Prolactin at MEDICAL CITY GREEN OAKS HOSPITAL
7808 CLODUS FIELDS DRIVE, DALLAS, TX · Medicalcityhealthcare · · NPI 1831140698
$326.75
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.
$326.75
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.
$19.38 with Triwest Veterans vs $326.75 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 →
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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 |
|---|---|---|---|
| Triwest Veterans | FED | $19.38 | ↓ -94% |
| Mutual of Omaha | MGMCR | $19.38 | ↓ -94% |
| Devoted Health | HMO | $19.38 | ↓ -94% |
| Devoted Health | POS | $19.38 | ↓ -94% |
| Devoted Health | MCR | $19.38 | ↓ -94% |
| Devoted Health | MME | $19.38 | ↓ -94% |
| Devoted Health | SNP | $19.38 | ↓ -94% |
| Devoted Health | PPO | $19.38 | ↓ -94% |
| Humana | MGMCR | $19.38 | ↓ -94% |
| Care N Care | MGMCR | $19.57 | ↓ -94% |
| WellCare | MGMCR | $19.96 | ↓ -94% |
| Integranet | MGMCR | $19.96 | ↓ -94% |
| ProCare Advantge | MCR | $20.35 | ↓ -94% |
| American Health Plan of Texas, Inc. | MGMCR | $20.35 | ↓ -94% |
| Provider Partners Health Plan | MCR | $20.54 | ↓ -94% |
| Texas Independent Health Plan | MGMCR | $20.54 | ↓ -94% |
| Cenpatico | BHMGMCR | $21.12 | ↓ -94% |
| Molina | MMP | $21.12 | ↓ -94% |
| Molina | MME | $21.12 | ↓ -94% |
| Molina | MCR | $21.12 | ↓ -94% |
| Imperial Insurance Company | MCR | $21.32 | ↓ -93% |
| TriWest Health Alliance | TRCR | $21.53 | ↓ -93% |
| Superior Health Plan | STARKids | $22.87 | ↓ -93% |
| Superior Health Plan | STARPLUS | $22.87 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $22.87 | ↓ -93% |
| Superior Health Plan | STARHealth | $22.87 | ↓ -93% |
| Superior Health Plan | CHIP | $22.87 | ↓ -93% |
| Verda Health Plan | MGMCR | $25.19 | ↓ -92% |
| Superior | ValueHMO | $34.69 | ↓ -89% |
| Superior | HMO | $43.41 | ↓ -87% |
| Superior | EPO | $43.41 | ↓ -87% |
| Molina Healthcare | HIX | $50.78 | ↓ -84% |
| Healthcare Highways | NarrowNetwork | $80.05 | ↓ -76% |
| Evry Health | COMM | $84.30 | ↓ -74% |
| Healthcare Highways | CityofPlano | $110.44 | ↓ -66% |
| City of McKinney | COMM | $147.04 | ↓ -55% |
| PC Texas Partners | WCOMP | $179.71 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $179.71 | ↓ -45% |
| Averde Health, Inc | PPO | $189.51 | ↓ -42% |
| Magellan BH | Pinnacle | $196.05 | ↓ -40% |
| Magellan BH | Summit | $196.05 | ↓ -40% |
| Value Options Behavioral Health | COMM | $196.05 | ↓ -40% |
| Aetna Behavioral Health | COMM | $196.05 | ↓ -40% |
| Humana | BHCOMM | $212.39 | ↓ -35% |
| USA Managed Care | PPO | $212.39 | ↓ -35% |
| Humana | COMM | $215.24 | ↓ -34% |
| Coastal Comp Health Networks | WCOMP | $228.72 | ↓ -30% |
| Aetna Coventry First Health | COMM | $230.36 | ↓ -29% |
| Cigna Behavioral Health | COMM | $261.40 | ↓ -20% |
| ComPsych Corporation | COMM | $261.40 | ↓ -20% |
| Galaxy Health Network | PPO | $277.74 | ↓ -15% |
| Three Rivers Provider Network | PPO | $294.07 | ↓ -10% |
| National Healthcare Solutions | COMM | $326.75 | ↑ +0% |
| Independent Medical Systems | COMM | $326.75 | ↑ +0% |
Visitor-reported prices
Comments
Prolactin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $181.04 | $10.00 – $61.09 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $25.95 | $16.28 – $79.67 |
| Methodist Charlton Medical Center | Dallas | $13.50 | $15.47 – $66.62 |
| Methodist Dallas Medical Center | Dallas | $13.50 | $15.47 – $88.16 |
| Adventhealth Rollins Brook | Lampasas | $328.44 | $17.44 – $74.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $171.46 | $10.06 – $73.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $160.92 | $12.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $181.04 | $10.00 – $61.09 |