Tlso 3mod sacro-scap pre at MEDICAL CITY DALLAS HOSPITAL

7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$20,021.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$20,021.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1,401.47 with Superior Health Plan vs $20,021.00 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 →

Payer
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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
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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 STARPLUS $1,401.47 ↓ -93%
Superior Health Plan STARHealth $1,401.47 ↓ -93%
Superior Health Plan MCDSTAR $1,401.47 ↓ -93%
Superior Health Plan CHIP $1,401.47 ↓ -93%
Superior Health Plan STARKids $1,401.47 ↓ -93%
Humana Tricare $1,496.36 ↓ -93%
BCBS MCRPPO $1,512.39 ↓ -92%
BCBS MGMCRHMO $1,512.39 ↓ -92%
WellMed MGMCR $1,534.93 ↓ -92%
Devoted Health PPO $1,542.64 ↓ -92%
TriWest Health Alliance TRCR $1,542.64 ↓ -92%
Mutual of Omaha MGMCR $1,542.64 ↓ -92%
Devoted Health HMO $1,542.64 ↓ -92%
Devoted Health POS $1,542.64 ↓ -92%
Devoted Health MCR $1,542.64 ↓ -92%
Devoted Health MME $1,542.64 ↓ -92%
Triwest Veterans FEDERAL $1,542.64 ↓ -92%
Humana MGMCR $1,542.64 ↓ -92%
Devoted Health SNP $1,542.64 ↓ -92%
Amerigroup DualEligible $1,542.64 ↓ -92%
United MGMCR $1,550.35 ↓ -92%
Aetna MCR $1,555.75 ↓ -92%
Care N Care MGMCR $1,558.07 ↓ -92%
Cigna Healthspring MGMCR $1,573.49 ↓ -92%
Integranet MGMCR $1,588.92 ↓ -92%
WellCare MGMCR $1,588.92 ↓ -92%
ProCare Advantge MCR $1,619.77 ↓ -92%
Superior Health Plan MGMCRPPO $1,619.77 ↓ -92%
Superior Health Plan MGMCRDualEligible $1,619.77 ↓ -92%
Superior Health Plan MGMCRPFFS $1,619.77 ↓ -92%
Superior Health Plan MGMCRPOS $1,619.77 ↓ -92%
Superior Health Plan MGMCRSNP $1,619.77 ↓ -92%
American Health Plan of Texas, Inc. MGMCR $1,619.77 ↓ -92%
Superior Health Plan MGMCRHMO $1,619.77 ↓ -92%
Provider Partners Health Plan MCR $1,635.20 ↓ -92%
Texas Independent Health Plan MGMCR $1,635.20 ↓ -92%
Molina MMP $1,681.48 ↓ -92%
Molina MCR $1,681.48 ↓ -92%
Molina MME $1,681.48 ↓ -92%
Imperial Insurance Company MCR $1,696.90 ↓ -92%
Universal Healthcare Group MCR $1,851.17 ↓ -91%
Verda Health Plan MGMCR $2,005.43 ↓ -90%
Optum Health MCD $2,202.31 ↓ -89%
Bravo Health MCRPPO $2,313.96 ↓ -88%
Bravo Health MCRSNP $2,313.96 ↓ -88%
Bravo Health MCRPFFS $2,313.96 ↓ -88%
Bravo Health MCRHMO $2,313.96 ↓ -88%
Bravo Health MCRPOS $2,313.96 ↓ -88%
Cigna IFP $2,702.84 ↓ -86%
Superior ValueHMO $2,761.33 ↓ -86%
Cigna QHP $2,802.94 ↓ -86%
USA Managed Care WORKERSCOMP $2,931.02 ↓ -85%
Corvel Corporation WORKERSCOMP $3,054.43 ↓ -85%
Superior HMO $3,455.51 ↓ -83%
Superior EPO $3,455.51 ↓ -83%
Religious Order of Jehovah Witness LOGOV $4,004.20 ↓ -80%
Molina Healthcare HIX $4,041.72 ↓ -80%
United OptionsPPO $4,304.52 ↓ -78%
Unicare CHIP $4,805.04 ↓ -76%
BCBS BlueAdvantageHMO $4,945.19 ↓ -75%
BCBS MyBlueHealth $4,945.19 ↓ -75%
Cigna NewBusiness $5,285.54 ↓ -74%
Cigna LocalPlus $5,285.54 ↓ -74%
Cigna HMO $5,906.19 ↓ -71%
Cigna NetworkBenefit $5,906.19 ↓ -71%
Cigna OpenAccessPlus $5,906.19 ↓ -71%
BCBS BlueEssentials $6,386.70 ↓ -68%
BCBS BlueEssentialsAccess $6,386.70 ↓ -68%
BCBS EPOSOA $6,707.03 ↓ -67%
Healthcare Highways CityofPlano $6,767.10 ↓ -66%
Healthcare Highways NTX CityofPlanoEmployeeBenefitPlan $7,007.35 ↓ -65%
BCBS PPO $7,007.35 ↓ -65%
Cigna AllOther $7,467.83 ↓ -63%
Prominence Health Plan HIX $8,008.40 ↓ -60%
Humana COMM $8,715.21 ↓ -56%
BCBS Traditional $8,889.32 ↓ -56%
City of McKinney COMM $9,009.45 ↓ -55%
Emerging Therapy Solutions MCR $9,810.29 ↓ -51%
National ChoiceCare WCOMP $10,010.50 ↓ -50%
Aetna ASA $10,551.07 ↓ -47%
Cigna Lifesource COMM $11,011.55 ↓ -45%
PC Texas Partners WCOMP $11,011.55 ↓ -45%
Physicians Coop of TX MGMCR $11,011.55 ↓ -45%
Rockport Health Group WORKERSCOMP $11,011.55 ↓ -45%
Aetna WCOMP $11,011.55 ↓ -45%
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $11,211.76 ↓ -44%
Averde Health, Inc PPO $11,612.18 ↓ -42%
Aetna Coventry First Health EXCLUSIVE $11,792.37 ↓ -41%
Aetna Coventry First Health NONEXCLUSIVE $11,792.37 ↓ -41%
Emerging Therapy Solutions COMM $13,414.07 ↓ -33%
Mega Life MGMCRPPO $14,014.70 ↓ -30%
HealthSmart Preferred Care PPO $14,214.91 ↓ -29%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $15,015.75 ↓ -25%
USA Managed Care COMM $16,016.80 ↓ -20%
USC Health Services COMM $16,016.80 ↓ -20%
Galaxy Health Network PPO $17,017.85 ↓ -15%
Optum Health (URN) COMM $17,818.69 ↓ -11%
Unicare MCD $20,021.00 ↑ +0%
National Healthcare Solutions COMM $20,021.00 ↑ +0%
Independent Medical Systems COMM $20,021.00 ↑ +0%

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Tlso 3mod sacro-scap pre at other Texas hospitals

Hospital City Cash price Negotiated range
Texas Health Presbyterian Hospital Dallas Dallas $2,570.48 not published
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $1,542.64 – $4,041.72
Covenant Children's Hospital Lubbock $1,004.85 not published
Texas Health Presbyterian Hospital Allen Allen $2,570.48 not published
Texas Health Presbyterian Hospital Flower Mound Flower Mound $2,570.48 not published
Texas Health Harris Methodist Hospital Alliance Fort Worth $2,570.48 not published
Texas Health Arlington Memorial Hospital Arlington $2,570.48 not published
Texas Health Presbyterian Hospital Denton Denton $2,570.48 not published

All Texas hospitals for this procedure →