Inj., emicizumab-kxwh 0.5 mg 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.
$24.22 with Superior Health Plan vs $491.14 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 | $24.22 | — |
| Superior Health Plan | STARHealth | $24.22 | — |
| Superior Health Plan | MCDSTAR | $24.22 | — |
| Superior Health Plan | STARPLUS | $24.22 | — |
| Superior Health Plan | STARKids | $24.22 | — |
| Humana | COMM | $35.77 | — |
| Optum Health | MCD | $38.06 | — |
| Cigna | IFP | $46.71 | — |
| Cigna | QHP | $48.44 | — |
| Humana | Tricare | $50.42 | — |
| TriWest Health Alliance | TRCR | $51.98 | — |
| Aetna | QHPHIX | $56.40 | — |
| Religious Order of Jehovah Witness | LOGOV | $69.20 | — |
| United | OptionsPPO | $74.39 | — |
| Aetna | NewBusiness | $82.35 | — |
| Unicare | CHIP | $83.04 | — |
| Aetna | COMM | $88.58 | — |
| Aetna | Meritain | $88.58 | — |
| United | AllPayerAppendix | $93.16 | — |
| United | NarrowNetworkIndivExchange | $93.16 | — |
| United | SmallGroup | $93.16 | — |
| Aetna | OON | $103.81 | — |
| Healthcare Highways | CityofPlano | $116.95 | — |
| BCBS | BluePremier | $124.13 | — |
| Prominence Health Plan | HIX | $138.41 | — |
| BCBS | BlueAdvantageHMO | $153.49 | — |
| BCBS | MyBlueHealth | $153.49 | — |
| BCBS | Traditional | $153.63 | — |
| City of McKinney | COMM | $155.71 | — |
| Emerging Therapy Solutions | MCR | $169.55 | — |
| National ChoiceCare | WCOMP | $173.01 | — |
| Aetna | ASA | $182.35 | — |
| Rockport Health Group | WORKERSCOMP | $190.31 | — |
| Aetna | WCOMP | $190.31 | — |
| PC Texas Partners | WCOMP | $190.31 | — |
| Cigna Lifesource | COMM | $190.31 | — |
| Physicians Coop of TX | MGMCR | $190.31 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $193.77 | — |
| Averde Health, Inc | PPO | $200.69 | — |
| Aetna Coventry First Health | EXCLUSIVE | $203.81 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $203.81 | — |
| BCBS | BlueEssentialsAccess | $224.67 | — |
| BCBS | BlueEssentials | $224.67 | — |
| Emerging Therapy Solutions | COMM | $231.83 | — |
| BCBS | EPOSOA | $235.80 | — |
| Mega Life | MGMCRPPO | $242.21 | — |
| Coastal Comp Health Networks | WCOMP | $242.21 | — |
| HealthSmart Preferred Care | PPO | $245.67 | — |
| BCBS | PPO | $246.92 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $259.51 | — |
| USC Health Services | COMM | $276.82 | — |
| USA Managed Care | COMM | $276.82 | — |
| Galaxy Health Network | PPO | $294.12 | — |
| Optum Health (URN) | COMM | $307.96 | — |
| Independent Medical Systems | COMM | $346.02 | — |
| National Healthcare Solutions | COMM | $346.02 | — |
| Unicare | MCD | $346.02 | — |
| Cigna | LocalPlus | $347.51 | — |
| Cigna | NewBusiness | $347.85 | — |
| Cigna | NetworkBenefit | $388.23 | — |
| Cigna | OpenAccessPlus | $388.23 | — |
| Cigna | HMO | $388.23 | — |
| Cigna | AllOther | $491.14 | — |
Visitor-reported prices
Comments
Inj., emicizumab-kxwh 0.5 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $35.77 – $51.98 |
| Baylor St Luke's Medical Center | Houston | $38,221.73 | $40.04 – $109,204.93 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $38,221.73 | $41.35 – $109,204.93 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $38,221.73 | $41.35 – $109,204.93 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $38,221.73 | $37.43 – $109,204.93 |
| St. Luke's Health - The Vintage Hospital | Houston | $38,221.73 | $41.35 – $109,204.93 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $15,669.18 | $48.08 – $186.41 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $30,467.85 | $48.08 – $186.41 |