Homogenization tissue at MEDICAL CITY GREEN OAKS HOSPITAL
7808 CLODUS FIELDS DRIVE, DALLAS, TX · Medicalcityhealthcare · · NPI 1831140698
$61.97
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.
$61.97
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.
$4.34 with Superior Health Plan vs $65.33 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 | $4.34 | ↓ -93% |
| Superior Health Plan | CHIP | $4.34 | ↓ -93% |
| Superior Health Plan | STARKids | $4.34 | ↓ -93% |
| Superior Health Plan | STARPLUS | $4.34 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $4.34 | ↓ -93% |
| Devoted Health | MME | $5.88 | ↓ -91% |
| Devoted Health | HMO | $5.88 | ↓ -91% |
| Devoted Health | POS | $5.88 | ↓ -91% |
| Devoted Health | MCR | $5.88 | ↓ -91% |
| Humana | MGMCR | $5.88 | ↓ -91% |
| Triwest Veterans | FED | $5.88 | ↓ -91% |
| Devoted Health | PPO | $5.88 | ↓ -91% |
| Mutual of Omaha | MGMCR | $5.88 | ↓ -91% |
| Devoted Health | SNP | $5.88 | ↓ -91% |
| Care N Care | MGMCR | $5.94 | ↓ -90% |
| Integranet | MGMCR | $6.06 | ↓ -90% |
| WellCare | MGMCR | $6.06 | ↓ -90% |
| ProCare Advantge | MCR | $6.17 | ↓ -90% |
| American Health Plan of Texas, Inc. | MGMCR | $6.17 | ↓ -90% |
| Texas Independent Health Plan | MGMCR | $6.23 | ↓ -90% |
| Provider Partners Health Plan | MCR | $6.23 | ↓ -90% |
| Molina | MMP | $6.41 | ↓ -90% |
| Molina | MME | $6.41 | ↓ -90% |
| Cenpatico | BHMGMCR | $6.41 | ↓ -90% |
| Molina | MCR | $6.41 | ↓ -90% |
| Imperial Insurance Company | MCR | $6.47 | ↓ -90% |
| TriWest Health Alliance | TRCR | $6.53 | ↓ -89% |
| Verda Health Plan | MGMCR | $7.64 | ↓ -88% |
| Superior | ValueHMO | $10.53 | ↓ -83% |
| Superior | HMO | $13.17 | ↓ -79% |
| Superior | EPO | $13.17 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $15.18 | ↓ -76% |
| Molina Healthcare | HIX | $15.41 | ↓ -75% |
| Evry Health | COMM | $15.99 | ↓ -74% |
| Healthcare Highways | CityofPlano | $20.95 | ↓ -66% |
| City of McKinney | COMM | $27.89 | ↓ -55% |
| Physicians Coop of TX | MGMCR | $34.08 | ↓ -45% |
| PC Texas Partners | WCOMP | $34.08 | ↓ -45% |
| Averde Health, Inc | PPO | $35.94 | ↓ -42% |
| Magellan BH | Pinnacle | $37.18 | ↓ -40% |
| Magellan BH | Summit | $37.18 | ↓ -40% |
| Value Options Behavioral Health | COMM | $37.18 | ↓ -40% |
| Aetna Behavioral Health | COMM | $37.18 | ↓ -40% |
| Humana | BHCOMM | $40.28 | ↓ -35% |
| USA Managed Care | PPO | $40.28 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $43.38 | ↓ -30% |
| Aetna Coventry First Health | COMM | $43.69 | ↓ -29% |
| Cigna Behavioral Health | COMM | $49.58 | ↓ -20% |
| ComPsych Corporation | COMM | $49.58 | ↓ -20% |
| Galaxy Health Network | PPO | $52.67 | ↓ -15% |
| Three Rivers Provider Network | PPO | $55.77 | ↓ -10% |
| National Healthcare Solutions | COMM | $61.97 | ↑ +0% |
| Independent Medical Systems | COMM | $61.97 | ↑ +0% |
| Humana | COMM | $65.33 | ↑ +5% |
Visitor-reported prices
Comments
Homogenization tissue at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $45.72 | $4.94 – $43.83 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $49.80 | $4.94 – $24.20 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $198.48 | $3.53 – $21.94 |
| Methodist Charlton Medical Center | Dallas | $103.50 | $4.69 – $20.21 |
| Methodist Dallas Medical Center | Dallas | $103.50 | $4.69 – $26.76 |
| Adventhealth Rollins Brook | Lampasas | $70.83 | $5.29 – $22.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $58.72 | $7.22 – $52.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $55.96 | $4.94 – $43.83 |