Ghs moderate sedation < 5 yr, 30 min 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.
$9.84 with Superior Health Plan vs $362.33 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $9.84 | — |
| Superior Health Plan | STARHealth | $9.84 | — |
| Superior Health Plan | MCDSTAR | $9.84 | — |
| Superior Health Plan | CHIP | $9.84 | — |
| Superior Health Plan | STARKids | $9.84 | — |
| Optum Health | MCD | $15.47 | — |
| Cigna | IFP | $18.99 | — |
| Cigna | QHP | $19.69 | — |
| Aetna | QHPHIX | $22.92 | — |
| Imperial Insurance Company | MCR | $26.72 | — |
| Religious Order of Jehovah Witness | LOGOV | $28.13 | — |
| Oscar | HIX | $29.25 | — |
| United | OptionsPPO | $30.24 | — |
| Aetna | NewBusiness | $33.47 | — |
| Unicare | CHIP | $33.75 | — |
| Healthcare Highways | NarrowNetwork | $34.46 | — |
| Healthcare Highways NTX | NarrowNetwork | $35.86 | — |
| Aetna | COMM | $36.00 | — |
| Aetna | Meritain | $36.00 | — |
| Evry Health | COMM | $36.29 | — |
| Cigna | NewBusiness | $37.13 | — |
| Cigna | LocalPlus | $37.13 | — |
| Cigna | HMO | $41.49 | — |
| Cigna | NetworkBenefit | $41.49 | — |
| Cigna | OpenAccessPlus | $41.49 | — |
| Aetna | OON | $42.19 | — |
| Healthcare Highways | CityofPlano | $47.54 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $49.22 | — |
| Cigna | AllOther | $52.46 | — |
| Prominence Health Plan | HIX | $56.26 | — |
| Curative Administrators | COMM | $56.26 | — |
| BCBS | BluePremier | $61.24 | — |
| BCBS | Traditional | $62.44 | — |
| Fidelis SecureCare | MGMCR | $63.29 | — |
| City of McKinney | COMM | $63.29 | — |
| Emerging Therapy Solutions | MCR | $68.91 | — |
| National ChoiceCare | WCOMP | $70.32 | — |
| BCBS | MyBlueHealth | $71.36 | — |
| BCBS | BlueAdvantageHMO | $71.36 | — |
| Aetna | ASA | $74.12 | — |
| Cigna Lifesource | COMM | $77.35 | — |
| Aetna | WCOMP | $77.35 | — |
| PC Texas Partners | WCOMP | $77.35 | — |
| Physicians Coop of TX | MGMCR | $77.35 | — |
| Rockport Health Group | WORKERSCOMP | $77.35 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $78.76 | — |
| Averde Health, Inc | PPO | $81.57 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $82.84 | — |
| Aetna Coventry First Health | EXCLUSIVE | $82.84 | — |
| Emerging Therapy Solutions | COMM | $94.23 | — |
| Multiplan PHCS | PrimaryNetwork | $98.45 | — |
| Mega Life | MGMCRPPO | $98.45 | — |
| Coastal Comp Health Networks | WCOMP | $98.45 | — |
| HealthSmart Preferred Care | PPO | $99.85 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $105.48 | — |
| USA Managed Care | COMM | $112.51 | — |
| USC Health Services | COMM | $112.51 | — |
| Galaxy Health Network | PPO | $119.54 | — |
| Optum Health (URN) | COMM | $125.17 | — |
| BCBS | BlueEssentials | $126.38 | — |
| BCBS | BlueEssentialsAccess | $126.38 | — |
| BCBS | EPOSOA | $132.60 | — |
| BCBS | PPO | $138.83 | — |
| Independent Medical Systems | COMM | $140.64 | — |
| National Healthcare Solutions | COMM | $140.64 | — |
| Unicare | MCD | $140.64 | — |
| Humana | COMM | $362.33 | — |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $240.00 | $68.00 – $340.00 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $228.45 | $31.58 – $31.58 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $362.33 – $362.33 |
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $99.91 – $99.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.00 | $49.40 – $360.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $240.00 | $48.00 – $300.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $240.00 | $60.72 – $340.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.00 | $77.04 – $360.00 |