Pt evaluation low complexity patient/family at MEDICAL CITY GREEN OAKS HOSPITAL
7808 CLODUS FIELDS DRIVE, DALLAS, TX · Medicalcityhealthcare · · NPI 1831140698
$485.76
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.
$485.76
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.
$34.00 with Superior Health Plan vs $592.25 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 | STARKids | $34.00 | ↓ -93% |
| Superior Health Plan | STARHealth | $34.00 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $34.00 | ↓ -93% |
| Superior Health Plan | STARPLUS | $34.00 | ↓ -93% |
| Superior Health Plan | CHIP | $34.00 | ↓ -93% |
| Devoted Health | MME | $86.33 | ↓ -82% |
| Devoted Health | PPO | $86.33 | ↓ -82% |
| Mutual of Omaha | MGMCR | $86.33 | ↓ -82% |
| Humana | MGMCR | $86.33 | ↓ -82% |
| Triwest Veterans | FED | $86.33 | ↓ -82% |
| Devoted Health | SNP | $86.33 | ↓ -82% |
| Devoted Health | HMO | $86.33 | ↓ -82% |
| Devoted Health | POS | $86.33 | ↓ -82% |
| Devoted Health | MCR | $86.33 | ↓ -82% |
| Care N Care | MGMCR | $87.19 | ↓ -82% |
| WellCare | MGMCR | $88.92 | ↓ -82% |
| Integranet | MGMCR | $88.92 | ↓ -82% |
| ProCare Advantge | MCR | $90.64 | ↓ -81% |
| American Health Plan of Texas, Inc. | MGMCR | $90.64 | ↓ -81% |
| Texas Independent Health Plan | MGMCR | $91.51 | ↓ -81% |
| Provider Partners Health Plan | MCR | $91.51 | ↓ -81% |
| Molina | MMP | $94.10 | ↓ -81% |
| Cenpatico | BHMGMCR | $94.10 | ↓ -81% |
| Molina | MCR | $94.10 | ↓ -81% |
| Molina | MME | $94.10 | ↓ -81% |
| Imperial Insurance Company | MCR | $94.96 | ↓ -80% |
| TriWest Health Alliance | TRCR | $98.73 | ↓ -80% |
| Verda Health Plan | MGMCR | $112.23 | ↓ -77% |
| Superior | ValueHMO | $154.53 | ↓ -68% |
| Healthcare Highways | CityofPlano | $164.19 | ↓ -66% |
| Superior | EPO | $193.37 | ↓ -60% |
| Superior | HMO | $193.37 | ↓ -60% |
| City of McKinney | COMM | $218.59 | ↓ -55% |
| Molina Healthcare | HIX | $226.18 | ↓ -53% |
| Physicians Coop of TX | MGMCR | $267.17 | ↓ -45% |
| PC Texas Partners | WCOMP | $267.17 | ↓ -45% |
| Averde Health, Inc | PPO | $281.74 | ↓ -42% |
| Value Options Behavioral Health | COMM | $291.46 | ↓ -40% |
| Aetna Behavioral Health | COMM | $291.46 | ↓ -40% |
| Magellan BH | Pinnacle | $291.46 | ↓ -40% |
| Magellan BH | Summit | $291.46 | ↓ -40% |
| Humana | BHCOMM | $315.74 | ↓ -35% |
| USA Managed Care | PPO | $315.74 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $340.03 | ↓ -30% |
| Aetna Coventry First Health | COMM | $342.46 | ↓ -30% |
| ComPsych Corporation | COMM | $388.61 | ↓ -20% |
| Cigna Behavioral Health | COMM | $388.61 | ↓ -20% |
| Galaxy Health Network | PPO | $412.90 | ↓ -15% |
| Three Rivers Provider Network | PPO | $437.18 | ↓ -10% |
| Independent Medical Systems | COMM | $485.76 | ↑ +0% |
| National Healthcare Solutions | COMM | $485.76 | ↑ +0% |
| Humana | COMM | $592.25 | ↑ +22% |
Visitor-reported prices
Comments
Pt evaluation low complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $237.28 | $67.23 – $336.15 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $327.15 | $117.45 – $117.45 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $501.32 | $85.90 – $226.18 |
| Methodist Charlton Medical Center | Dallas | $445.50 | $61.37 – $266.19 |
| Methodist Dallas Medical Center | Dallas | $445.50 | $61.37 – $266.19 |
| Adventhealth Rollins Brook | Lampasas | $554.20 | $332.99 – $332.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $304.19 | $62.61 – $456.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $351.47 | $70.29 – $439.34 |