Fibrinolytic plasminogen xcpt antgnc asa at MEDICAL CITY DALLAS HOSPITAL

7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$1,169.79

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,169.79

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.92 with Cook Childrens Health Plan vs $1,169.79 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 →

Payer
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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
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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
Cook Childrens Health Plan STAR $3.92 ↓ -100%
Cook Childrens Health Plan CHIP $3.92 ↓ -100%
TEXAS HEALTH NETWORK MCD $5.41 ↓ -100%
United STARPLUS $5.49 ↓ -100%
United STARKids $5.49 ↓ -100%
United STAR $5.49 ↓ -100%
United CHIP $5.49 ↓ -100%
Amerigroup MGMCD $5.49 ↓ -100%
Parkland Community Health Plan MCD $5.49 ↓ -100%
Amerigroup CHIP $5.49 ↓ -100%
United STARPerinate $5.49 ↓ -100%
Cigna Healthspring MGMCD $5.76 ↓ -100%
Aetna Better Health CHIP $5.93 ↓ -99%
Aetna Better Health MCD $5.93 ↓ -99%
Molina STAR+PLUS $6.04 ↓ -99%
Molina MCDSTAR $6.04 ↓ -99%
Molina STARKIDS $6.04 ↓ -99%
Molina CHIP $6.04 ↓ -99%
WellMed MGMCR $6.50 ↓ -99%
Mutual of Omaha MGMCR $6.53 ↓ -99%
United NarrowNetworkIndivExchange $6.53 ↓ -99%
Amerigroup DualEligible $6.53 ↓ -99%
Triwest Veterans FEDERAL $6.53 ↓ -99%
Devoted Health PPO $6.53 ↓ -99%
Devoted Health SNP $6.53 ↓ -99%
Devoted Health HMO $6.53 ↓ -99%
Humana MGMCR $6.53 ↓ -99%
United AllPayerAppendix $6.53 ↓ -99%
Devoted Health POS $6.53 ↓ -99%
BCBS MGMCRHMO $6.53 ↓ -99%
United SmallGroup $6.53 ↓ -99%
Devoted Health MCR $6.53 ↓ -99%
BCBS MCRPPO $6.53 ↓ -99%
Devoted Health MME $6.53 ↓ -99%
United MGMCR $6.56 ↓ -99%
Aetna MCR $6.59 ↓ -99%
Care N Care MGMCR $6.60 ↓ -99%
Cigna Healthspring MGMCR $6.66 ↓ -99%
WellCare MGMCR $6.73 ↓ -99%
Integranet MGMCR $6.73 ↓ -99%
Superior Health Plan MGMCRPFFS $6.86 ↓ -99%
Superior Health Plan MGMCRPOS $6.86 ↓ -99%
Superior Health Plan MGMCRDualEligible $6.86 ↓ -99%
Superior Health Plan MGMCRPPO $6.86 ↓ -99%
Superior Health Plan MGMCRHMO $6.86 ↓ -99%
American Health Plan of Texas, Inc. MGMCR $6.86 ↓ -99%
ProCare Advantge MCR $6.86 ↓ -99%
Humana MGMCD $6.86 ↓ -99%
Superior Health Plan MGMCRSNP $6.86 ↓ -99%
Texas Independent Health Plan MGMCR $6.92 ↓ -99%
Provider Partners Health Plan MCR $6.92 ↓ -99%
Humana Tricare $7.03 ↓ -99%
Molina MME $7.12 ↓ -99%
Molina MMP $7.12 ↓ -99%
Molina MCR $7.12 ↓ -99%
Imperial Insurance Company MCR $7.18 ↓ -99%
TriWest Health Alliance TRCR $7.25 ↓ -99%
Universal Healthcare Group MCR $7.84 ↓ -99%
Aetna QHPHIX $8.31 ↓ -99%
Verda Health Plan MGMCR $8.49 ↓ -99%
Bravo Health MCRHMO $9.79 ↓ -99%
Bravo Health MCRPPO $9.79 ↓ -99%
Bravo Health MCRSNP $9.79 ↓ -99%
Bravo Health MCRPFFS $9.79 ↓ -99%
Bravo Health MCRPOS $9.79 ↓ -99%
BCBS BluePremier $9.93 ↓ -99%
BCBS BlueAdvantageHMO $11.43 ↓ -99%
BCBS MyBlueHealth $11.43 ↓ -99%
Aetna NewBusiness $11.45 ↓ -99%
Superior ValueHMO $11.69 ↓ -99%
BCBS BlueEssentials $11.88 ↓ -99%
BCBS BlueEssentialsAccess $11.88 ↓ -99%
Aetna COMM $12.19 ↓ -99%
Aetna Meritain $12.19 ↓ -99%
