Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution 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

$360.56

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.

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

$360.56

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.

$0.01 with Humana vs $360.56 with Unicare — 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
Humana Tricare $0.01 ↓ -100%
TriWest Health Alliance TRCR $0.01 ↓ -100%
United AllPayerAppendix $0.02 ↓ -100%
United NarrowNetworkIndivExchange $0.02 ↓ -100%
United SmallGroup $0.02 ↓ -100%
BCBS MyBlueHealth $0.03 ↓ -100%
BCBS BlueAdvantageHMO $0.03 ↓ -100%
BCBS BlueEssentials $0.05 ↓ -100%
BCBS EPOSOA $0.05 ↓ -100%
BCBS BlueEssentialsAccess $0.05 ↓ -100%
BCBS PPO $0.06 ↓ -100%
Cigna NewBusiness $0.06 ↓ -100%
Cigna LocalPlus $0.06 ↓ -100%
Cigna OpenAccessPlus $0.07 ↓ -100%
Cigna NetworkBenefit $0.07 ↓ -100%
Cigna HMO $0.07 ↓ -100%
Cigna AllOther $0.09 ↓ -100%
Superior Health Plan STARPLUS $25.24 ↓ -93%
Superior Health Plan STARKids $25.24 ↓ -93%
Superior Health Plan MCDSTAR $25.24 ↓ -93%
Superior Health Plan CHIP $25.24 ↓ -93%
Superior Health Plan STARHealth $25.24 ↓ -93%
Cigna IFP $48.68 ↓ -86%
Cigna QHP $50.48 ↓ -86%
Aetna QHPHIX $58.77 ↓ -84%
United OptionsPPO $67.79 ↓ -81%
Superior ValueHMO $72.11 ↓ -80%
Superior HMO $72.11 ↓ -80%
Superior EPO $72.11 ↓ -80%
Unicare CHIP $79.32 ↓ -78%
Aetna NewBusiness $85.81 ↓ -76%
Molina Healthcare HIX $90.14 ↓ -75%
Aetna Meritain $92.30 ↓ -74%
Aetna COMM $92.30 ↓ -74%
BCBS BluePremier $105.28 ↓ -71%
Aetna OON $108.17 ↓ -70%
Healthcare Highways CityofPlano $121.87 ↓ -66%
BCBS Traditional $160.09 ↓ -56%
City of McKinney COMM $162.25 ↓ -55%
National ChoiceCare WCOMP $180.28 ↓ -50%
Emerging Therapy Solutions MGMCR $180.28 ↓ -50%
Aetna ASA $190.02 ↓ -47%
Cigna Lifesource COMM $191.10 ↓ -47%
Physicians Coop of TX MGMCR $198.31 ↓ -45%
Rockport Health Group WORKERSCOMP $198.31 ↓ -45%
Aetna WCOMP $198.31 ↓ -45%
PC Texas Partners WCOMP $198.31 ↓ -45%
Averde Health, Inc PPO $209.12 ↓ -42%
Aetna Coventry First Health NONEXCLUSIVE $212.37 ↓ -41%
Aetna Coventry First Health EXCLUSIVE $212.37 ↓ -41%
Coastal Comp Health Networks WCOMP $252.39 ↓ -30%
Mega Life MGMCRPPO $252.39 ↓ -30%
HealthSmart Preferred Care PPO $256.00 ↓ -29%
Emerging Therapy Solutions Commercial $259.60 ↓ -28%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $270.42 ↓ -25%
USC Health Services COMM $288.45 ↓ -20%
TCU ATHLETICS COMM $288.45 ↓ -20%
USA Managed Care COMM $288.45 ↓ -20%
Galaxy Health Network PPO $306.48 ↓ -15%
Optum Transplant COMM $310.08 ↓ -14%
National Healthcare Solutions COMM $360.56 ↑ +0%
Independent Medical Systems COMM $360.56 ↑ +0%
Unicare MCD $360.56 ↑ +0%

Visitor-reported prices

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Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $28.80 $0.00 – $35.70
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $28.80 $0.00 – $37.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $28.80 $0.00 – $31.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $28.80 $0.00 – $35.70
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $28.80 $0.00 – $37.80
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $28.80 $0.00 – $37.80
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $28.80 $0.00 – $37.80
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $28.80 $0.00 – $35.70

All Texas hospitals for this procedure →