Established Patient Office Visit (level 3) 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.
$50.70 with Superior Health Plan vs $724.27 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 | $50.70 | — |
| Superior Health Plan | STARKids | $50.70 | — |
| Superior Health Plan | STARHealth | $50.70 | — |
| Superior Health Plan | CHIP | $50.70 | — |
| Superior Health Plan | MCDSTAR | $50.70 | — |
| Optum Health | MCD | $79.67 | — |
| Cigna | IFP | $97.78 | — |
| Cigna | QHP | $101.40 | — |
| Aetna | QHPHIX | $118.06 | — |
| Imperial Insurance Company | MCR | $137.61 | — |
| BCBS | BlueAdvantageHMO | $142.72 | — |
| BCBS | MyBlueHealth | $142.72 | — |
| Religious Order of Jehovah Witness | LOGOV | $144.85 | — |
| Humana | COMM | $147.37 | — |
| United | OptionsPPO | $155.72 | — |
| Aetna | NewBusiness | $172.38 | — |
| Unicare | CHIP | $173.82 | — |
| Healthcare Highways | NarrowNetwork | $177.45 | — |
| Healthcare Highways NTX | NarrowNetwork | $184.69 | — |
| Aetna | Meritain | $185.41 | — |
| Aetna | COMM | $185.41 | — |
| Evry Health | COMM | $186.86 | — |
| Aetna | OON | $217.28 | — |
| Healthcare Highways | CityofPlano | $244.80 | — |
| BCBS | BlueEssentials | $252.75 | — |
| BCBS | BlueEssentialsAccess | $252.75 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $253.49 | — |
| BCBS | EPOSOA | $265.21 | — |
| BCBS | PPO | $277.66 | — |
| Prominence Health Plan | HIX | $289.71 | — |
| Curative Administrators | COMM | $289.71 | — |
| BCBS | Traditional | $321.58 | — |
| Fidelis SecureCare | MGMCR | $325.92 | — |
| City of McKinney | COMM | $325.92 | — |
| Emerging Therapy Solutions | MCR | $354.89 | — |
| National ChoiceCare | WCOMP | $362.13 | — |
| Cigna | LocalPlus | $375.70 | — |
| Cigna | NewBusiness | $375.70 | — |
| Aetna | ASA | $381.69 | — |
| Aetna | WCOMP | $398.35 | — |
| Cigna Lifesource | COMM | $398.35 | — |
| PC Texas Partners | WCOMP | $398.35 | — |
| Physicians Coop of TX | MGMCR | $398.35 | — |
| Rockport Health Group | WORKERSCOMP | $398.35 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $405.59 | — |
| Cigna | NetworkBenefit | $419.82 | — |
| Cigna | OpenAccessPlus | $419.82 | — |
| Cigna | HMO | $419.82 | — |
| Averde Health, Inc | PPO | $420.08 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $426.60 | — |
| Aetna Coventry First Health | EXCLUSIVE | $426.60 | — |
| Emerging Therapy Solutions | COMM | $485.26 | — |
| Coastal Comp Health Networks | WCOMP | $506.99 | — |
| Mega Life | MGMCRPPO | $506.99 | — |
| Multiplan PHCS | PrimaryNetwork | $506.99 | — |
| HealthSmart Preferred Care | PPO | $514.23 | — |
| Cigna | AllOther | $530.82 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $543.20 | — |
| USA Managed Care | COMM | $579.42 | — |
| USC Health Services | COMM | $579.42 | — |
| Galaxy Health Network | PPO | $615.63 | — |
| Optum Health (URN) | COMM | $644.60 | — |
| Unicare | MCD | $724.27 | — |
| Independent Medical Systems | COMM | $724.27 | — |
| National Healthcare Solutions | COMM | $724.27 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $710.40 | $70.48 – $70.48 |
| Methodist Charlton Medical Center | Dallas | $211.00 | $61.39 – $209.30 |
| Methodist Dallas Medical Center | Dallas | $211.00 | $61.39 – $213.99 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $34.00 – $147.37 |
| Adventhealth Rollins Brook | Lampasas | $361.22 | $199.82 – $199.82 |
| Baylor St Luke's Medical Center | Houston | $148.40 | $61.24 – $424.00 |
| St. Joseph Health Madison Hospital | Madisonville | $214.20 | $15.42 – $108.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $66.87 | $20.50 – $100.00 |