Pt re-evaluation patient/family at MEDICAL CITY LAS COLINAS HOSPITAL
6800 N. MacArthur Blvd., Irving, TX · Medicalcityhealthcare · · NPI 1902857766
$507.17
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.
$507.17
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.
$35.50 with Superior Health Plan vs $507.17 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 | STARHealth | $35.50 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $35.50 | ↓ -93% |
| Superior Health Plan | STARPLUS | $35.50 | ↓ -93% |
| Superior Health Plan | STARKids | $35.50 | ↓ -93% |
| Superior Health Plan | CHIP | $35.50 | ↓ -93% |
| WellMed | MGMCR | $59.16 | ↓ -88% |
| Amerigroup | DualEligible | $59.46 | ↓ -88% |
| Devoted Health | HMO | $59.46 | ↓ -88% |
| Devoted Health | POS | $59.46 | ↓ -88% |
| Devoted Health | MCR | $59.46 | ↓ -88% |
| Devoted Health | MME | $59.46 | ↓ -88% |
| Humana | MGMCR | $59.46 | ↓ -88% |
| Devoted Health | SNP | $59.46 | ↓ -88% |
| Devoted Health | PPO | $59.46 | ↓ -88% |
| TriWest Veterans | FEDERAL | $59.46 | ↓ -88% |
| Mutual of Omaha | MGMCR | $59.46 | ↓ -88% |
| United | MGMCR | $59.76 | ↓ -88% |
| BCBS | MGMCRHMO | $59.95 | ↓ -88% |
| BCBS | MCRPPO | $59.95 | ↓ -88% |
| Aetna | MCR | $59.97 | ↓ -88% |
| Care N Care | MGMCR | $60.06 | ↓ -88% |
| Cigna Healthspring | MGMCR | $60.65 | ↓ -88% |
| WellCare | MGMCR | $61.25 | ↓ -88% |
| Integranet | MGMCR | $61.25 | ↓ -88% |
| Superior Health Plan | MGMCRPOS | $62.44 | ↓ -88% |
| ProCare Advantge | MCR | $62.44 | ↓ -88% |
| American Health Plan of Texas, Inc. | MGMCR | $62.44 | ↓ -88% |
| Superior Health Plan | MGMCRHMO | $62.44 | ↓ -88% |
| Superior Health Plan | MGMCRPPO | $62.44 | ↓ -88% |
| Superior Health Plan | MGMCRDualEligible | $62.44 | ↓ -88% |
| Superior Health Plan | MGMCRPFFS | $62.44 | ↓ -88% |
| Superior Health Plan | MGMCRSNP | $62.44 | ↓ -88% |
| Texas Independent Health Plan | MGMCR | $63.03 | ↓ -88% |
| Provider Partners Health Plan | MCR | $63.03 | ↓ -88% |
| Molina | MME | $64.81 | ↓ -87% |
| Molina | MCR | $64.81 | ↓ -87% |
| Molina | MMP | $64.81 | ↓ -87% |
| Imperial Insurance Company | MCR | $65.41 | ↓ -87% |
| Humana | Tricare | $66.07 | ↓ -87% |
| TriWest Health Alliance | TRCR | $68.11 | ↓ -87% |
| Cigna | IFP | $68.47 | ↓ -86% |
| Cigna | QHP | $71.00 | ↓ -86% |
| Universal Healthcare Group | MCR | $71.35 | ↓ -86% |
| Verda Health Plan | MGMCR | $77.30 | ↓ -85% |
| Bravo Health | MCRPFFS | $89.19 | ↓ -82% |
| Bravo Health | MCRHMO | $89.19 | ↓ -82% |
| Bravo Health | MCRPOS | $89.19 | ↓ -82% |
| Bravo Health | MCRPPO | $89.19 | ↓ -82% |
| Bravo Health | MCRSNP | $89.19 | ↓ -82% |
| United | OptionsPPO | $90.28 | ↓ -82% |
| Oscar | HIX | $105.49 | ↓ -79% |
| Aetna | QHPHIX | $106.00 | ↓ -79% |
| Superior | ValueHMO | $106.44 | ↓ -79% |
| USA Managed Care | WORKERSCOMP | $112.98 | ↓ -78% |
| Corvel Corporation | WORKERSCOMP | $117.73 | ↓ -77% |
| Superior | EPO | $133.19 | ↓ -74% |
| Superior | HMO | $133.19 | ↓ -74% |
| BCBS | BluePremier | $138.63 | ↓ -73% |
| Aetna | NewBusiness | $143.00 | ↓ -72% |
| Aetna | COMM | $155.00 | ↓ -69% |
| Aetna | Meritain | $155.00 | ↓ -69% |
| Molina Healthcare | HIX | $155.79 | ↓ -69% |
| BCBS | BlueAdvantageHMO | $161.53 | ↓ -68% |
| BCBS | MyBlueHealth | $161.53 | ↓ -68% |
| Healthcare Highways | CityofPlano | $171.42 | ↓ -66% |
| Unicare | CHIP | $177.51 | ↓ -65% |
| Aetna | OON | $179.00 | ↓ -65% |
| BCBS | Traditional | $225.18 | ↓ -56% |
| City of McKinney | COMM | $228.23 | ↓ -55% |
| National ChoiceCare | WCOMP | $253.59 | ↓ -50% |
| Aetna | ASA | $267.28 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $278.94 | ↓ -45% |
| PC Texas Partners | WCOMP | $278.94 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $278.94 | ↓ -45% |
| Aetna | WCOMP | $278.94 | ↓ -45% |
| BCBS | BlueEssentialsAccess | $286.06 | ↓ -44% |
| BCBS | BlueEssentials | $286.06 | ↓ -44% |
| Averde Health, Inc | PPO | $294.16 | ↓ -42% |
| BCBS | EPOSOA | $300.16 | ↓ -41% |
| BCBS | PPO | $314.26 | ↓ -38% |
| Multiplan PHCS | PrimaryNetwork | $355.02 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $355.02 | ↓ -30% |
| Mega Life | MGMCRPPO | $355.02 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $360.09 | ↓ -29% |
| Aetna Coventry First Health | COMM | $370.23 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $380.38 | ↓ -25% |
| Humana | COMM | $399.82 | ↓ -21% |
| USA Managed Care | COMM | $405.74 | ↓ -20% |
| USC Health Services | COMM | $405.74 | ↓ -20% |
| Galaxy Health Network | PPO | $431.09 | ↓ -15% |
| National Healthcare Solutions | COMM | $507.17 | ↑ +0% |
| Independent Medical Systems | COMM | $507.17 | ↑ +0% |
| Unicare | MCD | $507.17 | ↑ +0% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $128.83 | $23.62 – $204.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $128.83 | $36.50 – $204.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $205.19 | $42.24 – $307.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $224.67 | $44.93 – $280.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $128.83 | $34.35 – $204.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $205.19 | $65.87 – $307.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $205.19 | $106.02 – $307.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $224.67 | $74.89 – $337.00 |