Assay of silica 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.
$15.13 with Cook Childrens Health Plan vs $261.49 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $15.13 | — |
| Cook Childrens Health Plan | STAR | $15.13 | — |
| United | STARPerinate | $21.18 | — |
| United | STARKids | $21.18 | — |
| United | STARPLUS | $21.18 | — |
| Amerigroup | MGMCD | $21.18 | — |
| Amerigroup | CHIP | $21.18 | — |
| United | CHIP | $21.18 | — |
| United | STAR | $21.18 | — |
| Cigna Healthspring | MGMCD | $22.24 | — |
| Aetna Better Health | CHIP | $22.87 | — |
| Aetna Better Health | MCD | $22.87 | — |
| Molina | STAR+PLUS | $23.30 | — |
| Parkland Community Health Plan | MCD | $23.30 | — |
| Molina | CHIP | $23.30 | — |
| Molina | MCDSTAR | $23.30 | — |
| Molina | STARKIDS | $23.30 | — |
| WellMed | MGMCR | $25.08 | — |
| Devoted Health | HMO | $25.21 | — |
| Devoted Health | MCR | $25.21 | — |
| Devoted Health | MME | $25.21 | — |
| Amerigroup | DualEligible | $25.21 | — |
| Devoted Health | POS | $25.21 | — |
| Humana | MGMCR | $25.21 | — |
| United | SmallGroup | $25.21 | — |
| BCBS | MGMCRHMO | $25.21 | — |
| BCBS | MCRPPO | $25.21 | — |
| Mutual of Omaha | MGMCR | $25.21 | — |
| United | AllPayerAppendix | $25.21 | — |
| Devoted Health | SNP | $25.21 | — |
| Devoted Health | PPO | $25.21 | — |
| United | NarrowNetworkIndivExchange | $25.21 | — |
| TriWest Veterans | FEDERAL | $25.21 | — |
| United | MGMCR | $25.34 | — |
| Aetna | MCR | $25.42 | — |
| Care N Care | MGMCR | $25.46 | — |
| Cigna Healthspring | MGMCR | $25.71 | — |
| WellCare | MGMCR | $25.97 | — |
| Integranet | MGMCR | $25.97 | — |
| Superior Health Plan | MGMCRPPO | $26.47 | — |
| Superior Health Plan | MGMCRHMO | $26.47 | — |
| Superior Health Plan | MGMCRDualEligible | $26.47 | — |
| Superior Health Plan | MGMCRPFFS | $26.47 | — |
| Superior Health Plan | MGMCRPOS | $26.47 | — |
| Superior Health Plan | MGMCRSNP | $26.47 | — |
| American Health Plan of Texas, Inc. | MGMCR | $26.47 | — |
| ProCare Advantge | MCR | $26.47 | — |
| Humana | MGMCD | $26.48 | — |
| Texas Independent Health Plan | MGMCR | $26.72 | — |
| Provider Partners Health Plan | MCR | $26.72 | — |
| Humana | Tricare | $27.17 | — |
| Molina | MMP | $27.48 | — |
| Molina | MME | $27.48 | — |
| Molina | MCR | $27.48 | — |
| Imperial Insurance Company | MCR | $27.73 | — |
| TriWest Health Alliance | TRCR | $28.01 | — |
| BCBS | BluePremier | $30.00 | — |
| Universal Healthcare Group | MCR | $30.25 | — |
| Aetna | QHPHIX | $32.08 | — |
| Verda Health Plan | MGMCR | $32.77 | — |
| Bravo Health | MCRSNP | $37.81 | — |
| Bravo Health | MCRPPO | $37.81 | — |
| Bravo Health | MCRPOS | $37.81 | — |
| Bravo Health | MCRHMO | $37.81 | — |
| Bravo Health | MCRPFFS | $37.81 | — |
| BCBS | BlueAdvantageHMO | $44.12 | — |
| BCBS | MyBlueHealth | $44.12 | — |
| Aetna | NewBusiness | $44.18 | — |
| Superior | ValueHMO | $45.13 | — |
| Aetna | COMM | $47.05 | — |
| Aetna | Meritain | $47.05 | — |
| USA Managed Care | WORKERSCOMP | $47.90 | — |
| BCBS | BlueEssentials | $49.66 | — |
| BCBS | BlueEssentialsAccess | $49.66 | — |
| Corvel Corporation | WORKERSCOMP | $49.92 | — |
| BCBS | EPOSOA | $52.18 | — |
| BCBS | PPO | $54.71 | — |
| Aetna | OON | $55.38 | — |
| Superior | HMO | $56.47 | — |
| Superior | EPO | $56.47 | — |
| Oscar | HIX | $65.55 | — |
| Molina Healthcare | HIX | $66.05 | — |
| Cigna | LocalPlus | $95.54 | — |
| Cigna | NewBusiness | $95.64 | — |
| Cigna | HMO | $106.71 | — |
| Cigna | OpenAccessPlus | $106.71 | — |
| Cigna | NetworkBenefit | $106.71 | — |
| Cigna | AllOther | $135.06 | — |
| Humana | COMM | $261.49 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Assay of silica at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $22.69 – $97.06 |
| CHRISTUS Children's Hospital | San Antonio | not published | $21.97 – $87.51 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $20.76 – $103.14 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $21.18 – $103.14 |
| Covenant Children's Hospital | Lubbock | not published | $55.07 – $109.92 |
| HCA HOUSTON CONROE | CONROE | not published | $20.76 – $103.14 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $20.76 – $103.14 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $21.18 – $103.14 |