Ot evaluation high complexity patient/family at MEDICAL CITY DALLAS HOSPITAL
7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984
$1,079.49
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.
$1,079.49
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.
$75.56 with Superior Health Plan vs $1,079.49 with National Healthcare Solutions — 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 | MCDSTAR | $75.56 | ↓ -93% |
| Superior Health Plan | STARPLUS | $75.56 | ↓ -93% |
| Superior Health Plan | STARKids | $75.56 | ↓ -93% |
| Superior Health Plan | STARHealth | $75.56 | ↓ -93% |
| Superior Health Plan | CHIP | $75.56 | ↓ -93% |
| WellMed | MGMCR | $88.23 | ↓ -92% |
| Devoted Health | MME | $88.67 | ↓ -92% |
| Mutual of Omaha | MGMCR | $88.67 | ↓ -92% |
| Triwest Veterans | FEDERAL | $88.67 | ↓ -92% |
| Humana | MGMCR | $88.67 | ↓ -92% |
| Devoted Health | PPO | $88.67 | ↓ -92% |
| Devoted Health | SNP | $88.67 | ↓ -92% |
| Devoted Health | HMO | $88.67 | ↓ -92% |
| Devoted Health | POS | $88.67 | ↓ -92% |
| Devoted Health | MCR | $88.67 | ↓ -92% |
| Amerigroup | DualEligible | $88.67 | ↓ -92% |
| United | MGMCR | $89.11 | ↓ -92% |
| BCBS | MGMCRHMO | $89.17 | ↓ -92% |
| BCBS | MCRPPO | $89.17 | ↓ -92% |
| Aetna | MCR | $89.42 | ↓ -92% |
| Care N Care | MGMCR | $89.56 | ↓ -92% |
| Cigna Healthspring | MGMCR | $90.44 | ↓ -92% |
| WellCare | MGMCR | $91.33 | ↓ -92% |
| Integranet | MGMCR | $91.33 | ↓ -92% |
| Superior Health Plan | MGMCRPOS | $93.10 | ↓ -91% |
| Superior Health Plan | MGMCRHMO | $93.10 | ↓ -91% |
| Superior Health Plan | MGMCRPPO | $93.10 | ↓ -91% |
| Superior Health Plan | MGMCRDualEligible | $93.10 | ↓ -91% |
| Superior Health Plan | MGMCRPFFS | $93.10 | ↓ -91% |
| American Health Plan of Texas, Inc. | MGMCR | $93.10 | ↓ -91% |
| Superior Health Plan | MGMCRSNP | $93.10 | ↓ -91% |
| ProCare Advantge | MCR | $93.10 | ↓ -91% |
| Texas Independent Health Plan | MGMCR | $93.99 | ↓ -91% |
| Provider Partners Health Plan | MCR | $93.99 | ↓ -91% |
| Molina | MMP | $96.65 | ↓ -91% |
| Molina | MME | $96.65 | ↓ -91% |
| Molina | MCR | $96.65 | ↓ -91% |
| Imperial Insurance Company | MCR | $97.54 | ↓ -91% |
| Humana | Tricare | $98.30 | ↓ -91% |
| TriWest Health Alliance | TRCR | $101.34 | ↓ -91% |
| Aetna | QHPHIX | $106.00 | ↓ -90% |
| Universal Healthcare Group | MCR | $106.40 | ↓ -90% |
| Verda Health Plan | MGMCR | $115.27 | ↓ -89% |
| Optum Health | MCD | $118.74 | ↓ -89% |
| Bravo Health | MCRHMO | $133.00 | ↓ -88% |
| Bravo Health | MCRSNP | $133.00 | ↓ -88% |
| Bravo Health | MCRPFFS | $133.00 | ↓ -88% |
| Bravo Health | MCRPOS | $133.00 | ↓ -88% |
| Bravo Health | MCRPPO | $133.00 | ↓ -88% |
| Aetna | NewBusiness | $143.00 | ↓ -87% |
| Cigna | IFP | $145.73 | ↓ -87% |
| Cigna | QHP | $151.13 | ↓ -86% |
| Aetna | COMM | $155.00 | ↓ -86% |
| Aetna | Meritain | $155.00 | ↓ -86% |
| Superior | ValueHMO | $158.72 | ↓ -85% |
| USA Managed Care | WORKERSCOMP | $168.47 | ↓ -84% |
| Corvel Corporation | WORKERSCOMP | $175.56 | ↓ -84% |
| Aetna | OON | $179.00 | ↓ -83% |
