Sirolimus, oral 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.
$1.11 with Humana vs $55.73 with Humana — 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 | Tricare | $1.11 | — |
| TriWest Health Alliance | TRCR | $1.14 | — |
| United | AllPayerAppendix | $1.60 | — |
| United | SmallGroup | $1.60 | — |
| United | NarrowNetworkIndivExchange | $1.60 | — |
| Superior Health Plan | STARKids | $2.83 | — |
| Superior Health Plan | STARHealth | $2.83 | — |
| Superior Health Plan | MCDSTAR | $2.83 | — |
| Superior Health Plan | STARPLUS | $2.83 | — |
| Superior Health Plan | CHIP | $2.83 | — |
| Optum Health | MCD | $4.45 | — |
| Cigna | IFP | $5.46 | — |
| Cigna | QHP | $5.66 | — |
| Cigna | NewBusiness | $5.81 | — |
| Cigna | LocalPlus | $5.81 | — |
| Cigna | NetworkBenefit | $6.49 | — |
| Cigna | OpenAccessPlus | $6.49 | — |
| Cigna | HMO | $6.49 | — |
| Aetna | QHPHIX | $6.59 | — |
| Religious Order of Jehovah Witness | LOGOV | $8.08 | — |
| Cigna | AllOther | $8.21 | — |
| United | OptionsPPO | $8.69 | — |
| Aetna | NewBusiness | $9.62 | — |
| Unicare | CHIP | $9.70 | — |
| Aetna | COMM | $10.34 | — |
| Aetna | Meritain | $10.34 | — |
| Aetna | OON | $12.12 | — |
| Healthcare Highways | CityofPlano | $13.66 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $14.14 | — |
| Prominence Health Plan | HIX | $16.16 | — |
| BCBS | Traditional | $17.94 | — |
| City of McKinney | COMM | $18.18 | — |
| Emerging Therapy Solutions | MCR | $19.80 | — |
| National ChoiceCare | WCOMP | $20.20 | — |
| Aetna | ASA | $21.30 | — |
| Cigna Lifesource | COMM | $22.23 | — |
| Rockport Health Group | WORKERSCOMP | $22.23 | — |
| Physicians Coop of TX | MGMCR | $22.23 | — |
| PC Texas Partners | WCOMP | $22.23 | — |
| Aetna | WCOMP | $22.23 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $22.63 | — |
| Averde Health, Inc | PPO | $23.44 | — |
| Aetna Coventry First Health | EXCLUSIVE | $23.80 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $23.80 | — |
| BCBS | BluePremier | $25.31 | — |
| Emerging Therapy Solutions | COMM | $27.07 | — |
| Mega Life | MGMCRPPO | $28.29 | — |
| Coastal Comp Health Networks | WCOMP | $28.29 | — |
| HealthSmart Preferred Care | PPO | $28.69 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $30.31 | — |
| BCBS | BlueAdvantageHMO | $31.29 | — |
| BCBS | MyBlueHealth | $31.29 | — |
| USA Managed Care | COMM | $32.33 | — |
| USC Health Services | COMM | $32.33 | — |
| Galaxy Health Network | PPO | $34.35 | — |
| Optum Health (URN) | COMM | $35.96 | — |
| National Healthcare Solutions | COMM | $40.41 | — |
| Independent Medical Systems | COMM | $40.41 | — |
| Unicare | MCD | $40.41 | — |
| BCBS | BlueEssentialsAccess | $45.80 | — |
| BCBS | BlueEssentials | $45.80 | — |
| BCBS | EPOSOA | $48.07 | — |
| BCBS | PPO | $50.34 | — |
| Humana | COMM | $55.73 | — |
Visitor-reported prices
Comments
Sirolimus, oral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.11 | $1.39 – $24.32 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $41.25 | $11.84 – $11.84 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $1.14 – $55.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42.11 | $1.08 – $7.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.11 | $1.05 – $24.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42.11 | $1.39 – $24.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $42.11 | $1.39 – $7.84 |