Prcrd drg 0-5yr or w/anomly 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$379.03 with BCBS vs $25,655.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS | BluePremier | $379.03 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Optum Health | MCD | $1,339.84 | — |
| Cigna | IFP | $1,644.35 | — |
| Cigna | QHP | $1,705.25 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Imperial Insurance Company | MCR | $2,314.27 | — |
| Religious Order of Jehovah Witness | LOGOV | $2,436.07 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| United | OptionsPPO | $2,618.78 | — |
| Unicare | CHIP | $2,923.29 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Humana | COMM | $3,774.70 | — |
| Healthcare Highways | CityofPlano | $4,116.97 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $4,263.13 | — |
| Aetna | OON | $4,332.00 | — |
| Prominence Health Plan | HIX | $4,872.15 | — |
| BCBS | Traditional | $5,408.08 | — |
| BCBS | BlueEssentials | $5,446.34 | — |
| BCBS | BlueEssentialsAccess | $5,446.34 | — |
| City of McKinney | COMM | $5,481.17 | — |
| BCBS | EPOSOA | $5,717.49 | — |
| BCBS | BlueAdvantageHMO | $5,872.02 | — |
| BCBS | MyBlueHealth | $5,872.02 | — |
| Emerging Therapy Solutions | MCR | $5,968.38 | — |
| BCBS | PPO | $5,985.73 | — |
| National ChoiceCare | WCOMP | $6,090.19 | — |
| Aetna | ASA | $6,419.05 | — |
| Oscar | HIX | $6,587.00 | — |
| PC Texas Partners | WCOMP | $6,699.20 | — |
| Cigna Lifesource | COMM | $6,699.20 | — |
| Physicians Coop of TX | MGMCR | $6,699.20 | — |
| Rockport Health Group | WORKERSCOMP | $6,699.20 | — |
| Aetna | WCOMP | $6,699.20 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $6,821.01 | — |
| Averde Health, Inc | PPO | $7,064.61 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $7,174.24 | — |
| Aetna Coventry First Health | EXCLUSIVE | $7,174.24 | — |
| Emerging Therapy Solutions | COMM | $8,160.85 | — |
| Coastal Comp Health Networks | WCOMP | $8,526.26 | — |
| Multiplan PHCS | PrimaryNetwork | $8,526.26 | — |
| Mega Life | MGMCRPPO | $8,526.26 | — |
| HealthSmart Preferred Care | PPO | $8,648.06 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $9,135.28 | — |
| USA Managed Care | COMM | $9,744.30 | — |
| USC Health Services | COMM | $9,744.30 | — |
| Galaxy Health Network | PPO | $10,353.31 | — |
| Optum Health (URN) | COMM | $10,840.53 | — |
| United | AllPayerAppendix | $10,868.00 | — |
| Curative Administrators | COMM | $12,018.00 | — |
| United | SmallGroup | $12,069.00 | — |
| Unicare | MCD | $12,180.37 | — |
| Independent Medical Systems | COMM | $12,180.37 | — |
| National Healthcare Solutions | COMM | $12,180.37 | — |
| United | NarrowNetworkIndivExchange | $12,875.00 | — |
| Cigna | LocalPlus | $18,151.00 | — |
| Cigna | NewBusiness | $18,169.00 | — |
| Cigna | HMO | $20,280.00 | — |
| Cigna | NetworkBenefit | $20,280.00 | — |
| Cigna | OpenAccessPlus | $20,280.00 | — |
| Cigna | AllOther | $25,655.00 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Prcrd drg 0-5yr or w/anomly at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,769.84 | $501.46 – $2,507.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,609.03 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,943.97 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,769.84 | $471.96 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,609.03 | $85.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,609.03 | $831.33 – $2,413.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,943.97 | $71.00 – $2,915.95 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,769.84 | $471.96 – $2,507.28 |