Factor ix complex 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.
$0.59 with Superior Health Plan vs $14.54 with Cigna — 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 | $0.59 | — |
| Superior Health Plan | STARHealth | $0.59 | — |
| Superior Health Plan | MCDSTAR | $0.59 | — |
| Superior Health Plan | STARPLUS | $0.59 | — |
| Superior Health Plan | STARKids | $0.59 | — |
| Optum Health | MCD | $0.92 | — |
| Cigna | IFP | $1.13 | — |
| Cigna | QHP | $1.18 | — |
| Aetna | QHPHIX | $1.37 | — |
| Humana | Tricare | $1.61 | — |
| TriWest Health Alliance | TRCR | $1.66 | — |
| Religious Order of Jehovah Witness | LOGOV | $1.68 | — |
| United | OptionsPPO | $1.81 | — |
| Aetna | NewBusiness | $2.00 | — |
| Unicare | CHIP | $2.02 | — |
| Aetna | COMM | $2.15 | — |
| Aetna | Meritain | $2.15 | — |
| Aetna | OON | $2.52 | — |
| BCBS | BluePremier | $2.62 | — |
| United | SmallGroup | $2.81 | — |
| United | AllPayerAppendix | $2.81 | — |
| United | NarrowNetworkIndivExchange | $2.81 | — |
| Healthcare Highways | CityofPlano | $2.84 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $3.02 | — |
| BCBS | BlueAdvantageHMO | $3.24 | — |
| BCBS | MyBlueHealth | $3.24 | — |
| Prominence Health Plan | HIX | $3.36 | — |
| BCBS | Traditional | $3.73 | — |
| City of McKinney | COMM | $3.78 | — |
| Emerging Therapy Solutions | MCR | $4.12 | — |
| National ChoiceCare | WCOMP | $4.20 | — |
| Aetna | ASA | $4.43 | — |
| Cigna Lifesource | COMM | $4.62 | — |
| Physicians Coop of TX | MGMCR | $4.62 | — |
| Aetna | WCOMP | $4.62 | — |
| PC Texas Partners | WCOMP | $4.62 | — |
| Rockport Health Group | WORKERSCOMP | $4.62 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $4.70 | — |
| BCBS | BlueEssentials | $4.75 | — |
| BCBS | BlueEssentialsAccess | $4.75 | — |
| Averde Health, Inc | PPO | $4.87 | — |
| Aetna Coventry First Health | EXCLUSIVE | $4.95 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $4.95 | — |
| BCBS | EPOSOA | $4.98 | — |
| BCBS | PPO | $5.22 | — |
| Emerging Therapy Solutions | COMM | $5.63 | — |
| Mega Life | MGMCRPPO | $5.88 | — |
| Coastal Comp Health Networks | WCOMP | $5.88 | — |
| HealthSmart Preferred Care | PPO | $5.96 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $6.30 | — |
| USC Health Services | COMM | $6.72 | — |
| USA Managed Care | COMM | $6.72 | — |
| Galaxy Health Network | PPO | $7.14 | — |
| Optum Health (URN) | COMM | $7.48 | — |
| National Healthcare Solutions | COMM | $8.40 | — |
| Independent Medical Systems | COMM | $8.40 | — |
| Unicare | MCD | $8.40 | — |
| Humana | COMM | $10.16 | — |
| Cigna | LocalPlus | $10.29 | — |
| Cigna | NewBusiness | $10.30 | — |
| Cigna | OpenAccessPlus | $11.49 | — |
| Cigna | HMO | $11.49 | — |
| Cigna | NetworkBenefit | $11.49 | — |
| Cigna | AllOther | $14.54 | — |
Visitor-reported prices
Comments
Factor ix complex at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22.13 | $1.44 – $27.07 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $3.70 | $1.23 – $6.25 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $1.66 – $10.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $22.13 | $1.46 – $32.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22.13 | $1.46 – $27.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22.13 | $1.44 – $27.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $22.13 | $1.46 – $32.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $22.13 | $1.87 – $32.49 |