Kidney function study at MEDICAL CITY LAS COLINAS HOSPITAL
6800 N. MacArthur Blvd., Irving, TX · Medicalcityhealthcare · · NPI 1902857766
$5,159.09
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.
$5,159.09
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.
$111.07 with BCBS vs $5,159.09 with Unicare — 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 |
|---|---|---|---|
| BCBS | BluePremier | $111.07 | ↓ -98% |
| Amerigroup | CHIP | $112.94 | ↓ -98% |
| Amerigroup | MGMCD | $112.94 | ↓ -98% |
| United | STARPerinate | $112.94 | ↓ -98% |
| United | STARPLUS | $112.94 | ↓ -98% |
| Cook Childrens Health Plan | STAR | $112.94 | ↓ -98% |
| United | STARKids | $112.94 | ↓ -98% |
| United | STAR | $112.94 | ↓ -98% |
| United | CHIP | $112.94 | ↓ -98% |
| Cook Childrens Health Plan | CHIP | $112.94 | ↓ -98% |
| Cigna Healthspring | MGMCD | $118.59 | ↓ -98% |
| Aetna Better Health | MCD | $121.98 | ↓ -98% |
| Aetna Better Health | CHIP | $121.98 | ↓ -98% |
| BCBS | MyBlueHealth | $122.28 | ↓ -98% |
| BCBS | BlueAdvantageHMO | $122.28 | ↓ -98% |
| Molina | MCDSTAR | $124.23 | ↓ -98% |
| Molina | CHIP | $124.23 | ↓ -98% |
| Molina | STAR+PLUS | $124.23 | ↓ -98% |
| Molina | STARKIDS | $124.23 | ↓ -98% |
| Parkland Community Health Plan | MCD | $124.23 | ↓ -98% |
| Humana | MGMCD | $141.18 | ↓ -97% |
| Aetna | QHPHIX | $157.31 | ↓ -97% |
| Aetna | NewBusiness | $215.69 | ↓ -96% |
| Aetna | COMM | $231.05 | ↓ -96% |
| Aetna | Meritain | $231.05 | ↓ -96% |
| Aetna | OON | $270.99 | ↓ -95% |
| Superior Health Plan | CHIP | $361.14 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $361.14 | ↓ -93% |
| Superior Health Plan | STARPLUS | $361.14 | ↓ -93% |
| Superior Health Plan | STARKids | $361.14 | ↓ -93% |
| Superior Health Plan | STARHealth | $361.14 | ↓ -93% |
| BCBS | BlueEssentials | $363.09 | ↓ -93% |
| BCBS | BlueEssentialsAccess | $363.09 | ↓ -93% |
| Humana | COMM | $371.10 | ↓ -93% |
| BCBS | EPOSOA | $380.83 | ↓ -93% |
| BCBS | PPO | $398.56 | ↓ -92% |
| United | SmallGroup | $471.74 | ↓ -91% |
| United | NarrowNetworkIndivExchange | $471.74 | ↓ -91% |
| Cigna | IFP | $696.48 | ↓ -86% |
| Cigna | QHP | $722.27 | ↓ -86% |
| United | AllPayerAppendix | $848.52 | ↓ -84% |
| United | OptionsPPO | $918.32 | ↓ -82% |
| Healthcare Highways | NarrowNetwork | $1,263.98 | ↓ -75% |
| Evry Health | COMM | $1,331.05 | ↓ -74% |
| Healthcare Highways | CityofPlano | $1,743.77 | ↓ -66% |
| Unicare | CHIP | $1,805.68 | ↓ -65% |
| Curative Administrators | COMM | $2,063.64 | ↓ -60% |
| BCBS | Traditional | $2,290.64 | ↓ -56% |
| City of McKinney | COMM | $2,321.59 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,579.55 | ↓ -50% |
| Aetna | ASA | $2,718.84 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $2,837.50 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,837.50 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,837.50 | ↓ -45% |
| Aetna | WCOMP | $2,837.50 | ↓ -45% |
| Averde Health, Inc | PPO | $2,992.27 | ↓ -42% |
| Mega Life | MGMCRPPO | $3,611.36 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $3,611.36 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3,611.36 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $3,662.95 | ↓ -29% |
| Aetna Coventry First Health | COMM | $3,766.14 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,869.32 | ↓ -25% |
| USC Health Services | COMM | $4,127.27 | ↓ -20% |
| USA Managed Care | COMM | $4,127.27 | ↓ -20% |
| Galaxy Health Network | PPO | $4,385.23 | ↓ -15% |
| National Healthcare Solutions | COMM | $5,159.09 | ↑ +0% |
| Independent Medical Systems | COMM | $5,159.09 | ↑ +0% |
| Unicare | MCD | $5,159.09 | ↑ +0% |
Visitor-reported prices
Comments
Kidney function study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $746.54 | $153.66 – $1,119.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $783.86 | $97.56 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $746.54 | $104.39 – $1,119.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $746.54 | $97.56 – $1,119.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $783.86 | $97.56 – $1,175.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $746.54 | $97.56 – $1,021.72 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $746.54 | $97.56 – $1,119.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $783.86 | $97.56 – $1,175.80 |