Interrog evl pm/ldls pm ip 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$17.49 with Superior Health Plan vs $249.84 with Independent Medical Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | MCDSTAR | $17.49 | — |
| Superior Health Plan | STARHealth | $17.49 | — |
| Superior Health Plan | CHIP | $17.49 | — |
| Superior Health Plan | STARKids | $17.49 | — |
| Superior Health Plan | STARPLUS | $17.49 | — |
| Optum Health | MCD | $27.48 | — |
| Cigna | IFP | $33.73 | — |
| Cigna | QHP | $34.98 | — |
| Aetna | QHPHIX | $40.72 | — |
| Religious Order of Jehovah Witness | LOGOV | $49.97 | — |
| Oscar | HIX | $51.97 | — |
| United | OptionsPPO | $53.72 | — |
| Aetna | NewBusiness | $59.46 | — |
| Unicare | CHIP | $59.96 | — |
| Healthcare Highways | NarrowNetwork | $61.21 | — |
| Aetna | COMM | $63.96 | — |
| Aetna | Meritain | $63.96 | — |
| Evry Health | COMM | $64.46 | — |
| Cigna | LocalPlus | $66.76 | — |
| Cigna | NewBusiness | $66.76 | — |
| Cigna | HMO | $74.60 | — |
| Cigna | OpenAccessPlus | $74.60 | — |
| Cigna | NetworkBenefit | $74.60 | — |
| Aetna | OON | $74.95 | — |
| Healthcare Highways | CityofPlano | $84.45 | — |
| BCBS | BluePremier | $85.55 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $87.44 | — |
| Cigna | AllOther | $94.32 | — |
| BCBS | MyBlueHealth | $99.69 | — |
| BCBS | BlueAdvantageHMO | $99.69 | — |
| Prominence Health Plan | HIX | $99.94 | — |
| Curative Administrators | COMM | $99.94 | — |
| BCBS | Traditional | $110.93 | — |
| Fidelis SecureCare | MGMCR | $112.43 | — |
| City of McKinney | COMM | $112.43 | — |
| Humana | COMM | $115.53 | — |
| Emerging Therapy Solutions | MCR | $122.42 | — |
| National ChoiceCare | WCOMP | $124.92 | — |
| Aetna | ASA | $131.67 | — |
| Rockport Health Group | WORKERSCOMP | $137.41 | — |
| Aetna | WCOMP | $137.41 | — |
| Cigna Lifesource | COMM | $137.41 | — |
| Physicians Coop of TX | MGMCR | $137.41 | — |
| PC Texas Partners | WCOMP | $137.41 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $139.91 | — |
| Averde Health, Inc | PPO | $144.91 | — |
| Aetna Coventry First Health | EXCLUSIVE | $147.16 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $147.16 | — |
| Emerging Therapy Solutions | COMM | $167.39 | — |
| Mega Life | MGMCRPPO | $174.89 | — |
| Coastal Comp Health Networks | WCOMP | $174.89 | — |
| Multiplan PHCS | PrimaryNetwork | $174.89 | — |
| BCBS | BlueEssentialsAccess | $176.54 | — |
| BCBS | BlueEssentials | $176.54 | — |
| HealthSmart Preferred Care | PPO | $177.39 | — |
| BCBS | EPOSOA | $185.24 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $187.38 | — |
| BCBS | PPO | $193.94 | — |
| USA Managed Care | COMM | $199.87 | — |
| USC Health Services | COMM | $199.87 | — |
| Galaxy Health Network | PPO | $212.36 | — |
| Optum Health (URN) | COMM | $222.36 | — |
| Unicare | MCD | $249.84 | — |
| National Healthcare Solutions | COMM | $249.84 | — |
| Independent Medical Systems | COMM | $249.84 | — |
Visitor-reported prices
Comments
Interrog evl pm/ldls pm ip at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.60 | $35.62 – $290.75 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $70.95 | $44.12 – $44.12 |
| Methodist Charlton Medical Center | Dallas | $383.00 | $23.93 – $99.01 |
| Methodist Dallas Medical Center | Dallas | $383.00 | $23.93 – $126.00 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $115.53 – $115.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $234.32 | $48.23 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $189.76 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $232.60 | $35.62 – $917.00 |