Valvuloplasty pulmonary 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.
$3,933.00 with TEXAS INSTRUMENTS vs $46,251.00 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 |
|---|---|---|---|
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $3,933.00 | — |
| Optum Health | MCD | $3,992.98 | — |
| Cigna | IFP | $4,900.48 | — |
| Cigna | QHP | $5,081.98 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Superior Health Plan | MCDSTAR | $5,591.00 | — |
| Superior Health Plan | STARHealth | $5,591.00 | — |
| Aetna | QHPHIX | $5,916.87 | — |
| Religious Order of Jehovah Witness | LOGOV | $7,259.97 | — |
| United | OptionsPPO | $7,804.46 | — |
| Fidelis SecureCare | MGMCR | $8,300.00 | — |
| Aetna | NewBusiness | $8,639.36 | — |
| Unicare | CHIP | $8,711.96 | — |
| Aetna | COMM | $9,292.76 | — |
| Aetna | Meritain | $9,292.76 | — |
| Aetna | OON | $10,889.95 | — |
| Healthcare Highways | CityofPlano | $12,269.34 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $12,704.94 | — |
| Oscar | HIX | $12,897.00 | — |
| Prominence Health Plan | HIX | $14,519.93 | — |
| BCBS | Traditional | $16,117.12 | — |
| City of McKinney | COMM | $16,334.92 | — |
| United | NarrowNetworkIndivExchange | $16,482.00 | — |
| Emerging Therapy Solutions | MCR | $17,786.92 | — |
| National ChoiceCare | WCOMP | $18,149.92 | — |
| United | SmallGroup | $18,750.00 | — |
| Aetna | ASA | $19,130.01 | — |
| PC Texas Partners | WCOMP | $19,964.91 | — |
| Cigna Lifesource | COMM | $19,964.91 | — |
| Aetna | WCOMP | $19,964.91 | — |
| Rockport Health Group | WORKERSCOMP | $19,964.91 | — |
| Physicians Coop of TX | MGMCR | $19,964.91 | — |
| Averde Health, Inc | PPO | $21,053.90 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $21,380.60 | — |
| Aetna Coventry First Health | EXCLUSIVE | $21,380.60 | — |
| Emerging Therapy Solutions | COMM | $24,320.89 | — |
| Multiplan PHCS | PrimaryNetwork | $25,409.88 | — |
| Mega Life | MGMCRPPO | $25,409.88 | — |
| Coastal Comp Health Networks | WCOMP | $25,409.88 | — |
| Healthcare Highways NTX | NarrowNetwork | $25,737.00 | — |
| HealthSmart Preferred Care | PPO | $25,772.88 | — |
| United | AllPayerAppendix | $26,125.00 | — |
| Healthcare Highways | NarrowNetwork | $26,766.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $27,224.87 | — |
| Humana | COMM | $27,514.00 | — |
| USC Health Services | COMM | $29,039.86 | — |
| USA Managed Care | COMM | $29,039.86 | — |
| BCBS | BluePremier | $29,527.27 | — |
| Evry Health | COMM | $29,597.00 | — |
| Galaxy Health Network | PPO | $30,854.86 | — |
| BCBS | MyBlueHealth | $31,707.14 | — |
| BCBS | BlueAdvantageHMO | $31,707.14 | — |
| Optum Health (URN) | COMM | $32,306.85 | — |
| Cigna | LocalPlus | $32,724.00 | — |
| Cigna | NewBusiness | $32,756.00 | — |
| Independent Medical Systems | COMM | $36,299.83 | — |
| National Healthcare Solutions | COMM | $36,299.83 | — |
| Unicare | MCD | $36,299.83 | — |
| Cigna | HMO | $36,562.00 | — |
| Cigna | NetworkBenefit | $36,562.00 | — |
| Cigna | OpenAccessPlus | $36,562.00 | — |
| BCBS | BlueEssentials | $40,822.94 | — |
| BCBS | BlueEssentialsAccess | $40,822.94 | — |
| BCBS | EPOSOA | $42,903.72 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| BCBS | PPO | $44,885.41 | — |
| Cigna | AllOther | $46,251.00 | — |
Visitor-reported prices
Comments
Valvuloplasty pulmonary at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,700.66 | $3,598.52 – $27,252.71 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $17,222.70 | not published |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,567.06 | $2,175.05 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,095.42 | $2,219.08 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,700.66 | $3,386.84 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,567.06 | $3,392.03 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,567.06 | $5,459.65 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,095.42 | $3,698.47 – $27,252.71 |