Heavy metal qual any number at MEDICAL CITY GREEN OAKS HOSPITAL
7808 CLODUS FIELDS DRIVE, DALLAS, TX · Medicalcityhealthcare · · NPI 1831140698
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.
$12.86 with Superior Health Plan vs $209.21 with Humana — 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 | $12.86 | — |
| Superior Health Plan | CHIP | $12.86 | — |
| Superior Health Plan | STARKids | $12.86 | — |
| Superior Health Plan | STARPLUS | $12.86 | — |
| Superior Health Plan | MCDSTAR | $12.86 | — |
| Devoted Health | MME | $20.94 | — |
| Devoted Health | HMO | $20.94 | — |
| Devoted Health | POS | $20.94 | — |
| Devoted Health | MCR | $20.94 | — |
| Humana | MGMCR | $20.94 | — |
| Triwest Veterans | FED | $20.94 | — |
| Devoted Health | PPO | $20.94 | — |
| Mutual of Omaha | MGMCR | $20.94 | — |
| Devoted Health | SNP | $20.94 | — |
| Care N Care | MGMCR | $21.15 | — |
| Integranet | MGMCR | $21.57 | — |
| WellCare | MGMCR | $21.57 | — |
| ProCare Advantge | MCR | $21.99 | — |
| American Health Plan of Texas, Inc. | MGMCR | $21.99 | — |
| Texas Independent Health Plan | MGMCR | $22.20 | — |
| Provider Partners Health Plan | MCR | $22.20 | — |
| Molina | MMP | $22.82 | — |
| Molina | MME | $22.82 | — |
| Cenpatico | BHMGMCR | $22.82 | — |
| Molina | MCR | $22.82 | — |
| Imperial Insurance Company | MCR | $23.03 | — |
| TriWest Health Alliance | TRCR | $23.26 | — |
| Verda Health Plan | MGMCR | $27.22 | — |
| Superior | ValueHMO | $37.48 | — |
| Healthcare Highways | NarrowNetwork | $45.01 | — |
| Superior | HMO | $46.91 | — |
| Superior | EPO | $46.91 | — |
| Evry Health | COMM | $47.40 | — |
| Molina Healthcare | HIX | $54.86 | — |
| Healthcare Highways | CityofPlano | $62.10 | — |
| City of McKinney | COMM | $82.68 | — |
| Physicians Coop of TX | MGMCR | $101.05 | — |
| PC Texas Partners | WCOMP | $101.05 | — |
| Averde Health, Inc | PPO | $106.56 | — |
| Magellan BH | Pinnacle | $110.24 | — |
| Magellan BH | Summit | $110.24 | — |
| Value Options Behavioral Health | COMM | $110.24 | — |
| Aetna Behavioral Health | COMM | $110.24 | — |
| Humana | BHCOMM | $119.42 | — |
| USA Managed Care | PPO | $119.42 | — |
| Coastal Comp Health Networks | WCOMP | $128.61 | — |
| Aetna Coventry First Health | COMM | $129.53 | — |
| Cigna Behavioral Health | COMM | $146.98 | — |
| ComPsych Corporation | COMM | $146.98 | — |
| Galaxy Health Network | PPO | $156.17 | — |
| Three Rivers Provider Network | PPO | $165.36 | — |
| National Healthcare Solutions | COMM | $183.73 | — |
| Independent Medical Systems | COMM | $183.73 | — |
| Humana | COMM | $209.21 | — |
Visitor-reported prices
Comments
Heavy metal qual any number at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | not published | $17.59 – $36.95 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $12.56 – $80.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $203.19 | $12.00 – $304.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $203.19 | $12.00 – $253.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $203.19 | $12.00 – $304.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $203.19 | $8.00 – $304.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $203.19 | $12.00 – $304.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $203.19 | $17.59 – $253.99 |