Dextran 40 infusion at MEDICAL CITY FORT WORTH HOSPITAL

900 EIGHTH AVENUE, FT WORTH, TX · Medicalcityhealthcare · · NPI 1659323772

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$34.47 with Superior Health Plan vs $628.63 with United — 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 →

Payer
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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
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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 $34.47
Superior Health Plan STARPLUS $34.47
Superior Health Plan STARKids $34.47
Superior Health Plan CHIP $34.47
Superior Health Plan MCDSTAR $34.47
Cigna IFP $66.47
Cigna QHP $68.93
Aetna QHPHIX $80.26
BCBS MyBlueHealth $91.53
BCBS BlueAdvantageHMO $91.53
United OptionsPPO $92.57
Unicare CHIP $108.32
Aetna NewBusiness $117.18
Aetna COMM $126.05
Aetna Meritain $126.05
BCBS BlueEssentialsAccess $133.98
BCBS BlueEssentials $133.98
BCBS EPOSOA $140.61
BCBS PPO $147.24
Aetna OON $147.71
BCBS BluePremier $165.02
Humana COMM $166.04
Healthcare Highways CityofPlano $166.42
BCBS Traditional $218.61
City of McKinney COMM $221.57
National ChoiceCare WCOMP $246.19
Emerging Therapy Solutions MGMCR $246.19
Aetna ASA $259.48
Cigna Lifesource COMM $260.96
PC Texas Partners WCOMP $270.80
Aetna WCOMP $270.80
Rockport Health Group WORKERSCOMP $270.80
Physicians Coop of TX MGMCR $270.80
Averde Health, Inc PPO $285.57
Aetna Coventry First Health EXCLUSIVE $290.01
Aetna Coventry First Health NONEXCLUSIVE $290.01
Coastal Comp Health Networks WCOMP $344.66
Mega Life MGMCRPPO $344.66
HealthSmart Preferred Care PPO $349.58
Emerging Therapy Solutions Commercial $354.51
LEWISVILLE ISD/DLS CONSULTING COMMPPO $369.28
TCU ATHLETICS COMM $393.90
USA Managed Care COMM $393.90
USC Health Services COMM $393.90
Cigna LocalPlus $410.80
Cigna NewBusiness $411.21
Galaxy Health Network PPO $418.51
Optum Transplant COMM $423.44
Cigna OpenAccessPlus $458.94
Cigna HMO $458.94
Cigna NetworkBenefit $458.94
Independent Medical Systems COMM $492.37
National Healthcare Solutions COMM $492.37
Unicare MCD $492.37
Cigna AllOther $580.60
United SmallGroup $628.63
United NarrowNetworkIndivExchange $628.63
United AllPayerAppendix $628.63

Visitor-reported prices

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Dextran 40 infusion at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $151.20 $42.84 – $214.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $151.20 $31.12 – $226.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $151.20 $30.24 – $189.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $151.20 $40.32 – $214.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $151.20 $48.54 – $226.80
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $151.20 $78.12 – $226.80
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $151.20 $50.40 – $226.80
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $151.20 $40.32 – $214.20

All Texas hospitals for this procedure →