Luke's Health Memorial San Augustine San Augustine $23.78 $5.46 – $33.42
Covenant Hospital Plainview Plainview $56.70 $2.75 – $2.75

All Texas hospitals for this procedure →