Fl exam g/colon tube w contrast 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.
$137.46 with Optum Health vs $7,113.00 with Humana — 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 |
|---|---|---|---|
| Optum Health | MCD | $137.46 | — |
| Cigna | IFP | $168.70 | — |
| Cigna | QHP | $174.95 | — |
| WellMed | MGMCR | $240.89 | — |
| Religious Order of Jehovah Witness | LOGOV | $249.93 | — |
| United | OptionsPPO | $268.67 | — |
| Unicare | CHIP | $299.91 | — |
| BCBS | BluePremier | $302.95 | — |
| Healthcare Highways | CityofPlano | $422.37 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $437.37 | — |
| BCBS | MyBlueHealth | $461.42 | — |
| BCBS | BlueAdvantageHMO | $461.42 | — |
| Prominence Health Plan | HIX | $499.85 | — |
| BCBS | BlueEssentials | $524.34 | — |
| BCBS | BlueEssentialsAccess | $524.34 | — |
| BCBS | EPOSOA | $549.97 | — |
| BCBS | Traditional | $554.84 | — |
| City of McKinney | COMM | $562.33 | — |
| BCBS | PPO | $575.61 | — |
| Emerging Therapy Solutions | MCR | $612.32 | — |
| National ChoiceCare | WCOMP | $624.82 | — |
| Aetna | ASA | $658.56 | — |
| Rockport Health Group | WORKERSCOMP | $687.30 | — |
| Cigna Lifesource | COMM | $687.30 | — |
| Aetna | WCOMP | $687.30 | — |
| Physicians Coop of TX | MGMCR | $687.30 | — |
| PC Texas Partners | WCOMP | $687.30 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $699.79 | — |
| Averde Health, Inc | PPO | $724.79 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $736.03 | — |
| Aetna Coventry First Health | EXCLUSIVE | $736.03 | — |
| Emerging Therapy Solutions | COMM | $837.25 | — |
| Multiplan PHCS | PrimaryNetwork | $874.74 | — |
| Mega Life | MGMCRPPO | $874.74 | — |
| Coastal Comp Health Networks | WCOMP | $874.74 | — |
| HealthSmart Preferred Care | PPO | $887.24 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $937.22 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| USC Health Services | COMM | $999.70 | — |
| USA Managed Care | COMM | $999.70 | — |
| Galaxy Health Network | PPO | $1,062.19 | — |
| Optum Health (URN) | COMM | $1,112.17 | — |
| Unicare | MCD | $1,249.63 | — |
| National Healthcare Solutions | COMM | $1,249.63 | — |
| Independent Medical Systems | COMM | $1,249.63 | — |
| United | SmallGroup | $1,454.00 | — |
| United | NarrowNetworkIndivExchange | $1,481.00 | — |
| Cigna | LocalPlus | $1,572.00 | — |
| Cigna | NewBusiness | $1,574.00 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| Cigna | HMO | $1,757.00 | — |
| Cigna | NetworkBenefit | $1,757.00 | — |
| Cigna | OpenAccessPlus | $1,757.00 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| Cigna | AllOther | $2,222.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Oscar | HIX | $2,636.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Humana | COMM | $7,113.00 | — |
Visitor-reported prices
Comments
Fl exam g/colon tube w contrast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $627.02 | $111.00 – $783.78 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $298.80 | not published |
| Adventhealth Rollins Brook | Lampasas | $1,253.36 | $291.30 – $4,826.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $696.17 | $71.00 – $1,044.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $478.87 | $71.00 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $627.02 | $167.21 – $783.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $696.17 | $85.00 – $1,044.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $696.17 | $359.69 – $1,044.25 |