USA Managed Care WORKERSCOMP $12.41 ↓ -99%
BCBS EPOSOA $12.47 ↓ -99%
Corvel Corporation WORKERSCOMP $12.93 ↓ -99%
BCBS PPO $13.06 ↓ -99%
Aetna OON $14.35 ↓ -99%
Superior EPO $14.63 ↓ -99%
Superior HMO $14.63 ↓ -99%
Oscar HIX $16.98 ↓ -99%
Molina Healthcare HIX $17.11 ↓ -99%
Cigna LocalPlus $24.55 ↓ -98%
Cigna NewBusiness $24.57 ↓ -98%
Cigna NetworkBenefit $27.42 ↓ -98%
Cigna OpenAccessPlus $27.42 ↓ -98%
Cigna HMO $27.42 ↓ -98%
Cigna AllOther $34.70 ↓ -97%
Humana COMM $72.53 ↓ -94%
Superior Health Plan STARHealth $81.89 ↓ -93%
Superior Health Plan CHIP $81.89 ↓ -93%
Superior Health Plan STARKids $81.89 ↓ -93%
Superior Health Plan STARPLUS $81.89 ↓ -93%
Superior Health Plan MCDSTAR $81.89 ↓ -93%
Optum Health MCD $128.68 ↓ -89%
Cigna IFP $157.92 ↓ -87%
Cigna QHP $163.77 ↓ -86%
Religious Order of Jehovah Witness LOGOV $233.96 ↓ -80%
United OptionsPPO $251.50 ↓ -79%
Unicare CHIP $280.75 ↓ -76%
Healthcare Highways NarrowNetwork $286.60 ↓ -75%
Healthcare Highways NTX NarrowNetwork $298.30 ↓ -74%
Evry Health COMM $301.81 ↓ -74%
Healthcare Highways CityofPlano $395.39 ↓ -66%
Healthcare Highways NTX CityofPlanoEmployeeBenefitPlan $409.43 ↓ -65%
Prominence Health Plan HIX $467.92 ↓ -60%
BCBS Traditional $519.39 ↓ -56%
Fidelis SecureCare MGMCR $526.41 ↓ -55%
City of McKinney COMM $526.41 ↓ -55%
Emerging Therapy Solutions MCR $573.20 ↓ -51%
National ChoiceCare WCOMP $584.89 ↓ -50%
Aetna ASA $616.48 ↓ -47%
Rockport Health Group WORKERSCOMP $643.38 ↓ -45%
Cigna Lifesource COMM $643.38 ↓ -45%
Aetna WCOMP $643.38 ↓ -45%
Physicians Coop of TX MGMCR $643.38 ↓ -45%
PC Texas Partners WCOMP $643.38 ↓ -45%
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $655.08 ↓ -44%
Averde Health, Inc PPO $678.48 ↓ -42%
Aetna Coventry First Health NONEXCLUSIVE $689.01 ↓ -41%
Aetna Coventry First Health EXCLUSIVE $689.01 ↓ -41%
Emerging Therapy Solutions COMM $783.76 ↓ -33%
Mega Life MGMCRPPO $818.85 ↓ -30%
Coastal Comp Health Networks WCOMP $818.85 ↓ -30%
Multiplan PHCS PrimaryNetwork $818.85 ↓ -30%
HealthSmart Preferred Care PPO $830.55 ↓ -29%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $877.34 ↓ -25%
USA Managed Care COMM $935.83 ↓ -20%
USC Health Services COMM $935.83 ↓ -20%
Galaxy Health Network PPO $994.32 ↓ -15%
Optum Health (URN) COMM $1,041.11 ↓ -11%
Unicare MCD $1,169.79 ↑ +0%
Independent Medical Systems COMM $1,169.79 ↑ +0%
National Healthcare Solutions COMM $1,169.79 ↑ +0%
Curative Administrators COMM not published by hospital

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Fibrinolytic plasminogen xcpt antgnc asa at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $163.27 $5.49 – $204.08
Texas Health Presbyterian Hospital Dallas Dallas $48.90 $5.49 – $27.22
Methodist Charlton Medical Center Dallas $16.00 $5.22 – $22.47
Methodist Dallas Medical Center Dallas $16.00 $5.22 – $29.71
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $6.53 – $17.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $102.65 $9.58 – $153.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $77.50 $5.49 – $96.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $163.27 $5.49 – $204.08

All Texas hospitals for this procedure →