Tib/per revasc stent & ather 37231 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.
$2,369.00 with Superior Health Plan vs $81,555.78 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 | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Humana | COMM | $7,113.00 | — |
| Oscar | HIX | $7,668.00 | — |
| United | STAR | $8,648.77 | — |
| Cook Childrens Health Plan | CHIP | $8,648.77 | — |
| Cook Childrens Health Plan | STAR | $8,648.77 | — |
| United | STARPerinate | $8,648.77 | — |
| United | CHIP | $8,648.77 | — |
| United | STARPLUS | $8,648.77 | — |
| United | STARKids | $8,648.77 | — |
| Amerigroup | CHIP | $9,081.21 | — |
| Amerigroup | MGMCD | $9,081.21 | — |
| Cigna Healthspring | MGMCD | $9,081.21 | — |
| Parkland Community Health Plan | MCD | $9,513.65 | — |
| Molina | MCDSTAR | $9,513.65 | — |
| Molina | STARKIDS | $9,513.65 | — |
| Molina | CHIP | $9,513.65 | — |
| Molina | STAR+PLUS | $9,513.65 | — |
| Aetna Better Health | CHIP | $10,378.52 | — |
| Aetna Better Health | MCD | $10,378.52 | — |
| Humana | MGMCD | $10,810.96 | — |
| Aetna | QHPHIX | $11,010.03 | — |
| Cigna | IFP | $11,010.03 | — |
| Cigna | QHP | $11,417.81 | — |
| Evry Health | COMM | $13,453.00 | — |
| United | OptionsPPO | $14,516.93 | — |
| Aetna | NewBusiness | $16,229.60 | — |
| Aetna | COMM | $17,371.38 | — |
| Aetna | Meritain | $17,371.38 | — |
| BCBS | BluePremier | $19,765.56 | — |
| Healthcare Highways | NarrowNetwork | $19,981.17 | — |
| Aetna | OON | $20,470.50 | — |
| Cigna | LocalPlus | $21,530.73 | — |
| Cigna | NewBusiness | $21,530.73 | — |
| Cigna | HMO | $24,058.96 | — |
| Cigna | NetworkBenefit | $24,058.96 | — |
| Cigna | OpenAccessPlus | $24,058.96 | — |
| Healthcare Highways | CityofPlano | $27,565.85 | — |
| Unicare | CHIP | $28,544.52 | — |
| Cigna | AllOther | $30,420.31 | — |
| BCBS | BlueAdvantageHMO | $32,358.14 | — |
| BCBS | MyBlueHealth | $32,358.14 | — |
| Curative Administrators | COMM | $32,622.31 | — |
| BCBS | Traditional | $36,210.77 | — |
| City of McKinney | COMM | $36,700.10 | — |
| BCBS | BlueEssentials | $38,415.33 | — |
| BCBS | BlueEssentialsAccess | $38,415.33 | — |
| BCBS | EPOSOA | $40,328.12 | — |
| National ChoiceCare | WCOMP | $40,777.89 | — |
| BCBS | PPO | $42,240.92 | — |
| Aetna | ASA | $42,979.90 | — |
| Aetna | WCOMP | $44,855.68 | — |
| Rockport Health Group | WORKERSCOMP | $44,855.68 | — |
| Physicians Coop of TX | MGMCR | $44,855.68 | — |
| PC Texas Partners | WCOMP | $44,855.68 | — |
| Averde Health, Inc | PPO | $47,302.35 | — |
| Multiplan PHCS | PrimaryNetwork | $57,089.05 | — |
| Coastal Comp Health Networks | WCOMP | $57,089.05 | — |
| Mega Life | MGMCRPPO | $57,089.05 | — |
| HealthSmart Preferred Care | PPO | $57,904.60 | — |
| Aetna Coventry First Health | COMM | $59,535.72 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $61,166.83 | — |
| USA Managed Care | COMM | $65,244.62 | — |
| USC Health Services | COMM | $65,244.62 | — |
| Galaxy Health Network | PPO | $69,322.41 | — |
| National Healthcare Solutions | COMM | $81,555.78 | — |
| Unicare | MCD | $81,555.78 | — |
| Independent Medical Systems | COMM | $81,555.78 | — |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $33,770.88 | $6,191.33 – $47,842.08 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $33,770.88 | $6,299.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $31,077.17 | $71.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $31,299.50 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $33,770.88 | $7,038.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $31,077.17 | $85.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $31,077.17 | $16,056.54 – $46,615.76 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $31,299.50 | $71.00 – $46,949.26 |