Unlisted px arthroscopy 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.
$249.03 with WellMed vs $24,339.00 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 |
|---|---|---|---|
| WellMed | MGMCR | $249.03 | — |
| BCBS | BluePremier | $267.39 | — |
| BCBS | BlueAdvantageHMO | $437.75 | — |
| BCBS | MyBlueHealth | $437.75 | — |
| BCBS | BlueEssentials | $519.69 | — |
| BCBS | BlueEssentialsAccess | $519.69 | — |
| BCBS | EPOSOA | $545.57 | — |
| BCBS | PPO | $571.45 | — |
| United | SmallGroup | $1,454.00 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Aetna | QHPHIX | $4,845.00 | — |
| United | NarrowNetworkIndivExchange | $4,954.00 | — |
| Healthcare Highways | NarrowNetwork | $5,475.00 | — |
| Evry Health | COMM | $6,054.00 | — |
| Aetna | NewBusiness | $6,639.00 | — |
| Aetna | COMM | $7,094.00 | — |
| Aetna | Meritain | $7,094.00 | — |
| Humana | COMM | $7,113.00 | — |
| Oscar | HIX | $7,168.00 | — |
| Aetna | OON | $8,345.00 | — |
| Cigna | LocalPlus | $17,220.00 | — |
| Cigna | NewBusiness | $17,238.00 | — |
| Cigna | OpenAccessPlus | $19,240.00 | — |
| Cigna | NetworkBenefit | $19,240.00 | — |
| Cigna | HMO | $19,240.00 | — |
| Cigna | AllOther | $24,339.00 | — |
Visitor-reported prices
Comments
Unlisted px arthroscopy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $13,708.47 | $235.40 – $3,982.83 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,708.47 | $235.40 – $3,982.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,433.76 | $71.00 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,708.47 | $71.00 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,708.47 | $235.40 – $3,982.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $11,433.76 | $85.00 – $5,388.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $11,433.76 | $584.19 – $5,211.27 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,708.47 | $71.00 – $5,779.66 |