Biopsy of heart lining 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.
$806.83 with Cigna vs $20,752.00 with Aetna — 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 |
|---|---|---|---|
| Cigna | IFP | $806.83 | — |
| Cigna | QHP | $836.72 | — |
| United | OptionsPPO | $1,063.82 | — |
| Oscar | HIX | $1,367.43 | — |
| BCBS | BlueAdvantageHMO | $1,623.82 | — |
| BCBS | MyBlueHealth | $1,623.82 | — |
| Cigna | LocalPlus | $1,735.59 | — |
| Cigna | NewBusiness | $1,735.59 | — |
| BCBS | BluePremier | $1,919.66 | — |
| Cigna | NetworkBenefit | $1,939.39 | — |
| Cigna | OpenAccessPlus | $1,939.39 | — |
| Cigna | HMO | $1,939.39 | — |
| Healthcare Highways | CityofPlano | $2,020.07 | — |
| Unicare | CHIP | $2,091.79 | — |
| BCBS | BlueEssentials | $2,097.17 | — |
| BCBS | BlueEssentialsAccess | $2,097.17 | — |
| BCBS | EPOSOA | $2,202.35 | — |
| BCBS | PPO | $2,300.97 | — |
| Cigna | AllOther | $2,452.17 | — |
| BCBS | Traditional | $2,653.58 | — |
| City of McKinney | COMM | $2,689.44 | — |
| Superior Health Plan | STARKids | $2,796.00 | — |
| Superior Health Plan | CHIP | $2,796.00 | — |
| Superior Health Plan | STARHealth | $2,796.00 | — |
| Superior Health Plan | MCDSTAR | $2,796.00 | — |
| Superior Health Plan | STARPLUS | $2,796.00 | — |
| National ChoiceCare | WCOMP | $2,988.27 | — |
| Physicians Coop of TX | MGMCR | $3,287.10 | — |
| Aetna | WCOMP | $3,287.10 | — |
| PC Texas Partners | WCOMP | $3,287.10 | — |
| Rockport Health Group | WORKERSCOMP | $3,287.10 | — |
| Humana | COMM | $3,294.21 | — |
| Averde Health, Inc | PPO | $3,466.39 | — |
| Coastal Comp Health Networks | WCOMP | $4,183.58 | — |
| Multiplan PHCS | PrimaryNetwork | $4,183.58 | — |
| Mega Life | MGMCRPPO | $4,183.58 | — |
| HealthSmart Preferred Care | PPO | $4,243.34 | — |
| Aetna Coventry First Health | COMM | $4,362.87 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,482.40 | — |
| USC Health Services | COMM | $4,781.23 | — |
| USA Managed Care | COMM | $4,781.23 | — |
| Galaxy Health Network | PPO | $5,080.06 | — |
| Unicare | MCD | $5,976.54 | — |
| National Healthcare Solutions | COMM | $5,976.54 | — |
| Independent Medical Systems | COMM | $5,976.54 | — |
| United | NarrowNetworkIndivExchange | $7,192.00 | — |
| United | SmallGroup | $7,327.00 | — |
| United | AllPayerAppendix | $10,300.00 | — |
| Aetna | QHPHIX | $12,049.00 | — |
| Healthcare Highways | NarrowNetwork | $15,208.00 | — |
| Aetna | NewBusiness | $16,508.00 | — |
| Evry Health | COMM | $16,817.00 | — |
| Curative Administrators | COMM | $17,384.00 | — |
| Aetna | Meritain | $17,640.00 | — |
| Aetna | COMM | $17,640.00 | — |
| Aetna | OON | $20,752.00 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of heart lining at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $5,819.15 | $1,066.84 – $7,896.23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,819.15 | $1,648.76 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,306.49 | $1,298.09 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,099.77 | $1,019.95 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,819.15 | $1,551.77 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,306.49 | $2,024.38 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,306.49 | $3,258.35 – $9,459.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,099.77 | $1,699.92 – $7,896.23 |