Consult comp w/report rfrd material 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.
$59.23 with Superior Health Plan vs $846.10 with Unicare — 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 | STARKids | $59.23 | — |
| Superior Health Plan | STARHealth | $59.23 | — |
| Superior Health Plan | MCDSTAR | $59.23 | — |
| Superior Health Plan | STARPLUS | $59.23 | — |
| Superior Health Plan | CHIP | $59.23 | — |
| BCBS | BluePremier | $75.19 | — |
| BCBS | MyBlueHealth | $86.57 | — |
| BCBS | BlueAdvantageHMO | $86.57 | — |
| BCBS | BlueEssentials | $90.04 | — |
| BCBS | BlueEssentialsAccess | $90.04 | — |
| Optum Health | MCD | $93.07 | — |
| BCBS | EPOSOA | $94.49 | — |
| BCBS | PPO | $98.94 | — |
| Cigna | IFP | $114.22 | — |
| Cigna | QHP | $118.45 | — |
| United | AllPayerAppendix | $149.16 | — |
| United | SmallGroup | $149.16 | — |
| United | NarrowNetworkIndivExchange | $149.16 | — |
| Religious Order of Jehovah Witness | LOGOV | $169.22 | — |
| Aetna | QHPHIX | $174.14 | — |
| Oscar | HIX | $175.99 | — |
| United | OptionsPPO | $181.91 | — |
| Unicare | CHIP | $203.06 | — |
| Healthcare Highways | NarrowNetwork | $207.29 | — |
| Healthcare Highways NTX | NarrowNetwork | $215.76 | — |
| Evry Health | COMM | $218.29 | — |
| Aetna | NewBusiness | $239.85 | — |
| Aetna | COMM | $255.46 | — |
| Aetna | Meritain | $255.46 | — |
| Humana | COMM | $262.21 | — |
| Healthcare Highways | CityofPlano | $285.98 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $296.13 | — |
| Aetna | OON | $300.63 | — |
| Prominence Health Plan | HIX | $338.44 | — |
| Cigna | LocalPlus | $346.31 | — |
| Cigna | NewBusiness | $346.66 | — |
| BCBS | Traditional | $375.67 | — |
| City of McKinney | COMM | $380.75 | — |
| Fidelis SecureCare | MGMCR | $380.75 | — |
| Cigna | HMO | $386.80 | — |
| Cigna | OpenAccessPlus | $386.80 | — |
| Cigna | NetworkBenefit | $386.80 | — |
| Emerging Therapy Solutions | MCR | $414.59 | — |
| National ChoiceCare | WCOMP | $423.05 | — |
| Aetna | ASA | $445.89 | — |
| Rockport Health Group | WORKERSCOMP | $465.36 | — |
| PC Texas Partners | WCOMP | $465.36 | — |
| Cigna Lifesource | COMM | $465.36 | — |
| Aetna | WCOMP | $465.36 | — |
| Physicians Coop of TX | MGMCR | $465.36 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $473.82 | — |
| Cigna | AllOther | $489.55 | — |
| Averde Health, Inc | PPO | $490.74 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $498.35 | — |
| Aetna Coventry First Health | EXCLUSIVE | $498.35 | — |
| Emerging Therapy Solutions | COMM | $566.89 | — |
| Coastal Comp Health Networks | WCOMP | $592.27 | — |
| Mega Life | MGMCRPPO | $592.27 | — |
| Multiplan PHCS | PrimaryNetwork | $592.27 | — |
| HealthSmart Preferred Care | PPO | $600.73 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $634.58 | — |
| USC Health Services | COMM | $676.88 | — |
| USA Managed Care | COMM | $676.88 | — |
| Galaxy Health Network | PPO | $719.18 | — |
| Optum Health (URN) | COMM | $753.03 | — |
| National Healthcare Solutions | COMM | $846.10 | — |
| Independent Medical Systems | COMM | $846.10 | — |
| Unicare | MCD | $846.10 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $425.93 | $35.00 – $532.41 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $446.85 | $48.21 – $306.73 |
| Methodist Charlton Medical Center | Dallas | $531.50 | $78.16 – $451.97 |
| Methodist Dallas Medical Center | Dallas | $531.50 | $78.16 – $622.62 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $1,652.09 – $1,652.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $414.00 | $36.00 – $621.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $414.00 | $36.00 – $517.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $425.93 | $35.00 – $532.41 |