Prime Healthcare Services · Dallas, TX
27
In-network payers
277
Disclosed rate categories
155
Beds
4
Care quality
Dallas Medical Center is a 155-bed proprietary hospital in Dallas, TX, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 277 disclosed rate categories.
CCN (Medicare provider number)
450379
NPI
1861690364
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
155
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Dallas Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,131 - $13,550
from 3 insurers · median $8,075
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,099 - $16,238
from 3 insurers · median $10,117
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$5,131 - $13,550
from 3 insurers · median $8,075
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$32,665 - $48,509
from 3 insurers · median $35,245
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$19,889 - $34,781
from 3 insurers · median $23,272
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$15,781 - $27,831
from 3 insurers · median $18,234
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$8,865 - $18,971
from 3 insurers · median $11,448
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$390 - $1,451
from 3 insurers · median $573
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,745 - $2,161
from 3 insurers · median $1,900
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,281 - $28,121
from 2 insurers · median $16,701
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,745 - $3,173
from 3 insurers · median $1,900
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,745 - $3,362
from 3 insurers · median $1,900
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$100 - $534
from 3 insurers · median $281
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$565 - $1,337
from 3 insurers · median $794
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$1,900 - $5,433
from 3 insurers · median $1,975
28 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Digestive procedures
CPT 45378
$1,745 - $2,880
from 3 insurers · median $1,900
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,629 - $17,256
from 3 insurers · median $5,281
Typical for a hospital with this service line
Mammography
CPT 77067
$97 - $415
from 3 insurers · median $120
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,531 - $5,502
from 3 insurers · median $2,053
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$100 - $1,525
from 3 insurers · median $792
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$100 - $769
from 3 insurers · median $468
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$239 - $1,109
from 3 insurers · median $278
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$166 - $479
from 3 insurers · median $464
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$911 - $1,605
from 3 insurers · median $1,228
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 303% | 14 | 4 |
| Insurer B* | 24 | 143% | 0 | 18 |
| Insurer C* | 23 | 127% | 2 | 16 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Dallas Medical Center.
Seven Medical Parkway, Dallas, TX 75234
(972) 247-1000
The nearest hospitals of similar type and size. Their rates are compared with Dallas Medical Center for the same insurers and services above.
Medical City Las Colinas
▲ Rates typically 108% higher than Dallas Medical Center (21 services)
Baylor S & W Medical Center - Irving
▲ Rates typically 63% higher than Dallas Medical Center (21 services)
Carrollton Regional Medical Center
▲ Rates typically 51% higher than Dallas Medical Center (21 services)
White Rock Medical Center
▼ Rates typically 29% lower than Dallas Medical Center (21 services)
Medical City Lewisville
▲ Rates typically 99% higher than Dallas Medical Center (21 services)
Methodist Richardson Medical Center
Rates about the same as Dallas Medical Center (21 services)
University Of Texas Southwestern Medical Center At Dallas
Baylor University Medical Center
Medical City Dallas Hospital
Dallas Co. Hosp. Dist.
About Dallas Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Dallas Medical Center range from $100 to $1,525 across 3 insurers. Aetna's rate is $100. The median at nearby comparable hospitals is $1,449. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Dallas Medical Center range from $390 to $1,451 across 3 insurers. Blue Cross Blue Shield's rate is $1,451. The median at nearby comparable hospitals is $1,326. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Dallas Medical Center range from $1,745 to $3,173 across 3 insurers. UnitedHealthcare's rate is $1,745. The median at nearby comparable hospitals is $2,850. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Dallas Medical Center range from $5,131 to $13,550 across 3 insurers. Aetna's rate is $13,550. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Dallas Medical Center range from $97 to $415 across 3 insurers. UnitedHealthcare's rate is $120. The median at nearby comparable hospitals is $208. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Dallas Medical Center range from $15,781 to $27,831 across 3 insurers. Aetna's rate is $27,831. The median at nearby comparable hospitals is $30,825. What a patient pays depends on their plan's deductible, coinsurance and network status.
Dallas Medical Center has 155 beds. Facility type: Short Term Acute Care Hospital.
Dallas Medical Center is located at Seven Medical Parkway, Dallas, TX 75234. Its main phone number is (972) 247-1000.
Dallas Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 450379.
The National Provider Identifier (NPI) on file for Dallas Medical Center is 1861690364.
Dallas Medical Center is affiliated with Prime Healthcare Services.
Dallas Medical Center lists 27 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
277 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers