Tc-99m tilmanocept diag 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.
$1,614.32 with BCBS vs $5,770.98 with Cigna — 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 | MyBlueHealth | $1,614.32 | — |
| BCBS | BlueAdvantageHMO | $1,614.32 | — |
| Aetna | QHPHIX | $1,625.88 | — |
| Aetna | NewBusiness | $2,229.24 | — |
| BCBS | BlueEssentialsAccess | $2,363.00 | — |
| BCBS | BlueEssentials | $2,363.00 | — |
| Aetna | Meritain | $2,388.01 | — |
| Aetna | COMM | $2,388.01 | — |
| BCBS | BluePremier | $2,451.90 | — |
| BCBS | EPOSOA | $2,479.98 | — |
| BCBS | PPO | $2,596.96 | — |
| Humana | COMM | $4,024.96 | — |
| Cigna | LocalPlus | $4,083.28 | — |
| Cigna | NewBusiness | $4,087.32 | — |
| Cigna | NetworkBenefit | $4,561.72 | — |
| Cigna | OpenAccessPlus | $4,561.72 | — |
| Cigna | HMO | $4,561.72 | — |
| Cigna | AllOther | $5,770.98 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $2,340.10 | $917.12 – $5,480.11 |
| HCA HOUSTON NORTHWEST | SPRING | $4,513.82 | $917.12 – $5,480.11 |
| St. Luke's Health - Patients Medical Center | Pasadena | $932.09 | $100.00 – $1,997.33 |
| Baylor St Luke's Medical Center | Houston | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,279.60 | $100.00 – $3,656.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $1,166.70 | $610.64 – $610.64 |