Surgical pathology level 3 gross & microscopic examination at MEDICAL CITY DALLAS HOSPITAL
7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984
$1,260.15
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.
$1,260.15
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.
$39.98 with Aetna vs $1,260.15 with Independent Medical Systems — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $39.98 | ↓ -97% |
| United | NarrowNetworkIndivExchange | $49.76 | ↓ -96% |
| United | AllPayerAppendix | $49.76 | ↓ -96% |
| United | SmallGroup | $49.76 | ↓ -96% |
| Aetna | NewBusiness | $55.07 | ↓ -96% |
| Aetna | Meritain | $58.65 | ↓ -95% |
| Aetna | COMM | $58.65 | ↓ -95% |
| Aetna | OON | $69.03 | ↓ -95% |
| BCBS | BluePremier | $75.19 | ↓ -94% |
| BCBS | MyBlueHealth | $86.57 | ↓ -93% |
| BCBS | BlueAdvantageHMO | $86.57 | ↓ -93% |
| Superior Health Plan | STARKids | $88.21 | ↓ -93% |
| Superior Health Plan | CHIP | $88.21 | ↓ -93% |
| Superior Health Plan | STARPLUS | $88.21 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $88.21 | ↓ -93% |
| Superior Health Plan | STARHealth | $88.21 | ↓ -93% |
| BCBS | BlueEssentialsAccess | $90.04 | ↓ -93% |
| BCBS | BlueEssentials | $90.04 | ↓ -93% |
| BCBS | EPOSOA | $94.49 | ↓ -93% |
| BCBS | PPO | $98.94 | ↓ -92% |
| Cigna | LocalPlus | $121.13 | ↓ -90% |
| Cigna | NewBusiness | $121.25 | ↓ -90% |
| Cigna | HMO | $135.30 | ↓ -89% |
| Cigna | OpenAccessPlus | $135.30 | ↓ -89% |
| Cigna | NetworkBenefit | $135.30 | ↓ -89% |
| Optum Health | MCD | $138.62 | ↓ -89% |
| Cigna | IFP | $170.12 | ↓ -87% |
| Cigna | AllOther | $171.23 | ↓ -86% |
| Cigna | QHP | $176.42 | ↓ -86% |
| Humana | COMM | $248.71 | ↓ -80% |
| Religious Order of Jehovah Witness | LOGOV | $252.03 | ↓ -80% |
| Oscar | HIX | $262.11 | ↓ -79% |
| United | OptionsPPO | $270.93 | ↓ -79% |
| Unicare | CHIP | $302.44 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $308.74 | ↓ -75% |
| Healthcare Highways NTX | NarrowNetwork | $321.34 | ↓ -74% |
| Evry Health | COMM | $325.12 | ↓ -74% |
| Healthcare Highways | CityofPlano | $425.93 | ↓ -66% |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $441.05 | ↓ -65% |
| Prominence Health Plan | HIX | $504.06 | ↓ -60% |
| BCBS | Traditional | $559.51 | ↓ -56% |
| City of McKinney | COMM | $567.07 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $567.07 | ↓ -55% |
| Emerging Therapy Solutions | MCR | $617.47 | ↓ -51% |
| National ChoiceCare | WCOMP | $630.08 | ↓ -50% |
| Aetna | ASA | $664.10 | ↓ -47% |
| PC Texas Partners | WCOMP | $693.08 | ↓ -45% |
| Aetna | WCOMP | $693.08 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $693.08 | ↓ -45% |
| Cigna Lifesource | COMM | $693.08 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $693.08 | ↓ -45% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $705.68 | ↓ -44% |
| Averde Health, Inc | PPO | $730.89 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $742.23 | ↓ -41% |
| Aetna Coventry First Health | EXCLUSIVE | $742.23 | ↓ -41% |
| Emerging Therapy Solutions | COMM | $844.30 | ↓ -33% |
| Coastal Comp Health Networks | WCOMP | $882.11 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $882.11 | ↓ -30% |
| Mega Life | MGMCRPPO | $882.11 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $894.71 | ↓ -29% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $945.11 | ↓ -25% |
| USA Managed Care | COMM | $1,008.12 | ↓ -20% |
| USC Health Services | COMM | $1,008.12 | ↓ -20% |
| Galaxy Health Network | PPO | $1,071.13 | ↓ -15% |
| Optum Health (URN) | COMM | $1,121.53 | ↓ -11% |
| Unicare | MCD | $1,260.15 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,260.15 | ↑ +0% |
| Independent Medical Systems | COMM | $1,260.15 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $239.50 | $35.00 – $299.37 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $97.05 | $35.38 – $135.20 |
| Methodist Charlton Medical Center | Dallas | $154.50 | $32.34 – $140.03 |
| Methodist Dallas Medical Center | Dallas | $154.50 | $32.34 – $142.96 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $248.71 – $248.71 |
| Adventhealth Rollins Brook | Lampasas | $659.75 | $190.46 – $190.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $266.74 | $36.00 – $400.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $217.32 | $36.00 – $271.65 |