ER Visit (level 5, high severity) at MEDICAL CITY DALLAS HOSPITAL
7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984
$4,667.37
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.
$4,667.37
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.
$77.04 with Aetna Better Health vs $9,774.00 with Aetna — 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 |
|---|---|---|---|
| Aetna Better Health | MCD | $77.04 | ↓ -98% |
| Aetna Better Health | CHIP | $77.04 | ↓ -98% |
| Amerigroup | MGMCD | $363.00 | ↓ -92% |
| Amerigroup | CHIP | $363.00 | ↓ -92% |
| Molina | CHIP | $400.00 | ↓ -91% |
| Molina | STARKIDS | $400.00 | ↓ -91% |
| Molina | STAR+PLUS | $400.00 | ↓ -91% |
| Molina | MCDSTAR | $400.00 | ↓ -91% |
| Optum Health | MCD | $513.41 | ↓ -89% |
| Cigna | IFP | $630.09 | ↓ -87% |
| Cigna | QHP | $653.43 | ↓ -86% |
| Superior Health Plan | MGMCRHMO | $777.72 | ↓ -83% |
| Superior Health Plan | MGMCRPPO | $777.72 | ↓ -83% |
| Superior Health Plan | MGMCRDualEligible | $777.72 | ↓ -83% |
| Superior Health Plan | MGMCRPFFS | $777.72 | ↓ -83% |
| Superior Health Plan | MGMCRPOS | $777.72 | ↓ -83% |
| Superior Health Plan | MGMCRSNP | $777.72 | ↓ -83% |
| Cigna Healthspring | MGMCD | $800.00 | ↓ -83% |
| Religious Order of Jehovah Witness | LOGOV | $933.47 | ↓ -80% |
| United | OptionsPPO | $1,003.48 | ↓ -79% |
| Unicare | CHIP | $1,120.17 | ↓ -76% |
| Healthcare Highways | CityofPlano | $1,577.57 | ↓ -66% |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $1,633.58 | ↓ -65% |
| Prominence Health Plan | HIX | $1,866.95 | ↓ -60% |
| BCBS | Traditional | $2,072.31 | ↓ -56% |
| City of McKinney | COMM | $2,100.32 | ↓ -55% |
| Emerging Therapy Solutions | MCR | $2,287.01 | ↓ -51% |
| National ChoiceCare | WCOMP | $2,333.68 | ↓ -50% |
| Oscar | HIX | $2,433.00 | ↓ -48% |
| Aetna | ASA | $2,459.70 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $2,567.05 | ↓ -45% |
| Cigna Lifesource | COMM | $2,567.05 | ↓ -45% |
| Aetna | WCOMP | $2,567.05 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,567.05 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,567.05 | ↓ -45% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $2,613.73 | ↓ -44% |
| Averde Health, Inc | PPO | $2,707.07 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $2,749.08 | ↓ -41% |
| Aetna Coventry First Health | NONEXCLUSIVE | $2,749.08 | ↓ -41% |
| Emerging Therapy Solutions | COMM | $3,127.14 | ↓ -33% |
| Coastal Comp Health Networks | WCOMP | $3,267.16 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,267.16 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $3,313.83 | ↓ -29% |
| United | NarrowNetworkIndivExchange | $3,448.00 | ↓ -26% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,500.53 | ↓ -25% |
| USA Managed Care | COMM | $3,733.90 | ↓ -20% |
| USC Health Services | COMM | $3,733.90 | ↓ -20% |
| Galaxy Health Network | PPO | $3,967.26 | ↓ -15% |
| United | SmallGroup | $4,100.00 | ↓ -12% |
| Optum Health (URN) | COMM | $4,153.96 | ↓ -11% |
| BCBS | BluePremier | $4,320.00 | ↓ -7% |
| Healthcare Highways NTX | NarrowNetwork | $4,504.00 | ↓ -4% |
| Unicare | MCD | $4,667.37 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,667.37 | ↑ +0% |
| Independent Medical Systems | COMM | $4,667.37 | ↑ +0% |
| Healthcare Highways | NarrowNetwork | $4,684.00 | ↑ +0% |
| Cigna | LocalPlus | $4,980.00 | ↑ +7% |
| Cigna | NewBusiness | $4,985.00 | ↑ +7% |
| Evry Health | COMM | $5,030.00 | ↑ +8% |
| Cigna | NetworkBenefit | $5,564.00 | ↑ +19% |
| Cigna | OpenAccessPlus | $5,564.00 | ↑ +19% |
| Cigna | HMO | $5,564.00 | ↑ +19% |
| Curative Administrators | COMM | $5,622.00 | ↑ +20% |
| Aetna | QHPHIX | $5,673.00 | ↑ +22% |
| BCBS | BlueAdvantageHMO | $6,000.00 | ↑ +29% |
| BCBS | MyBlueHealth | $6,000.00 | ↑ +29% |
| United | AllPayerAppendix | $6,000.00 | ↑ +29% |
| BCBS | BlueEssentials | $7,000.00 | ↑ +50% |
| BCBS | BlueEssentialsAccess | $7,000.00 | ↑ +50% |
| Cigna | AllOther | $7,039.00 | ↑ +51% |
| BCBS | EPOSOA | $7,360.00 | ↑ +58% |
| BCBS | PPO | $7,720.00 | ↑ +65% |
| Aetna | NewBusiness | $7,774.00 | ↑ +67% |
| Aetna | Meritain | $8,307.00 | ↑ +78% |
| Aetna | COMM | $8,307.00 | ↑ +78% |
| Aetna | OON | $9,774.00 | ↑ +109% |
| Humana | COMM | not published by hospital | — |
| Multiplan PHCS | PrimaryNetwork | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,327.80 | $568.33 – $6,299.00 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $1,591.20 | not published |
| Methodist Charlton Medical Center | Dallas | $1,774.50 | $585.14 – $1,579.88 |
| Methodist Dallas Medical Center | Dallas | $1,774.50 | $598.24 – $1,615.26 |
| Adventhealth Rollins Brook | Lampasas | $3,127.54 | $1,942.36 – $1,942.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,377.55 | $489.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,377.55 | $475.51 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,327.80 | $568.33 – $6,643.00 |