Oth resp proc, indiv at MEDICAL CITY LAS COLINAS HOSPITAL
6800 N. MacArthur Blvd., Irving, TX · Medicalcityhealthcare · · NPI 1902857766
$168.10
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.
$168.10
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.
$11.77 with Superior Health Plan vs $168.10 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $11.77 | ↓ -93% |
| Superior Health Plan | STARHealth | $11.77 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $11.77 | ↓ -93% |
| Superior Health Plan | STARPLUS | $11.77 | ↓ -93% |
| Superior Health Plan | STARKids | $11.77 | ↓ -93% |
| Cigna | IFP | $22.69 | ↓ -87% |
| Aetna | QHPHIX | $22.69 | ↓ -87% |
| Cigna | QHP | $23.53 | ↓ -86% |
| BCBS | BluePremier | $23.81 | ↓ -86% |
| BCBS | MyBlueHealth | $27.75 | ↓ -83% |
| BCBS | BlueAdvantageHMO | $27.75 | ↓ -83% |
| United | OptionsPPO | $29.92 | ↓ -82% |
| Aetna | NewBusiness | $33.45 | ↓ -80% |
| Oscar | HIX | $34.96 | ↓ -79% |
| Aetna | COMM | $35.81 | ↓ -79% |
| Aetna | Meritain | $35.81 | ↓ -79% |
| Aetna | OON | $42.19 | ↓ -75% |
| BCBS | BlueEssentials | $49.14 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $49.14 | ↓ -71% |
| BCBS | EPOSOA | $51.56 | ↓ -69% |
| BCBS | PPO | $53.98 | ↓ -68% |
| Healthcare Highways | CityofPlano | $56.82 | ↓ -66% |
| Unicare | CHIP | $58.84 | ↓ -65% |
| Humana | COMM | $69.68 | ↓ -59% |
| BCBS | Traditional | $74.64 | ↓ -56% |
| City of McKinney | COMM | $75.64 | ↓ -55% |
| National ChoiceCare | WCOMP | $84.05 | ↓ -50% |
| Aetna | ASA | $88.59 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $92.45 | ↓ -45% |
| Aetna | WCOMP | $92.45 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $92.45 | ↓ -45% |
| PC Texas Partners | WCOMP | $92.45 | ↓ -45% |
| Averde Health, Inc | PPO | $97.50 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $117.67 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $117.67 | ↓ -30% |
| Mega Life | MGMCRPPO | $117.67 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $119.35 | ↓ -29% |
| Aetna Coventry First Health | COMM | $122.71 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $126.08 | ↓ -25% |
| USA Managed Care | COMM | $134.48 | ↓ -20% |
| USC Health Services | COMM | $134.48 | ↓ -20% |
| Galaxy Health Network | PPO | $142.88 | ↓ -15% |
| National Healthcare Solutions | COMM | $168.10 | ↑ +0% |
| Independent Medical Systems | COMM | $168.10 | ↑ +0% |
| Unicare | MCD | $168.10 | ↑ +0% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $119.59 | $21.92 – $149.48 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $119.59 | $27.61 – $149.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.53 | $27.69 – $201.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $116.83 | $23.37 – $146.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $119.59 | $23.61 – $149.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.53 | $27.61 – $201.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.53 | $69.51 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $116.83 | $27.61 – $175.24 |