Edetate calcium disodium inj 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

$49,651.51

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.

$49,651.51

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.

$3,475.61 with Superior Health Plan vs $55,199.48 with Cigna — 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 $3,475.61 ↓ -93%
Superior Health Plan STARPLUS $3,475.61 ↓ -93%
Superior Health Plan STARKids $3,475.61 ↓ -93%
Superior Health Plan CHIP $3,475.61 ↓ -93%
Superior Health Plan MCDSTAR $3,475.61 ↓ -93%
Humana Tricare $6,266.23 ↓ -87%
TriWest Health Alliance TRCR $6,460.03 ↓ -87%
Cigna IFP $6,702.95 ↓ -87%
Cigna QHP $6,951.21 ↓ -86%
Aetna QHPHIX $8,093.20 ↓ -84%
United OptionsPPO $9,334.48 ↓ -81%
United AllPayerAppendix $10,245.97 ↓ -79%
United NarrowNetworkIndivExchange $10,245.97 ↓ -79%
United SmallGroup $10,245.97 ↓ -79%
Unicare CHIP $10,923.33 ↓ -78%
Aetna NewBusiness $11,817.06 ↓ -76%
Aetna Meritain $12,710.79 ↓ -74%
Aetna COMM $12,710.79 ↓ -74%
BCBS BlueAdvantageHMO $12,842.38 ↓ -74%
BCBS MyBlueHealth $12,842.38 ↓ -74%
Aetna OON $14,895.45 ↓ -70%
Healthcare Highways CityofPlano $16,782.21 ↓ -66%
BCBS BlueEssentials $18,798.27 ↓ -62%
BCBS BlueEssentialsAccess $18,798.27 ↓ -62%
BCBS EPOSOA $19,728.88 ↓ -60%
BCBS PPO $20,659.49 ↓ -58%
BCBS Traditional $22,045.27 ↓ -56%
City of McKinney COMM $22,343.18 ↓ -55%
BCBS BluePremier $23,153.51 ↓ -53%
National ChoiceCare WCOMP $24,825.76 ↓ -50%
Emerging Therapy Solutions MGMCR $24,825.76 ↓ -50%
Aetna ASA $26,166.35 ↓ -47%
Cigna Lifesource COMM $26,315.30 ↓ -47%
Physicians Coop of TX MGMCR $27,308.33 ↓ -45%
Rockport Health Group WORKERSCOMP $27,308.33 ↓ -45%
Aetna WCOMP $27,308.33 ↓ -45%
PC Texas Partners WCOMP $27,308.33 ↓ -45%
Averde Health, Inc PPO $28,797.88 ↓ -42%
Aetna Coventry First Health NONEXCLUSIVE $29,244.74 ↓ -41%
Aetna Coventry First Health EXCLUSIVE $29,244.74 ↓ -41%
Mega Life MGMCRPPO $34,756.06 ↓ -30%
Coastal Comp Health Networks WCOMP $34,756.06 ↓ -30%
HealthSmart Preferred Care PPO $35,252.57 ↓ -29%
Emerging Therapy Solutions Commercial $35,749.09 ↓ -28%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $37,238.63 ↓ -25%
Cigna LocalPlus $39,056.60 ↓ -21%
Cigna NewBusiness $39,095.33 ↓ -21%
USC Health Services COMM $39,721.21 ↓ -20%
USA Managed Care COMM $39,721.21 ↓ -20%
TCU ATHLETICS COMM $39,721.21 ↓ -20%
Humana COMM $40,020.80 ↓ -19%
Galaxy Health Network PPO $42,203.78 ↓ -15%
Optum Transplant COMM $42,700.30 ↓ -14%
Cigna NetworkBenefit $43,632.89 ↓ -12%
Cigna HMO $43,632.89 ↓ -12%
Cigna OpenAccessPlus $43,632.89 ↓ -12%
Independent Medical Systems COMM $49,651.51 ↑ +0%
National Healthcare Solutions COMM $49,651.51 ↑ +0%
Unicare MCD $49,651.51 ↑ +0%
Cigna AllOther $55,199.48 ↑ +11%

Visitor-reported prices

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Edetate calcium disodium inj at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas not published $14,331.36 – $14,331.36
CHRISTUS Children's Hospital San Antonio not published $15,160.88 – $15,160.88
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $6,460.03 – $54,489.65
HCA HOUSTON MEDICAL CENTER Houston not published $6,460.03 – $54,489.65
Covenant Children's Hospital Lubbock not published $13,921.89 – $24,519.50
HCA HOUSTON CONROE CONROE not published $6,209.68 – $54,489.65
HCA HOUSTON KINGWOOD HUMBLE not published $6,209.68 – $54,489.65
HCA HOUSTON NORTHWEST SPRING not published $6,460.03 – $54,489.65

All Texas hospitals for this procedure →