Kyleena, 19.5 mg at MEDICAL CITY DALLAS HOSPITAL
7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984
$21,151.00
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.
$21,151.00
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.
$1,480.57 with Superior Health Plan vs $21,151.00 with Independent Medical Systems — 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 | STARKids | $1,480.57 | ↓ -93% |
| Superior Health Plan | STARHealth | $1,480.57 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $1,480.57 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1,480.57 | ↓ -93% |
| Superior Health Plan | CHIP | $1,480.57 | ↓ -93% |
| Optum Health | MCD | $2,326.61 | ↓ -89% |
| United | SmallGroup | $2,519.43 | ↓ -88% |
| United | NarrowNetworkIndivExchange | $2,519.43 | ↓ -88% |
| United | AllPayerAppendix | $2,519.43 | ↓ -88% |
| BCBS | BluePremier | $2,617.72 | ↓ -88% |
| Cigna | IFP | $2,855.39 | ↓ -86% |
| Cigna | QHP | $2,961.14 | ↓ -86% |
| BCBS | BlueAdvantageHMO | $3,236.96 | ↓ -85% |
| BCBS | MyBlueHealth | $3,236.96 | ↓ -85% |
| Aetna | QHPHIX | $3,447.61 | ↓ -84% |
| Religious Order of Jehovah Witness | LOGOV | $4,230.20 | ↓ -80% |
| United | OptionsPPO | $4,547.47 | ↓ -78% |
| BCBS | BlueEssentialsAccess | $4,738.16 | ↓ -78% |
| BCBS | BlueEssentials | $4,738.16 | ↓ -78% |
| BCBS | EPOSOA | $4,972.72 | ↓ -76% |
| Aetna | NewBusiness | $5,033.94 | ↓ -76% |
| Unicare | CHIP | $5,076.24 | ↓ -76% |
| BCBS | PPO | $5,207.29 | ↓ -75% |
| Aetna | Meritain | $5,414.66 | ↓ -74% |
| Aetna | COMM | $5,414.66 | ↓ -74% |
| Aetna | OON | $6,345.30 | ↓ -70% |
| Healthcare Highways | CityofPlano | $7,149.04 | ↓ -66% |
| Humana | COMM | $7,368.31 | ↓ -65% |
| Cigna | LocalPlus | $7,496.77 | ↓ -65% |
| Cigna | NewBusiness | $7,504.20 | ↓ -65% |
| Cigna | NetworkBenefit | $8,375.17 | ↓ -60% |
| Cigna | OpenAccessPlus | $8,375.17 | ↓ -60% |
| Cigna | HMO | $8,375.17 | ↓ -60% |
| Prominence Health Plan | HIX | $8,460.40 | ↓ -60% |
| BCBS | Traditional | $9,391.04 | ↓ -56% |
| City of McKinney | COMM | $9,517.95 | ↓ -55% |
| Emerging Therapy Solutions | MCR | $10,363.99 | ↓ -51% |
| National ChoiceCare | WCOMP | $10,575.50 | ↓ -50% |
| Cigna | AllOther | $10,595.33 | ↓ -50% |
| Aetna | ASA | $11,146.58 | ↓ -47% |
| Aetna | WCOMP | $11,633.05 | ↓ -45% |
| Cigna Lifesource | COMM | $11,633.05 | ↓ -45% |
| PC Texas Partners | WCOMP | $11,633.05 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $11,633.05 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $11,633.05 | ↓ -45% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $11,844.56 | ↓ -44% |
| Averde Health, Inc | PPO | $12,267.58 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $12,457.94 | ↓ -41% |
| Aetna Coventry First Health | NONEXCLUSIVE | $12,457.94 | ↓ -41% |
| Emerging Therapy Solutions | COMM | $14,171.17 | ↓ -33% |
| Mega Life | MGMCRPPO | $14,805.70 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $14,805.70 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $15,017.21 | ↓ -29% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $15,863.25 | ↓ -25% |
| USC Health Services | COMM | $16,920.80 | ↓ -20% |
| USA Managed Care | COMM | $16,920.80 | ↓ -20% |
| Galaxy Health Network | PPO | $17,978.35 | ↓ -15% |
| Optum Health (URN) | COMM | $18,824.39 | ↓ -11% |
| Unicare | MCD | $21,151.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $21,151.00 | ↑ +0% |
| Independent Medical Systems | COMM | $21,151.00 | ↑ +0% |
Visitor-reported prices
Comments
Kyleena, 19.5 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $2,345.64 | not published |
| Methodist Charlton Medical Center | Dallas | $1,603.37 | $2,242.42 – $2,242.42 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $7,368.31 – $7,368.31 |
| Texas Health Presbyterian Hospital Allen | Allen | $2,345.64 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $2,345.64 | $1,970.33 – $1,970.33 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2,345.64 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $2,345.64 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $2,345.64 | not published |