Diagnostic Mammogram (one breast) 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.
$49.18 with Superior Health Plan vs $702.63 with National Healthcare Solutions — 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 | STARPLUS | $49.18 | — |
| Superior Health Plan | STARHealth | $49.18 | — |
| Superior Health Plan | MCDSTAR | $49.18 | — |
| Superior Health Plan | CHIP | $49.18 | — |
| Superior Health Plan | STARKids | $49.18 | — |
| Optum Health | MCD | $77.29 | — |
| Humana | Tricare | $83.02 | — |
| WellMed | MGMCR | $85.35 | — |
| BCBS | MGMCRHMO | $85.58 | — |
| BCBS | MCRPPO | $85.58 | — |
| TriWest Health Alliance | TRCR | $85.59 | — |
| Devoted Health | POS | $85.78 | — |
| Devoted Health | MME | $85.78 | — |
| Triwest Veterans | FEDERAL | $85.78 | — |
| Humana | MGMCR | $85.78 | — |
| Mutual of Omaha | MGMCR | $85.78 | — |
| Amerigroup | DualEligible | $85.78 | — |
| Devoted Health | MCR | $85.78 | — |
| Devoted Health | PPO | $85.78 | — |
| Devoted Health | SNP | $85.78 | — |
| Devoted Health | HMO | $85.78 | — |
| United | MGMCR | $86.21 | — |
| Aetna | MCR | $86.51 | — |
| Care N Care | MGMCR | $86.64 | — |
| Cigna Healthspring | MGMCR | $87.50 | — |
| WellCare | MGMCR | $88.35 | — |
| Integranet | MGMCR | $88.35 | — |
| Superior Health Plan | MGMCRPOS | $90.07 | — |
| Superior Health Plan | MGMCRSNP | $90.07 | — |
| Superior Health Plan | MGMCRHMO | $90.07 | — |
| Superior Health Plan | MGMCRPPO | $90.07 | — |
| Superior Health Plan | MGMCRDualEligible | $90.07 | — |
| Superior Health Plan | MGMCRPFFS | $90.07 | — |
| ProCare Advantge | MCR | $90.07 | — |
| American Health Plan of Texas, Inc. | MGMCR | $90.07 | — |
| Texas Independent Health Plan | MGMCR | $90.93 | — |
| Provider Partners Health Plan | MCR | $90.93 | — |
| Molina | MMP | $93.50 | — |
| Molina | MME | $93.50 | — |
| Molina | MCR | $93.50 | — |
| Imperial Insurance Company | MCR | $94.36 | — |
| Cigna | IFP | $94.86 | — |
| Cigna | QHP | $98.37 | — |
| Universal Healthcare Group | MCR | $102.94 | — |
| Verda Health Plan | MGMCR | $111.51 | — |
| BCBS | BluePremier | $122.28 | — |
| BCBS | MyBlueHealth | $123.22 | — |
| BCBS | BlueAdvantageHMO | $123.22 | — |
| Bravo Health | MCRPPO | $128.67 | — |
| Bravo Health | MCRSNP | $128.67 | — |
| Bravo Health | MCRPOS | $128.67 | — |
| Bravo Health | MCRHMO | $128.67 | — |
| Bravo Health | MCRPFFS | $128.67 | — |
| United | SmallGroup | $129.76 | — |
| United | NarrowNetworkIndivExchange | $129.76 | — |
| Religious Order of Jehovah Witness | LOGOV | $140.53 | — |
| Aetna | QHPHIX | $147.38 | — |
| United | OptionsPPO | $151.07 | — |
| Superior | ValueHMO | $153.55 | — |
| USA Managed Care | WORKERSCOMP | $162.98 | — |
| Unicare | CHIP | $168.63 | — |
| Corvel Corporation | WORKERSCOMP | $169.84 | — |
| Healthcare Highways | NarrowNetwork | $172.14 | — |
| Evry Health | COMM | $181.28 | — |
| Superior | HMO | $192.15 | — |
| Superior | EPO | $192.15 | — |
| Aetna | NewBusiness | $202.07 | — |
| United | AllPayerAppendix | $205.70 | — |
| Aetna | Meritain | $216.46 | — |
| Aetna | COMM | $216.46 | — |
| Humana | COMM | $217.75 | — |
| Molina Healthcare | HIX | $224.74 | — |
| Healthcare Highways | CityofPlano | $237.49 | — |
| Aetna | OON | $253.88 | — |
| Curative Administrators | COMM | $281.05 | — |
| Prominence Health Plan | HIX | $281.05 | — |
| BCBS | Traditional | $311.97 | — |
| Fidelis SecureCare | MGMCR | $316.18 | — |
| City of McKinney | COMM | $316.18 | — |
| Emerging Therapy Solutions | MCR | $344.29 | — |
| National ChoiceCare | WCOMP | $351.31 | — |
| BCBS | BlueEssentials | $365.89 | — |
| BCBS | BlueEssentialsAccess | $365.89 | — |
| Aetna | ASA | $370.29 | — |
| BCBS | EPOSOA | $383.76 | — |
| Cigna Lifesource | COMM | $386.45 | — |
| Aetna | WCOMP | $386.45 | — |
| PC Texas Partners | WCOMP | $386.45 | — |
| Physicians Coop of TX | MGMCR | $386.45 | — |
| Rockport Health Group | WORKERSCOMP | $386.45 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $393.47 | — |
| BCBS | PPO | $401.64 | — |
| Averde Health, Inc | PPO | $407.53 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $413.85 | — |
| Aetna Coventry First Health | EXCLUSIVE | $413.85 | — |
| Emerging Therapy Solutions | COMM | $470.76 | — |
| Multiplan PHCS | PrimaryNetwork | $491.84 | — |
| Mega Life | MGMCRPPO | $491.84 | — |
| Coastal Comp Health Networks | WCOMP | $491.84 | — |
| HealthSmart Preferred Care | PPO | $498.87 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $526.97 | — |
| USA Managed Care | COMM | $562.10 | — |
| USC Health Services | COMM | $562.10 | — |
| Galaxy Health Network | PPO | $597.24 | — |
| Optum Health (URN) | COMM | $625.34 | — |
| Independent Medical Systems | COMM | $702.63 | — |
| Unicare | MCD | $702.63 | — |
| National Healthcare Solutions | COMM | $702.63 | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $272.16 | $77.11 – $385.56 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $366.15 | $145.32 – $145.32 |
| Methodist Charlton Medical Center | Dallas | $469.00 | $85.78 – $231.61 |
| Methodist Dallas Medical Center | Dallas | $469.00 | $123.49 – $436.38 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $85.59 – $224.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $272.16 | $56.02 – $408.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $272.16 | $54.43 – $340.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $272.16 | $72.58 – $385.56 |