Established Patient Office Visit (level 5) 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.
$77.00 with Superior Health Plan vs $1,099.95 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 →
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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 | CHIP | $77.00 | — |
| Superior Health Plan | STARHealth | $77.00 | — |
| Superior Health Plan | MCDSTAR | $77.00 | — |
| Superior Health Plan | STARPLUS | $77.00 | — |
| Superior Health Plan | STARKids | $77.00 | — |
| Optum Health | MCD | $120.99 | — |
| Cigna | IFP | $148.49 | — |
| Cigna | QHP | $153.99 | — |
| Aetna | QHPHIX | $179.29 | — |
| Imperial Insurance Company | MCR | $208.99 | — |
| Religious Order of Jehovah Witness | LOGOV | $219.99 | — |
| Humana | COMM | $231.92 | — |
| United | OptionsPPO | $236.49 | — |
| Aetna | NewBusiness | $261.79 | — |
| Unicare | CHIP | $263.99 | — |
| Healthcare Highways | NarrowNetwork | $269.49 | — |
| Healthcare Highways NTX | NarrowNetwork | $280.49 | — |
| Aetna | COMM | $281.59 | — |
| Aetna | Meritain | $281.59 | — |
| Evry Health | COMM | $283.79 | — |
| BCBS | BlueAdvantageHMO | $310.20 | — |
| BCBS | MyBlueHealth | $310.20 | — |
| Aetna | OON | $329.99 | — |
| Healthcare Highways | CityofPlano | $371.78 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $384.98 | — |
| Prominence Health Plan | HIX | $439.98 | — |
| Curative Administrators | COMM | $439.98 | — |
| BCBS | Traditional | $488.38 | — |
| City of McKinney | COMM | $494.98 | — |
| Fidelis SecureCare | MGMCR | $494.98 | — |
| Cigna | NewBusiness | $537.52 | — |
| Cigna | LocalPlus | $537.52 | — |
| Emerging Therapy Solutions | MCR | $538.98 | — |
| BCBS | BlueEssentials | $549.34 | — |
| BCBS | BlueEssentialsAccess | $549.34 | — |
| National ChoiceCare | WCOMP | $549.98 | — |
| BCBS | EPOSOA | $576.41 | — |
| Aetna | ASA | $579.67 | — |
| Cigna | HMO | $600.64 | — |
| Cigna | NetworkBenefit | $600.64 | — |
| Cigna | OpenAccessPlus | $600.64 | — |
| BCBS | PPO | $603.48 | — |
| Rockport Health Group | WORKERSCOMP | $604.97 | — |
| Cigna Lifesource | COMM | $604.97 | — |
| PC Texas Partners | WCOMP | $604.97 | — |
| Physicians Coop of TX | MGMCR | $604.97 | — |
| Aetna | WCOMP | $604.97 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $615.97 | — |
| Averde Health, Inc | PPO | $637.97 | — |
| Aetna Coventry First Health | EXCLUSIVE | $647.87 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $647.87 | — |
| Emerging Therapy Solutions | COMM | $736.97 | — |
| Cigna | AllOther | $759.45 | — |
| Coastal Comp Health Networks | WCOMP | $769.97 | — |
| Mega Life | MGMCRPPO | $769.97 | — |
| Multiplan PHCS | PrimaryNetwork | $769.97 | — |
| HealthSmart Preferred Care | PPO | $780.96 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $824.96 | — |
| USC Health Services | COMM | $879.96 | — |
| USA Managed Care | COMM | $879.96 | — |
| Galaxy Health Network | PPO | $934.96 | — |
| Optum Health (URN) | COMM | $978.96 | — |
| National Healthcare Solutions | COMM | $1,099.95 | — |
| Unicare | MCD | $1,099.95 | — |
| Independent Medical Systems | COMM | $1,099.95 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $1,074.90 | $153.18 – $153.18 |
| Methodist Charlton Medical Center | Dallas | $367.50 | $48.76 – $338.39 |
| Methodist Dallas Medical Center | Dallas | $367.50 | $48.76 – $338.39 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $89.78 – $231.92 |
| Adventhealth Rollins Brook | Lampasas | $450.00 | $434.28 – $434.28 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $884.58 | $263.95 – $315.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,971.10 | $263.95 – $315.77 |
| Baylor St Luke's Medical Center | Houston | $174.65 | $82.00 – $499.00 |