Dup scan/ue art/graft/bilat/comp 93930 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.
$193.26 with Superior Health Plan vs $2,760.79 with Independent Medical Systems — 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 | CHIP | $193.26 | — |
| Superior Health Plan | STARHealth | $193.26 | — |
| Superior Health Plan | MCDSTAR | $193.26 | — |
| Superior Health Plan | STARPLUS | $193.26 | — |
| Superior Health Plan | STARKids | $193.26 | — |
| United | STARPerinate | $196.14 | — |
| Cook Childrens Health Plan | STAR | $196.14 | — |
| Amerigroup | MGMCD | $196.14 | — |
| Amerigroup | CHIP | $196.14 | — |
| United | CHIP | $196.14 | — |
| United | STAR | $196.14 | — |
| United | STARKids | $196.14 | — |
| United | STARPLUS | $196.14 | — |
| Cook Childrens Health Plan | CHIP | $196.14 | — |
| Cigna Healthspring | MGMCD | $205.95 | — |
| Aetna Better Health | MCD | $211.83 | — |
| Aetna Better Health | CHIP | $211.83 | — |
| Molina | STARKIDS | $215.75 | — |
| Molina | MCDSTAR | $215.75 | — |
| Parkland Community Health Plan | MCD | $215.75 | — |
| Molina | CHIP | $215.75 | — |
| Molina | STAR+PLUS | $215.75 | — |
| Humana | MGMCD | $245.17 | — |
| Aetna | QHPHIX | $372.71 | — |
| Cigna | IFP | $372.71 | — |
| Cigna | QHP | $386.51 | — |
| BCBS | BluePremier | $398.89 | — |
| BCBS | MyBlueHealth | $464.81 | — |
| BCBS | BlueAdvantageHMO | $464.81 | — |
| United | OptionsPPO | $491.42 | — |
| Aetna | NewBusiness | $549.40 | — |
| Oscar | HIX | $574.24 | — |
| Aetna | Meritain | $588.05 | — |
| Aetna | COMM | $588.05 | — |
| Cigna | LocalPlus | $612.32 | — |
| Cigna | NewBusiness | $612.93 | — |
| Healthcare Highways | NarrowNetwork | $676.39 | — |
| Cigna | OpenAccessPlus | $683.92 | — |
| Cigna | NetworkBenefit | $683.92 | — |
| Cigna | HMO | $683.92 | — |
| Aetna | OON | $692.96 | — |
| Evry Health | COMM | $712.28 | — |
| BCBS | BlueEssentialsAccess | $823.13 | — |
| BCBS | BlueEssentials | $823.13 | — |
| BCBS | EPOSOA | $863.69 | — |
| Cigna | AllOther | $865.58 | — |
| BCBS | PPO | $904.26 | — |
| Healthcare Highways | CityofPlano | $933.15 | — |
| Unicare | CHIP | $966.28 | — |
| Curative Administrators | COMM | $1,104.32 | — |
| Humana | COMM | $1,166.05 | — |
| BCBS | Traditional | $1,225.79 | — |
| City of McKinney | COMM | $1,242.36 | — |
| National ChoiceCare | WCOMP | $1,380.39 | — |
| Aetna | ASA | $1,454.94 | — |
| Aetna | WCOMP | $1,518.43 | — |
| PC Texas Partners | WCOMP | $1,518.43 | — |
| Physicians Coop of TX | MGMCR | $1,518.43 | — |
| Rockport Health Group | WORKERSCOMP | $1,518.43 | — |
| Averde Health, Inc | PPO | $1,601.26 | — |
| Multiplan PHCS | PrimaryNetwork | $1,932.55 | — |
| Coastal Comp Health Networks | WCOMP | $1,932.55 | — |
| Mega Life | MGMCRPPO | $1,932.55 | — |
| HealthSmart Preferred Care | PPO | $1,960.16 | — |
| Aetna Coventry First Health | COMM | $2,015.38 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,070.59 | — |
| USA Managed Care | COMM | $2,208.63 | — |
| USC Health Services | COMM | $2,208.63 | — |
| Galaxy Health Network | PPO | $2,346.67 | — |
| National Healthcare Solutions | COMM | $2,760.79 | — |
| Unicare | MCD | $2,760.79 | — |
| Independent Medical Systems | COMM | $2,760.79 | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,005.61 | $197.14 – $1,257.01 |
| Adventhealth Rollins Brook | Lampasas | $2,124.64 | $650.73 – $650.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $904.78 | $186.23 – $1,357.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $838.98 | $197.14 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $904.78 | $210.94 – $1,357.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $904.78 | $197.14 – $1,357.17 |