Tib/per revasc stent & ather 37231 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.
$2,369.00 with Superior Health Plan vs $69,852.61 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Humana | COMM | $7,113.00 | — |
| Oscar | HIX | $7,668.00 | — |
| Optum Health | MCD | $7,683.79 | — |
| TEXAS HEALTH NETWORK | MCD | $8,519.04 | — |
| United | STARKids | $8,648.77 | — |
| United | STAR | $8,648.77 | — |
| United | CHIP | $8,648.77 | — |
| Cook Childrens Health Plan | STAR | $8,648.77 | — |
| Cook Childrens Health Plan | CHIP | $8,648.77 | — |
| Parkland Community Health Plan | MCD | $8,648.77 | — |
| United | STARPerinate | $8,648.77 | — |
| United | STARPLUS | $8,648.77 | — |
| Cigna Healthspring | MGMCD | $9,081.21 | — |
| Amerigroup | MGMCD | $9,081.21 | — |
| Amerigroup | CHIP | $9,081.21 | — |
| Cigna | IFP | $9,430.10 | — |
| Molina | MCDSTAR | $9,513.65 | — |
| Molina | STARKIDS | $9,513.65 | — |
| Molina | CHIP | $9,513.65 | — |
| Molina | STAR+PLUS | $9,513.65 | — |
| Cigna | QHP | $9,779.37 | — |
| Aetna Better Health | MCD | $10,378.52 | — |
| Aetna Better Health | CHIP | $10,378.52 | — |
| Humana | MGMCD | $10,810.96 | — |
| Aetna | QHPHIX | $11,385.98 | — |
| Evry Health | COMM | $13,453.00 | — |
| Religious Order of Jehovah Witness | LOGOV | $13,970.52 | — |
| United | OptionsPPO | $15,018.31 | — |
| Aetna | NewBusiness | $16,624.92 | — |
| Unicare | CHIP | $16,764.63 | — |
| Healthcare Highways | NarrowNetwork | $17,113.89 | — |
| Aetna | Meritain | $17,882.27 | — |
| Aetna | COMM | $17,882.27 | — |
| Cigna | NewBusiness | $18,441.09 | — |
| Cigna | LocalPlus | $18,441.09 | — |
| Cigna | NetworkBenefit | $20,606.52 | — |
| Cigna | HMO | $20,606.52 | — |
| Cigna | OpenAccessPlus | $20,606.52 | — |
| BCBS | BluePremier | $20,721.96 | — |
| Aetna | OON | $20,955.78 | — |
| Healthcare Highways | CityofPlano | $23,610.18 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $24,448.41 | — |
| Cigna | AllOther | $26,055.02 | — |
| Curative Administrators | COMM | $27,941.04 | — |
| Prominence Health Plan | HIX | $27,941.04 | — |
| BCBS | Traditional | $31,014.56 | — |
| Fidelis SecureCare | MGMCR | $31,433.67 | — |
| City of McKinney | COMM | $31,433.67 | — |
| BCBS | MyBlueHealth | $31,561.14 | — |
| BCBS | BlueAdvantageHMO | $31,561.14 | — |
| Emerging Therapy Solutions | MCR | $34,227.78 | — |
| National ChoiceCare | WCOMP | $34,926.31 | — |
| BCBS | BlueEssentialsAccess | $35,864.93 | — |
| BCBS | BlueEssentials | $35,864.93 | — |
| Aetna | ASA | $36,812.33 | — |
| BCBS | EPOSOA | $37,618.33 | — |
| PC Texas Partners | WCOMP | $38,418.94 | — |
| Physicians Coop of TX | MGMCR | $38,418.94 | — |
| Rockport Health Group | WORKERSCOMP | $38,418.94 | — |
| Cigna Lifesource | COMM | $38,418.94 | — |
| Aetna | WCOMP | $38,418.94 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $39,117.46 | — |
| BCBS | PPO | $39,371.73 | — |
| Averde Health, Inc | PPO | $40,514.51 | — |
| Aetna Coventry First Health | EXCLUSIVE | $41,143.19 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $41,143.19 | — |
| Emerging Therapy Solutions | COMM | $46,801.25 | — |
| Coastal Comp Health Networks | WCOMP | $48,896.83 | — |
| Mega Life | MGMCRPPO | $48,896.83 | — |
| Multiplan PHCS | PrimaryNetwork | $48,896.83 | — |
| HealthSmart Preferred Care | PPO | $49,595.35 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $52,389.46 | — |
| USC Health Services | COMM | $55,882.09 | — |
| USA Managed Care | COMM | $55,882.09 | — |
| Galaxy Health Network | PPO | $59,374.72 | — |
| Optum Health (URN) | COMM | $62,168.82 | — |
| National Healthcare Solutions | COMM | $69,852.61 | — |
| Unicare | MCD | $69,852.61 | — |
| Independent Medical Systems | COMM | $69,852.61 | — |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $33,770.88 | $6,299.00 – $47,842.08 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $22,970.40 | $8,648.77 – $9,340.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $31,077.17 | $71.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $31,299.50 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $33,770.88 | $7,038.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $31,077.17 | $85.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $31,077.17 | $16,056.54 – $46,615.76 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $31,299.50 | $71.00 – $46,949.26 |