Consultation pathology during surgery at MEDICAL CITY LAS COLINAS HOSPITAL
6800 N. MacArthur Blvd., Irving, TX · Medicalcityhealthcare · · NPI 1902857766
$326.73
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.
$326.73
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.
$22.87 with Superior Health Plan vs $461.34 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $22.87 | ↓ -93% |
| Superior Health Plan | CHIP | $22.87 | ↓ -93% |
| Superior Health Plan | STARKids | $22.87 | ↓ -93% |
| Superior Health Plan | STARPLUS | $22.87 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $22.87 | ↓ -93% |
| United | SmallGroup | $33.84 | ↓ -90% |
| United | NarrowNetworkIndivExchange | $33.84 | ↓ -90% |
| United | AllPayerAppendix | $33.84 | ↓ -90% |
| BCBS | BluePremier | $39.78 | ↓ -88% |
| Cigna | IFP | $44.11 | ↓ -86% |
| Aetna | QHPHIX | $45.58 | ↓ -86% |
| Cigna | QHP | $45.74 | ↓ -86% |
| United | OptionsPPO | $58.16 | ↓ -82% |
| BCBS | MyBlueHealth | $58.50 | ↓ -82% |
| BCBS | BlueAdvantageHMO | $58.50 | ↓ -82% |
| Aetna | NewBusiness | $62.78 | ↓ -81% |
| BCBS | BlueEssentials | $65.86 | ↓ -80% |
| BCBS | BlueEssentialsAccess | $65.86 | ↓ -80% |
| Aetna | Meritain | $66.86 | ↓ -80% |
| Aetna | COMM | $66.86 | ↓ -80% |
| Oscar | HIX | $67.96 | ↓ -79% |
| BCBS | EPOSOA | $69.20 | ↓ -79% |
| BCBS | PPO | $72.54 | ↓ -78% |
| Aetna | OON | $78.69 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $80.05 | ↓ -75% |
| Evry Health | COMM | $84.30 | ↓ -74% |
| Cigna | LocalPlus | $91.89 | ↓ -72% |
| Cigna | NewBusiness | $91.98 | ↓ -72% |
| Cigna | OpenAccessPlus | $102.64 | ↓ -69% |
| Cigna | HMO | $102.64 | ↓ -69% |
| Cigna | NetworkBenefit | $102.64 | ↓ -69% |
| Healthcare Highways | CityofPlano | $110.43 | ↓ -66% |
| Unicare | CHIP | $114.36 | ↓ -65% |
| Cigna | AllOther | $129.90 | ↓ -60% |
| BCBS | Traditional | $145.07 | ↓ -56% |
| City of McKinney | COMM | $147.03 | ↓ -55% |
| National ChoiceCare | WCOMP | $163.37 | ↓ -50% |
| Aetna | ASA | $172.19 | ↓ -47% |
| Aetna | WCOMP | $179.70 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $179.70 | ↓ -45% |
| PC Texas Partners | WCOMP | $179.70 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $179.70 | ↓ -45% |
| Averde Health, Inc | PPO | $189.50 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $228.71 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $228.71 | ↓ -30% |
| Mega Life | MGMCRPPO | $228.71 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $231.98 | ↓ -29% |
| Aetna Coventry First Health | COMM | $238.51 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $245.05 | ↓ -25% |
| USC Health Services | COMM | $261.38 | ↓ -20% |
| USA Managed Care | COMM | $261.38 | ↓ -20% |
| Galaxy Health Network | PPO | $277.72 | ↓ -15% |
| Unicare | MCD | $326.73 | ↑ +0% |
| Independent Medical Systems | COMM | $326.73 | ↑ +0% |
| National Healthcare Solutions | COMM | $326.73 | ↑ +0% |
| Humana | COMM | $461.34 | ↑ +41% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $134.66 | $24.69 – $168.32 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $134.66 | $35.00 – $168.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $45.01 | $9.26 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $34.61 | $6.92 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $134.66 | $35.00 – $168.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $45.01 | $14.45 – $151.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $45.01 | $23.25 – $151.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $34.61 | $11.54 – $151.53 |