Absorpt drg >16 <=48 without bdr at MEDICAL CITY ARGYLE HOSPITAL
7218 Crawford Rd, Argyle, TX · Medicalcityhealthcare · · NPI 1306897277
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.
$0.14 with Superior Health Plan vs $26.25 with Humana — 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 | MCDSTAR | $0.14 | — |
| Superior Health Plan | CHIP | $0.14 | — |
| Superior Health Plan | STARKids | $0.14 | — |
| Superior Health Plan | STARPLUS | $0.14 | — |
| Superior Health Plan | STARHealth | $0.14 | — |
| Cigna | IFP | $0.27 | — |
| Aetna | QHPHIX | $0.27 | — |
| Cigna | QHP | $0.28 | — |
| United | OptionsPPO | $0.35 | — |
| Aetna | NewBusiness | $0.40 | — |
| Oscar | HIX | $0.42 | — |
| Aetna | Meritain | $0.43 | — |
| Aetna | COMM | $0.43 | — |
| Healthcare Highways | NarrowNetwork | $0.49 | — |
| Unicare | CHIP | $0.50 | — |
| Aetna | OON | $0.50 | — |
| Evry Health | COMM | $0.52 | — |
| Cigna | NewBusiness | $0.53 | — |
| Cigna | LocalPlus | $0.53 | — |
| Cigna | HMO | $0.59 | — |
| Cigna | OpenAccessPlus | $0.59 | — |
| Cigna | NetworkBenefit | $0.59 | — |
| Healthcare Highways | CityofPlano | $0.68 | — |
| Cigna | AllOther | $0.75 | — |
| Curative Administrators | COMM | $0.80 | — |
| BCBS | Traditional | $0.89 | — |
| Fidelis SecureCare | MGMCR | $0.90 | — |
| City of McKinney | COMM | $0.90 | — |
| National ChoiceCare | WCOMP | $1.00 | — |
| Aetna | ASA | $1.05 | — |
| Physicians Coop of TX | MGMCR | $1.10 | — |
| PC Texas Partners | WCOMP | $1.10 | — |
| Rockport Health Group | WORKERSCOMP | $1.10 | — |
| Aetna | WCOMP | $1.10 | — |
| Averde Health, Inc | PPO | $1.16 | — |
| USC Health Services | COMM | $1.20 | — |
| Coastal Comp Health Networks | WCOMP | $1.40 | — |
| Mega Life | MGMCRPPO | $1.40 | — |
| Jostens | WCOMP | $1.40 | — |
| Multiplan PHCS | PrimaryNetwork | $1.40 | — |
| Aetna Coventry First Health | COMM | $1.46 | — |
| HealthSmart Preferred Care | PPO | $1.50 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1.50 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $1.60 | — |
| USA Managed Care | COMM | $1.60 | — |
| Randalls Food Market | PPO | $1.60 | — |
| Galaxy Health Network | PPO | $1.70 | — |
| Independent Medical Systems | COMM | $2.00 | — |
| National Healthcare Solutions | COMM | $2.00 | — |
| Unicare | MCD | $2.00 | — |
| BCBS | BlueAdvantageHMO | $3.97 | — |
| BCBS | MyBlueHealth | $3.97 | — |
| BCBS | BluePremier | $4.50 | — |
| Humana | Tricare | $4.50 | — |
| BCBS | MGMCRHMO | $4.55 | — |
| BCBS | MCRPPO | $4.55 | — |
| WellMed | MGMCR | $4.62 | — |
| TriWest Health Alliance | TRCR | $4.64 | — |
| Devoted Health | SNP | $4.64 | — |
| Devoted Health | HMO | $4.64 | — |
| Devoted Health | POS | $4.64 | — |
| Devoted Health | MCR | $4.64 | — |
| Devoted Health | MME | $4.64 | — |
| Humana | MGMCR | $4.64 | — |
| United | MGMCR | $4.64 | — |
| Amerigroup | DualEligible | $4.64 | — |
| Mutual of Omaha | MGMCR | $4.64 | — |
| Devoted Health | PPO | $4.64 | — |
| Aetna | MCR | $4.68 | — |
| Care N Care | MGMCR | $4.69 | — |
| Cigna Healthspring | MGMCR | $4.73 | — |
| WellCare | MGMCR | $4.78 | — |
| Integranet | MGMCR | $4.78 | — |
| Superior Health Plan | MGMCRHMO | $4.87 | — |
| American Health Plan of Texas, Inc. | MGMCR | $4.87 | — |
| ProCare Advantge | MCR | $4.87 | — |
| Superior Health Plan | MGMCRSNP | $4.87 | — |
| Superior Health Plan | MGMCRPOS | $4.87 | — |
| Superior Health Plan | MGMCRPFFS | $4.87 | — |
| Superior Health Plan | MGMCRDualEligible | $4.87 | — |
| Superior Health Plan | MGMCRPPO | $4.87 | — |
| Provider Partners Health Plan | MCR | $4.92 | — |
| Texas Independent Health Plan | MGMCR | $4.92 | — |
| Molina | MCR | $5.06 | — |
| Molina | MMP | $5.06 | — |
| Molina | MME | $5.06 | — |
| BCBS | BlueEssentialsAccess | $5.10 | — |
| Imperial Insurance Company | MCR | $5.10 | — |
| BCBS | BlueEssentials | $5.10 | — |
| BCBS | EPOSOA | $5.37 | — |
| Universal Healthcare Group | MCR | $5.57 | — |
| BCBS | PPO | $5.59 | — |
| Verda Health Plan | MGMCR | $6.03 | — |
| Bravo Health | MCRSNP | $6.96 | — |
| Bravo Health | MCRPOS | $6.96 | — |
| Bravo Health | MCRHMO | $6.96 | — |
| Bravo Health | MCRPPO | $6.96 | — |
| Bravo Health | MCRPFFS | $6.96 | — |
| Superior | ValueHMO | $8.31 | — |
| USA Managed Care | WORKERSCOMP | $8.82 | — |
| Corvel Corporation | WORKERSCOMP | $9.19 | — |
| Superior | EPO | $10.39 | — |
| Superior | HMO | $10.39 | — |
| Molina Healthcare | HIX | $12.16 | — |
| Humana | COMM | $26.25 | — |
Visitor-reported prices
Comments
Absorpt drg >16 <=48 without bdr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Smithville (Ascension Seton) | Smithville | $3.78 | $3.74 – $4.54 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $7.35 | $3.74 – $4.54 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $7.00 | $3.97 – $12.16 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $5.00 | $3.97 – $12.16 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $5.00 | $3.97 – $12.16 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $3.00 | $3.97 – $12.16 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $5.00 | $3.97 – $12.16 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills | $5.00 | $3.97 – $12.16 |