Ot evaluation high complexity patient/family 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.
$88.67 with Devoted Health vs $638.18 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 |
|---|---|---|---|
| Devoted Health | SNP | $88.67 | — |
| Devoted Health | HMO | $88.67 | — |
| Mutual of Omaha | MGMCR | $88.67 | — |
| Devoted Health | POS | $88.67 | — |
| Devoted Health | MCR | $88.67 | — |
| Devoted Health | MME | $88.67 | — |
| Devoted Health | PPO | $88.67 | — |
| Triwest Veterans | FED | $88.67 | — |
| Humana | MGMCR | $88.67 | — |
| Care N Care | MGMCR | $89.56 | — |
| Integranet | MGMCR | $91.33 | — |
| WellCare | MGMCR | $91.33 | — |
| American Health Plan of Texas, Inc. | MGMCR | $93.10 | — |
| ProCare Advantge | MCR | $93.10 | — |
| Provider Partners Health Plan | MCR | $93.99 | — |
| Texas Independent Health Plan | MGMCR | $93.99 | — |
| Cenpatico | BHMGMCR | $96.65 | — |
| Molina | MCR | $96.65 | — |
| Molina | MMP | $96.65 | — |
| Molina | MME | $96.65 | — |
| Imperial Insurance Company | MCR | $97.54 | — |
| TriWest Health Alliance | TRCR | $101.34 | — |
| Verda Health Plan | MGMCR | $115.27 | — |
| Superior | ValueHMO | $158.72 | — |
| Superior | EPO | $198.62 | — |
| Superior | HMO | $198.62 | — |
| Molina Healthcare | HIX | $232.31 | — |
| Humana | COMM | $638.18 | — |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $374.12 | $106.00 – $530.00 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $508.20 | $126.27 – $126.27 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $1,079.49 | $88.23 – $232.31 |
| Methodist Charlton Medical Center | Dallas | $481.50 | $34.02 – $273.40 |
| Methodist Dallas Medical Center | Dallas | $481.50 | $34.02 – $273.40 |
| Adventhealth Rollins Brook | Lampasas | $333.87 | $357.97 – $357.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $419.98 | $86.45 – $629.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $405.44 | $81.09 – $506.81 |