Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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

$911.95

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.

$911.95

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.

$3.40 with Humana vs $319.18 with Healthcare Highways NTX — 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
Humana Tricare $3.40 ↓ -100%
TriWest Health Alliance TRCR $3.51 ↓ -100%
United NarrowNetworkIndivExchange $6.34 ↓ -99%
United SmallGroup $6.34 ↓ -99%
United AllPayerAppendix $6.34 ↓ -99%
BCBS BluePremier $7.17 ↓ -99%
BCBS MyBlueHealth $8.87 ↓ -99%
BCBS BlueAdvantageHMO $8.87 ↓ -99%
Superior Health Plan CHIP $12.64 ↓ -99%
Superior Health Plan STARHealth $12.64 ↓ -99%
Superior Health Plan STARKids $12.64 ↓ -99%
Superior Health Plan STARPLUS $12.64 ↓ -99%
Superior Health Plan MCDSTAR $12.64 ↓ -99%
BCBS BlueEssentials $12.98 ↓ -99%
BCBS BlueEssentialsAccess $12.98 ↓ -99%
BCBS EPOSOA $13.62 ↓ -99%
BCBS PPO $14.26 ↓ -98%
Optum Health MCD $19.86 ↓ -98%
Cigna LocalPlus $23.90 ↓ -97%
Cigna NewBusiness $23.93 ↓ -97%
Cigna IFP $24.38 ↓ -97%
Humana COMM $24.39 ↓ -97%
Cigna QHP $25.28 ↓ -97%
Cigna HMO $26.70 ↓ -97%
Cigna OpenAccessPlus $26.70 ↓ -97%
Cigna NetworkBenefit $26.70 ↓ -97%
Aetna QHPHIX $29.44 ↓ -97%
Cigna AllOther $33.78 ↓ -96%
Religious Order of Jehovah Witness LOGOV $36.12 ↓ -96%
United OptionsPPO $38.83 ↓ -96%
Aetna NewBusiness $42.98 ↓ -95%
Unicare CHIP $43.34 ↓ -95%
Aetna Meritain $46.23 ↓ -95%
Aetna COMM $46.23 ↓ -95%
Aetna OON $54.18 ↓ -94%
Healthcare Highways CityofPlano $61.04 ↓ -93%
Prominence Health Plan HIX $72.24 ↓ -92%
BCBS Traditional $80.18 ↓ -91%
City of McKinney COMM $81.27 ↓ -91%
Emerging Therapy Solutions MCR $88.49 ↓ -90%
National ChoiceCare WCOMP $90.30 ↓ -90%
Aetna ASA $95.17 ↓ -90%
Rockport Health Group WORKERSCOMP $99.32 ↓ -89%
Cigna Lifesource COMM $99.32 ↓ -89%
Aetna WCOMP $99.32 ↓ -89%
PC Texas Partners WCOMP $99.32 ↓ -89%
Physicians Coop of TX MGMCR $99.32 ↓ -89%
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $101.13 ↓ -89%
Averde Health, Inc PPO $104.74 ↓ -89%
Aetna Coventry First Health NONEXCLUSIVE $106.37 ↓ -88%
Aetna Coventry First Health EXCLUSIVE $106.37 ↓ -88%
Emerging Therapy Solutions COMM $121.00 ↓ -87%
Coastal Comp Health Networks WCOMP $126.41 ↓ -86%
Mega Life MGMCRPPO $126.41 ↓ -86%
HealthSmart Preferred Care PPO $128.22 ↓ -86%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $135.44 ↓ -85%
USC Health Services COMM $144.47 ↓ -84%
USA Managed Care COMM $144.47 ↓ -84%
Galaxy Health Network PPO $153.50 ↓ -83%
Optum Health (URN) COMM $160.73 ↓ -82%
Independent Medical Systems COMM $180.59 ↓ -80%
National Healthcare Solutions COMM $180.59 ↓ -80%
Unicare MCD $180.59 ↓ -80%
Healthcare Highways NTX CityofPlanoEmployeeBenefitPlan $319.18 ↓ -65%

Visitor-reported prices

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $229.50 $3.95 – $44.88
Texas Health Presbyterian Hospital Dallas Dallas $100.80 $3.35 – $3.35
Methodist Charlton Medical Center Dallas $54.62 $12.28 – $12.28
Methodist Dallas Medical Center Dallas $42.00 $6.14 – $7.84
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $3.51 – $24.39
Adventhealth Rollins Brook Lampasas $202.68 $9.89 – $9.89
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $229.50 $3.95 – $47.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $229.50 $3.95 – $39.60

All Texas hospitals for this procedure →