Oth resp proc, group 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.
$28.50 with Superior Health Plan vs $407.12 with Unicare — 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 | $28.50 | — |
| Superior Health Plan | STARHealth | $28.50 | — |
| Superior Health Plan | MCDSTAR | $28.50 | — |
| Superior Health Plan | STARPLUS | $28.50 | — |
| Superior Health Plan | STARKids | $28.50 | — |
| BCBS | BluePremier | $29.76 | — |
| BCBS | MyBlueHealth | $34.68 | — |
| BCBS | BlueAdvantageHMO | $34.68 | — |
| Cigna | IFP | $54.96 | — |
| Cigna | QHP | $57.00 | — |
| BCBS | BlueEssentials | $61.41 | — |
| BCBS | BlueEssentialsAccess | $61.41 | — |
| BCBS | EPOSOA | $64.44 | — |
| Aetna | QHPHIX | $66.36 | — |
| BCBS | PPO | $67.46 | — |
| Religious Order of Jehovah Witness | LOGOV | $81.42 | — |
| Oscar | HIX | $84.68 | — |
| United | OptionsPPO | $87.53 | — |
| Humana | COMM | $88.99 | — |
| Aetna | NewBusiness | $96.89 | — |
| Unicare | CHIP | $97.71 | — |
| Aetna | Meritain | $104.22 | — |
| Aetna | COMM | $104.22 | — |
| Aetna | OON | $122.14 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $142.49 | — |
| Prominence Health Plan | HIX | $162.85 | — |
| BCBS | Traditional | $180.76 | — |
| City of McKinney | COMM | $183.20 | — |
| Fidelis SecureCare | MGMCR | $183.20 | — |
| National ChoiceCare | WCOMP | $203.56 | — |
| Aetna | ASA | $214.55 | — |
| Physicians Coop of TX | MGMCR | $223.92 | — |
| PC Texas Partners | WCOMP | $223.92 | — |
| Aetna | WCOMP | $223.92 | — |
| Rockport Health Group | WORKERSCOMP | $223.92 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $227.99 | — |
| Averde Health, Inc | PPO | $236.13 | — |
| Aetna Coventry First Health | EXCLUSIVE | $239.79 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $239.79 | — |
| Coastal Comp Health Networks | WCOMP | $284.98 | — |
| Mega Life | MGMCRPPO | $284.98 | — |
| Multiplan PHCS | PrimaryNetwork | $284.98 | — |
| HealthSmart Preferred Care | PPO | $289.06 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $305.34 | — |
| USA Managed Care | COMM | $325.70 | — |
| Galaxy Health Network | PPO | $346.05 | — |
| Unicare | MCD | $407.12 | — |
Visitor-reported prices
Comments
Oth resp proc, group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $173.23 | $35.64 – $216.53 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $79.95 | $17.12 – $17.12 |
| Methodist Charlton Medical Center | Dallas | $38.00 | $36.70 – $422.42 |
| Methodist Dallas Medical Center | Dallas | $38.00 | $37.52 – $422.42 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $88.99 – $88.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $156.25 | $32.16 – $234.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $138.85 | $27.77 – $173.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $173.23 | $29.51 – $216.53 |