Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm 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.

Full explanation →

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.

$39.62 with Superior Health Plan vs $566.00 with Independent Medical Systems — 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 MCDSTAR $39.62
Superior Health Plan STARHealth $39.62
Superior Health Plan CHIP $39.62
Superior Health Plan STARKids $39.62
Superior Health Plan STARPLUS $39.62
Humana Tricare $48.30
TriWest Health Alliance TRCR $49.79
Optum Health MCD $62.26
Cigna IFP $76.41
Cigna QHP $79.24
Aetna QHPHIX $92.26
BCBS BluePremier $112.21
Religious Order of Jehovah Witness LOGOV $113.20
United OptionsPPO $121.69
Aetna NewBusiness $134.71
Unicare CHIP $135.84
BCBS BlueAdvantageHMO $138.76
BCBS MyBlueHealth $138.76
Aetna Meritain $144.90
Aetna COMM $144.90
Aetna OON $169.80
Healthcare Highways CityofPlano $191.31
BCBS BlueEssentialsAccess $203.11
BCBS BlueEssentials $203.11
United AllPayerAppendix $209.78
United NarrowNetworkIndivExchange $209.78
United SmallGroup $209.78
BCBS EPOSOA $213.17
BCBS PPO $223.22
Prominence Health Plan HIX $226.40
BCBS Traditional $251.30
City of McKinney COMM $254.70
Humana COMM $256.03
Emerging Therapy Solutions MCR $277.34
National ChoiceCare WCOMP $283.00
Aetna ASA $298.28
Cigna Lifesource COMM $311.30
PC Texas Partners WCOMP $311.30
Physicians Coop of TX MGMCR $311.30
Rockport Health Group WORKERSCOMP $311.30
Aetna WCOMP $311.30
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $316.96
Cigna LocalPlus $325.30
Cigna NewBusiness $325.62
Averde Health, Inc PPO $328.28
Aetna Coventry First Health EXCLUSIVE $333.37
Aetna Coventry First Health NONEXCLUSIVE $333.37
Cigna HMO $363.42
Cigna NetworkBenefit $363.42
Cigna OpenAccessPlus $363.42
Emerging Therapy Solutions COMM $379.22
Coastal Comp Health Networks WCOMP $396.20
Mega Life MGMCRPPO $396.20
HealthSmart Preferred Care PPO $401.86
LEWISVILLE ISD/DLS CONSULTING COMMPPO $424.50
USA Managed Care COMM $452.80
USC Health Services COMM $452.80
Cigna AllOther $459.76
Galaxy Health Network PPO $481.10
Optum Health (URN) COMM $503.74
Unicare MCD $566.00
National Healthcare Solutions COMM $566.00
Independent Medical Systems COMM $566.00

Visitor-reported prices

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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $321.43 $10.68 – $268.77
Texas Health Presbyterian Hospital Dallas Dallas $409.86 $52.49 – $52.49
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $49.79 – $256.03
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $321.43 $7.76 – $56.53
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $321.43 $7.54 – $131.26
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $321.43 $10.05 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $321.43 $12.10 – $186.89
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $321.43 $19.47 – $56.53

All Texas hospitals for this procedure →