Established Patient Office Visit (level 2) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$45.47 with Superior Health Plan vs $649.50 with Independent Medical Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | CHIP | $45.47 | — |
| Superior Health Plan | STARHealth | $45.47 | — |
| Superior Health Plan | MCDSTAR | $45.47 | — |
| Superior Health Plan | STARPLUS | $45.47 | — |
| Superior Health Plan | STARKids | $45.47 | — |
| BCBS | BlueAdvantageHMO | $71.36 | — |
| BCBS | MyBlueHealth | $71.36 | — |
| Optum Health | MCD | $71.44 | — |
| Cigna | IFP | $87.68 | — |
| Cigna | QHP | $90.93 | — |
| Aetna | QHPHIX | $105.87 | — |
| Imperial Insurance Company | MCR | $123.41 | — |
| Humana | COMM | $125.62 | — |
| BCBS | BlueEssentialsAccess | $126.38 | — |
| BCBS | BlueEssentials | $126.38 | — |
| Religious Order of Jehovah Witness | LOGOV | $129.90 | — |
| BCBS | EPOSOA | $132.60 | — |
| BCBS | PPO | $138.83 | — |
| United | OptionsPPO | $139.64 | — |
| Aetna | NewBusiness | $154.58 | — |
| Unicare | CHIP | $155.88 | — |
| Healthcare Highways | NarrowNetwork | $159.13 | — |
| Healthcare Highways NTX | NarrowNetwork | $165.62 | — |
| Aetna | Meritain | $166.27 | — |
| Aetna | COMM | $166.27 | — |
| Evry Health | COMM | $167.57 | — |
| Aetna | OON | $194.85 | — |
| Healthcare Highways | CityofPlano | $219.53 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $227.32 | — |
| Curative Administrators | COMM | $259.80 | — |
| Prominence Health Plan | HIX | $259.80 | — |
| BCBS | Traditional | $288.38 | — |
| Fidelis SecureCare | MGMCR | $292.27 | — |
| City of McKinney | COMM | $292.27 | — |
| Cigna | NewBusiness | $317.30 | — |
| Cigna | LocalPlus | $317.30 | — |
| Emerging Therapy Solutions | MCR | $318.25 | — |
| National ChoiceCare | WCOMP | $324.75 | — |
| Aetna | ASA | $342.29 | — |
| Cigna | NetworkBenefit | $354.56 | — |
| Cigna | HMO | $354.56 | — |
| Cigna | OpenAccessPlus | $354.56 | — |
| Aetna | WCOMP | $357.23 | — |
| Cigna Lifesource | COMM | $357.23 | — |
| PC Texas Partners | WCOMP | $357.23 | — |
| Physicians Coop of TX | MGMCR | $357.23 | — |
| Rockport Health Group | WORKERSCOMP | $357.23 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $363.72 | — |
| Averde Health, Inc | PPO | $376.71 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $382.56 | — |
| Aetna Coventry First Health | EXCLUSIVE | $382.56 | — |
| Emerging Therapy Solutions | COMM | $435.17 | — |
| Cigna | AllOther | $448.31 | — |
| Coastal Comp Health Networks | WCOMP | $454.65 | — |
| Mega Life | MGMCRPPO | $454.65 | — |
| Multiplan PHCS | PrimaryNetwork | $454.65 | — |
| HealthSmart Preferred Care | PPO | $461.14 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $487.13 | — |
| USA Managed Care | COMM | $519.60 | — |
| USC Health Services | COMM | $519.60 | — |
| Galaxy Health Network | PPO | $552.08 | — |
| Optum Health (URN) | COMM | $578.05 | — |
| National Healthcare Solutions | COMM | $649.50 | — |
| Unicare | MCD | $649.50 | — |
| Independent Medical Systems | COMM | $649.50 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $508.20 | $35.24 – $35.24 |
| Methodist Charlton Medical Center | Dallas | $195.00 | $33.14 – $209.30 |
| Methodist Dallas Medical Center | Dallas | $195.00 | $33.14 – $213.99 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $24.00 – $125.62 |
| Adventhealth Rollins Brook | Lampasas | $314.35 | $99.91 – $99.91 |
| Baylor St Luke's Medical Center | Houston | $118.65 | $30.62 – $339.00 |
| St. Joseph Health Madison Hospital | Madisonville | $190.05 | $9.18 – $104.64 |
| St. Luke's Health Memorial Lufkin | Lufkin | $57.53 | $50.95 – $305.70 |