Gi tract capsule endoscopy (pillcam) 91110 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

$4,635.47

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.

$4,635.47

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.

$324.48 with Superior Health Plan vs $5,323.71 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 →

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
Superior Health Plan STARPLUS $324.48 ↓ -93%
Superior Health Plan STARKids $324.48 ↓ -93%
Superior Health Plan CHIP $324.48 ↓ -93%
Superior Health Plan STARHealth $324.48 ↓ -93%
Superior Health Plan MCDSTAR $324.48 ↓ -93%
Optum Health MCD $509.90 ↓ -89%
Cigna IFP $625.79 ↓ -86%
Cigna QHP $648.97 ↓ -86%
Aetna QHPHIX $755.58 ↓ -84%
TEXAS HEALTH NETWORK MCD $771.68 ↓ -83%
Cook Childrens Health Plan CHIP $783.43 ↓ -83%
Cook Childrens Health Plan STAR $783.43 ↓ -83%
Parkland Community Health Plan MCD $783.43 ↓ -83%
United CHIP $783.43 ↓ -83%
United STAR $783.43 ↓ -83%
United STARKids $783.43 ↓ -83%
United STARPLUS $783.43 ↓ -83%
United STARPerinate $783.43 ↓ -83%
Amerigroup CHIP $783.43 ↓ -83%
Amerigroup MGMCD $783.43 ↓ -83%
Cigna Healthspring MGMCD $822.60 ↓ -82%
Aetna Better Health MCD $846.10 ↓ -82%
Aetna Better Health CHIP $846.10 ↓ -82%
Molina STAR+PLUS $861.77 ↓ -81%
Molina MCDSTAR $861.77 ↓ -81%
Molina CHIP $861.77 ↓ -81%
Molina STARKIDS $861.77 ↓ -81%
Religious Order of Jehovah Witness LOGOV $927.09 ↓ -80%
Humana MGMCD $979.29 ↓ -79%
United OptionsPPO $996.63 ↓ -78%
Aetna NewBusiness $1,103.24 ↓ -76%
Unicare CHIP $1,112.51 ↓ -76%
Aetna Meritain $1,186.68 ↓ -74%
Aetna COMM $1,186.68 ↓ -74%
Cigna NewBusiness $1,223.76 ↓ -74%
Cigna LocalPlus $1,223.76 ↓ -74%
Cigna OpenAccessPlus $1,367.46 ↓ -71%
Cigna HMO $1,367.46 ↓ -71%
Cigna NetworkBenefit $1,367.46 ↓ -71%
Aetna OON $1,390.64 ↓ -70%
Healthcare Highways CityofPlano $1,566.79 ↓ -66%
Cigna AllOther $1,729.03 ↓ -63%
BCBS BluePremier $1,797.16 ↓ -61%
Prominence Health Plan HIX $1,854.19 ↓ -60%
Healthcare Highways NTX NarrowNetwork $2,047.00 ↓ -56%
BCBS Traditional $2,058.15 ↓ -56%
City of McKinney COMM $2,085.96 ↓ -55%
Fidelis SecureCare MGMCR $2,085.96 ↓ -55%
BCBS BlueAdvantageHMO $2,094.15 ↓ -55%
BCBS MyBlueHealth $2,094.15 ↓ -55%
Healthcare Highways NarrowNetwork $2,129.00 ↓ -54%
United NarrowNetworkIndivExchange $2,270.00 ↓ -51%
Emerging Therapy Solutions MCR $2,271.38 ↓ -51%
National ChoiceCare WCOMP $2,317.74 ↓ -50%
Evry Health COMM $2,356.00 ↓ -49%
Aetna ASA $2,442.89 ↓ -47%
Rockport Health Group WORKERSCOMP $2,549.51 ↓ -45%
Aetna WCOMP $2,549.51 ↓ -45%
Cigna Lifesource COMM $2,549.51 ↓ -45%
PC Texas Partners WCOMP $2,549.51 ↓ -45%
Physicians Coop of TX MGMCR $2,549.51 ↓ -45%
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $2,595.86 ↓ -44%
Curative Administrators COMM $2,613.00 ↓ -44%
Averde Health, Inc PPO $2,688.57 ↓ -42%
Aetna Coventry First Health NONEXCLUSIVE $2,730.29 ↓ -41%
Aetna Coventry First Health EXCLUSIVE $2,730.29 ↓ -41%
Emerging Therapy Solutions COMM $3,105.76 ↓ -33%
Mega Life MGMCRPPO $3,244.83 ↓ -30%
Coastal Comp Health Networks WCOMP $3,244.83 ↓ -30%
Multiplan PHCS PrimaryNetwork $3,244.83 ↓ -30%
HealthSmart Preferred Care PPO $3,291.18 ↓ -29%
United SmallGroup $3,467.00 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $3,476.60 ↓ -25%
USC Health Services COMM $3,708.38 ↓ -20%
USA Managed Care COMM $3,708.38 ↓ -20%
BCBS BlueEssentialsAccess $3,708.55 ↓ -20%
BCBS BlueEssentials $3,708.55 ↓ -20%
BCBS EPOSOA $3,891.32 ↓ -16%
Galaxy Health Network PPO $3,940.15 ↓ -15%
BCBS PPO $4,074.08 ↓ -12%
Optum Health (URN) COMM $4,125.57 ↓ -11%
National Healthcare Solutions COMM $4,635.47 ↑ +0%
Independent Medical Systems COMM $4,635.47 ↑ +0%
Unicare MCD $4,635.47 ↑ +0%
Oscar HIX $4,723.00 ↑ +2%
United AllPayerAppendix $5,047.00 ↑ +9%
Humana COMM $5,323.71 ↑ +15%

Visitor-reported prices

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Gi tract capsule endoscopy (pillcam) 91110 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $2,418.92 $732.90 – $3,023.65
Texas Health Presbyterian Hospital Dallas Dallas $1,842.15 $732.90 – $791.53
Methodist Charlton Medical Center Dallas $2,989.00 $251.62 – $2,999.03
Methodist Dallas Medical Center Dallas $2,989.00 $251.62 – $2,999.03
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $5,323.71 – $5,323.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,992.73 $410.17 – $2,989.09
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,539.87 $732.90 – $3,174.83
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $2,418.92 $732.90 – $3,023.65

All Texas hospitals for this procedure →