| Superior | HMO | $198.62 | ↓ -82% |
| Superior | EPO | $198.62 | ↓ -82% |
| Religious Order of Jehovah Witness | LOGOV | $215.90 | ↓ -80% |
| BCBS | BluePremier | $219.43 | ↓ -80% |
| Oscar | HIX | $224.53 | ↓ -79% |
| United | OptionsPPO | $232.09 | ↓ -79% |
| Molina Healthcare | HIX | $232.31 | ↓ -78% |
| BCBS | MyBlueHealth | $255.70 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $255.70 | ↓ -76% |
| Unicare | CHIP | $259.08 | ↓ -76% |
| Healthcare Highways | CityofPlano | $364.87 | ↓ -66% |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $377.82 | ↓ -65% |
| Prominence Health Plan | HIX | $431.80 | ↓ -60% |
| BCBS | BlueEssentialsAccess | $452.81 | ↓ -58% |
| BCBS | BlueEssentials | $452.81 | ↓ -58% |
| BCBS | EPOSOA | $475.13 | ↓ -56% |
| BCBS | Traditional | $479.29 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $485.77 | ↓ -55% |
| City of McKinney | COMM | $485.77 | ↓ -55% |
| BCBS | PPO | $497.44 | ↓ -54% |
| Emerging Therapy Solutions | MCR | $528.95 | ↓ -51% |
| National ChoiceCare | WCOMP | $539.75 | ↓ -50% |
| Aetna | ASA | $568.89 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $593.72 | ↓ -45% |
| PC Texas Partners | WCOMP | $593.72 | ↓ -45% |
| Cigna Lifesource | COMM | $593.72 | ↓ -45% |
| Aetna | WCOMP | $593.72 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $593.72 | ↓ -45% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $604.51 | ↓ -44% |
| Averde Health, Inc | PPO | $626.10 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $635.82 | ↓ -41% |
| Aetna Coventry First Health | NONEXCLUSIVE | $635.82 | ↓ -41% |
| Humana | COMM | $638.18 | ↓ -41% |
| Emerging Therapy Solutions | COMM | $723.26 | ↓ -33% |
| Mega Life | MGMCRPPO | $755.64 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $755.64 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $755.64 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $766.44 | ↓ -29% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $809.62 | ↓ -25% |
| USA Managed Care | COMM | $863.59 | ↓ -20% |
| USC Health Services | COMM | $863.59 | ↓ -20% |
| Galaxy Health Network | PPO | $917.57 | ↓ -15% |
| Optum Health (URN) | COMM | $960.75 | ↓ -11% |
| Unicare | MCD | $1,079.49 | ↑ +0% |
| Independent Medical Systems | COMM | $1,079.49 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,079.49 | ↑ +0% |
Visitor-reported prices
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Ot evaluation high complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $374.12 | $106.00 – $530.00 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $508.20 | $126.27 – $126.27 |
| Methodist Charlton Medical Center | Dallas | $481.50 | $34.02 – $273.40 |
| Methodist Dallas Medical Center | Dallas | $481.50 | $34.02 – $273.40 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $88.67 – $232.31 |
| Adventhealth Rollins Brook | Lampasas | $333.87 | $357.97 – $357.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $419.98 | $86.45 – $629.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $405.44 | $81.09 – $506.81 |