Tc-99m tilmanocept diag 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.
$250.84 with Superior Health Plan vs $5,770.98 with Cigna — 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 | STARKids | $250.84 | — |
| Superior Health Plan | CHIP | $250.84 | — |
| Superior Health Plan | STARHealth | $250.84 | — |
| Superior Health Plan | MCDSTAR | $250.84 | — |
| Superior Health Plan | STARPLUS | $250.84 | — |
| Optum Health | MCD | $394.17 | — |
| Cigna | IFP | $483.75 | — |
| Cigna | QHP | $501.67 | — |
| Imperial Insurance Company | MCR | $680.84 | — |
| Religious Order of Jehovah Witness | LOGOV | $716.67 | — |
| Oscar | HIX | $745.34 | — |
| United | OptionsPPO | $770.42 | — |
| Unicare | CHIP | $860.01 | — |
| Healthcare Highways | NarrowNetwork | $877.92 | — |
| Healthcare Highways NTX | NarrowNetwork | $913.76 | — |
| Evry Health | COMM | $924.51 | — |
| Aetna | OON | $1,075.01 | — |
| Healthcare Highways | CityofPlano | $1,211.18 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $1,254.18 | — |
| BCBS | BluePremier | $1,305.50 | — |
| Prominence Health Plan | HIX | $1,433.34 | — |
| Curative Administrators | COMM | $1,433.34 | — |
| BCBS | Traditional | $1,591.01 | — |
| Fidelis SecureCare | MGMCR | $1,612.51 | — |
| City of McKinney | COMM | $1,612.51 | — |
| BCBS | BlueAdvantageHMO | $1,614.32 | — |
| BCBS | MyBlueHealth | $1,614.32 | — |
| Aetna | QHPHIX | $1,625.88 | — |
| Emerging Therapy Solutions | MCR | $1,755.85 | — |
| National ChoiceCare | WCOMP | $1,791.68 | — |
| PC Texas Partners | WCOMP | $1,970.85 | — |
| Cigna Lifesource | COMM | $1,970.85 | — |
| Physicians Coop of TX | MGMCR | $1,970.85 | — |
| Rockport Health Group | WORKERSCOMP | $1,970.85 | — |
| Aetna | WCOMP | $1,970.85 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $2,006.68 | — |
| Averde Health, Inc | PPO | $2,078.35 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $2,110.60 | — |
| Aetna Coventry First Health | EXCLUSIVE | $2,110.60 | — |
| Aetna | NewBusiness | $2,229.24 | — |
| BCBS | BlueEssentialsAccess | $2,363.00 | — |
| BCBS | BlueEssentials | $2,363.00 | — |
| Aetna | Meritain | $2,388.01 | — |
| Aetna | COMM | $2,388.01 | — |
| Emerging Therapy Solutions | COMM | $2,400.85 | — |
| BCBS | EPOSOA | $2,479.98 | — |
| Coastal Comp Health Networks | WCOMP | $2,508.35 | — |
| Mega Life | MGMCRPPO | $2,508.35 | — |
| Multiplan PHCS | PrimaryNetwork | $2,508.35 | — |
| HealthSmart Preferred Care | PPO | $2,544.19 | — |
| BCBS | PPO | $2,596.96 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,687.52 | — |
| USC Health Services | COMM | $2,866.69 | — |
| USA Managed Care | COMM | $2,866.69 | — |
| Galaxy Health Network | PPO | $3,045.86 | — |
| Optum Health (URN) | COMM | $3,189.19 | — |
| National Healthcare Solutions | COMM | $3,583.36 | — |
| Independent Medical Systems | COMM | $3,583.36 | — |
| Unicare | MCD | $3,583.36 | — |
| Humana | COMM | $4,024.96 | — |
| Cigna | LocalPlus | $4,083.28 | — |
| Cigna | NewBusiness | $4,087.32 | — |
| Cigna | HMO | $4,561.72 | — |
| Cigna | OpenAccessPlus | $4,561.72 | — |
| Cigna | NetworkBenefit | $4,561.72 | — |
| Cigna | AllOther | $5,770.98 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $1,166.70 | $610.64 – $610.64 |
| Methodist Dallas Medical Center | Dallas | $1,257.12 | $1,079.69 – $1,282.92 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $4,024.96 – $4,024.96 |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,340.10 | $917.12 – $5,480.11 |
| HCA HOUSTON NORTHWEST | SPRING | $4,513.82 | $917.12 – $5,480.11 |
| St. Luke's Health - Patients Medical Center | Pasadena | $932.09 | $100.00 – $1,997.33 |
| Baylor St Luke's Medical Center | Houston | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,279.60 | $100.00 – $3,656.00 |