Arthrd elbow jt autog graft at MEDICAL CITY LAS COLINAS HOSPITAL
6800 N. MacArthur Blvd., Irving, TX · Medicalcityhealthcare · · NPI 1902857766
not published by hospital
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.
not published by hospital
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.
$948.00 with Superior Health Plan vs $31,536.88 with BCBS — 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 | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| United | STAR | $4,811.02 | — |
| Cook Childrens Health Plan | STAR | $4,811.02 | — |
| Cook Childrens Health Plan | CHIP | $4,811.02 | — |
| United | STARPerinate | $4,811.02 | — |
| United | STARPLUS | $4,811.02 | — |
| United | STARKids | $4,811.02 | — |
| United | CHIP | $4,811.02 | — |
| Cigna Healthspring | MGMCD | $5,051.57 | — |
| Amerigroup | MGMCD | $5,051.57 | — |
| Amerigroup | CHIP | $5,051.57 | — |
| Parkland Community Health Plan | MCD | $5,292.12 | — |
| Molina | STAR+PLUS | $5,292.12 | — |
| Molina | CHIP | $5,292.12 | — |
| Molina | MCDSTAR | $5,292.12 | — |
| Molina | STARKIDS | $5,292.12 | — |
| Aetna Better Health | CHIP | $5,773.22 | — |
| Aetna Better Health | MCD | $5,773.22 | — |
| Humana | MGMCD | $6,013.78 | — |
| Multiplan PHCS | PrimaryNetwork | $7,092.00 | — |
| Oscar | HIX | $8,024.00 | — |
| Healthcare Highways | NarrowNetwork | $8,517.00 | — |
| Curative Administrators | COMM | $8,778.00 | — |
| Evry Health | COMM | $9,417.00 | — |
| Cigna | LocalPlus | $9,541.00 | — |
| Cigna | NewBusiness | $9,551.00 | — |
| United | NarrowNetworkIndivExchange | $9,832.00 | — |
| Cigna | HMO | $10,660.00 | — |
| Cigna | OpenAccessPlus | $10,660.00 | — |
| Cigna | NetworkBenefit | $10,660.00 | — |
| United | SmallGroup | $10,666.00 | — |
| Humana | COMM | $11,743.00 | — |
| WellMed | MGMCR | $12,961.68 | — |
| Cigna | AllOther | $13,485.00 | — |
| BCBS | BluePremier | $14,756.88 | — |
| United | AllPayerAppendix | $16,960.00 | — |
| BCBS | BlueAdvantageHMO | $24,158.44 | — |
| BCBS | MyBlueHealth | $24,158.44 | — |
| BCBS | BlueEssentials | $28,680.71 | — |
| BCBS | BlueEssentialsAccess | $28,680.71 | — |
| BCBS | EPOSOA | $30,108.80 | — |
| BCBS | PPO | $31,536.88 | — |
Visitor-reported prices
Comments
Arthrd elbow jt autog graft at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $8,715.36 – $14,875.89 |
| CHRISTUS Children's Hospital | San Antonio | not published | $3,849.00 – $5,051.57 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $4,714.80 – $19,041.14 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5,162.41 – $24,396.46 |
| Covenant Children's Hospital | Lubbock | not published | $2,750.00 – $25,348.51 |
| HCA HOUSTON CONROE | CONROE | not published | $4,714.80 – $20,707.24 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $4,714.80 – $21,183.26 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $5,162.41 – $21,183.26 |