Ph1 assmt&mgmt nqhp 11-20 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.
$9.66 with Humana vs $138.83 with BCBS — 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 |
|---|---|---|---|
| Humana | COMM | $9.66 | — |
| Humana | Tricare | $18.25 | — |
| TriWest Health Alliance | TRCR | $18.81 | — |
| BCBS | MCRPPO | $24.08 | — |
| BCBS | MGMCRHMO | $24.08 | — |
| WellMed | MGMCR | $24.95 | — |
| Triwest Veterans | FEDERAL | $25.08 | — |
| Devoted Health | MME | $25.08 | — |
| Devoted Health | MCR | $25.08 | — |
| Humana | MGMCR | $25.08 | — |
| Devoted Health | POS | $25.08 | — |
| Devoted Health | HMO | $25.08 | — |
| Devoted Health | SNP | $25.08 | — |
| Mutual of Omaha | MGMCR | $25.08 | — |
| Amerigroup | DualEligible | $25.08 | — |
| Devoted Health | PPO | $25.08 | — |
| United | MGMCR | $25.21 | — |
| Aetna | MCR | $25.29 | — |
| Care N Care | MGMCR | $25.33 | — |
| Cigna Healthspring | MGMCR | $25.58 | — |
| Integranet | MGMCR | $25.83 | — |
| WellCare | MGMCR | $25.83 | — |
| Superior Health Plan | MGMCRDualEligible | $26.33 | — |
| Superior Health Plan | MGMCRPPO | $26.33 | — |
| Superior Health Plan | MGMCRHMO | $26.33 | — |
| Superior Health Plan | MGMCRPFFS | $26.33 | — |
| ProCare Advantge | MCR | $26.33 | — |
| Superior Health Plan | MGMCRPOS | $26.33 | — |
| American Health Plan of Texas, Inc. | MGMCR | $26.33 | — |
| Superior Health Plan | MGMCRSNP | $26.33 | — |
| Texas Independent Health Plan | MGMCR | $26.58 | — |
| Provider Partners Health Plan | MCR | $26.58 | — |
| Molina | MCR | $27.34 | — |
| Molina | MME | $27.34 | — |
| Molina | MMP | $27.34 | — |
| Imperial Insurance Company | MCR | $27.59 | — |
| Universal Healthcare Group | MCR | $30.10 | — |
| Verda Health Plan | MGMCR | $32.60 | — |
| Bravo Health | MCRHMO | $37.62 | — |
| Bravo Health | MCRPOS | $37.62 | — |
| Bravo Health | MCRPPO | $37.62 | — |
| Bravo Health | MCRSNP | $37.62 | — |
| Bravo Health | MCRPFFS | $37.62 | — |
| Superior | ValueHMO | $44.89 | — |
| USA Managed Care | WORKERSCOMP | $47.65 | — |
| Corvel Corporation | WORKERSCOMP | $49.66 | — |
| Superior | EPO | $56.18 | — |
| Superior | HMO | $56.18 | — |
| BCBS | BluePremier | $61.24 | — |
| Molina Healthcare | HIX | $65.71 | — |
| BCBS | BlueAdvantageHMO | $71.36 | — |
| BCBS | MyBlueHealth | $71.36 | — |
| BCBS | BlueEssentialsAccess | $126.38 | — |
| BCBS | BlueEssentials | $126.38 | — |
| BCBS | EPOSOA | $132.60 | — |
| BCBS | PPO | $138.83 | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 11-20 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $53.40 | $15.13 – $79.67 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $9.66 – $65.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $54.47 | $11.21 – $81.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $53.40 | $10.68 – $78.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $53.40 | $14.24 – $75.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $54.47 | $17.48 – $95.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $54.47 | $28.14 – $81.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $53.40 | $17.80 – $80.10 |