Allograft umbil cord+amniotic membrane-q4148-cost per sq cm 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.
$124.58 with Humana vs $3,046.00 with Unicare — 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 |
|---|---|---|---|
| Humana | Tricare | $124.58 | — |
| TriWest Health Alliance | TRCR | $128.43 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| Superior Health Plan | STARPLUS | $213.22 | — |
| Superior Health Plan | MCDSTAR | $213.22 | — |
| Superior Health Plan | STARHealth | $213.22 | — |
| Superior Health Plan | CHIP | $213.22 | — |
| Superior Health Plan | STARKids | $213.22 | — |
| Cigna | IFP | $411.21 | — |
| Aetna | QHPHIX | $411.21 | — |
| Cigna | QHP | $426.44 | — |
| United | OptionsPPO | $536.10 | — |
| Aetna | NewBusiness | $606.15 | — |
| Aetna | COMM | $648.80 | — |
| Aetna | Meritain | $648.80 | — |
| BCBS | MyBlueHealth | $752.36 | — |
| BCBS | BlueAdvantageHMO | $752.36 | — |
| Unicare | CHIP | $761.50 | — |
| Cigna | LocalPlus | $762.79 | — |
| Cigna | NewBusiness | $763.55 | — |
| Aetna | OON | $764.55 | — |
| Cigna | OpenAccessPlus | $852.17 | — |
| Cigna | HMO | $852.17 | — |
| Cigna | NetworkBenefit | $852.17 | — |
| BCBS | BluePremier | $889.43 | — |
| BCBS | BlueEssentialsAccess | $971.67 | — |
| BCBS | BlueEssentials | $971.67 | — |
| BCBS | EPOSOA | $1,020.41 | — |
| Healthcare Highways | CityofPlano | $1,029.55 | — |
| BCBS | PPO | $1,066.10 | — |
| Cigna | AllOther | $1,078.07 | — |
| BCBS | Traditional | $1,352.42 | — |
| City of McKinney | COMM | $1,370.70 | — |
| National ChoiceCare | WCOMP | $1,523.00 | — |
| Aetna | ASA | $1,605.24 | — |
| Rockport Health Group | WORKERSCOMP | $1,675.30 | — |
| PC Texas Partners | WCOMP | $1,675.30 | — |
| Physicians Coop of TX | MGMCR | $1,675.30 | — |
| Aetna | WCOMP | $1,675.30 | — |
| Averde Health, Inc | PPO | $1,766.68 | — |
| USC Health Services | COMM | $1,827.60 | — |
| Coastal Comp Health Networks | WCOMP | $2,132.20 | — |
| Mega Life | MGMCRPPO | $2,132.20 | — |
| Jostens | WCOMP | $2,132.20 | — |
| Aetna Coventry First Health | COMM | $2,223.58 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,284.50 | — |
| HealthSmart Preferred Care | PPO | $2,284.50 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $2,436.80 | — |
| Randalls Food Market | PPO | $2,436.80 | — |
| USA Managed Care | COMM | $2,436.80 | — |
| Galaxy Health Network | PPO | $2,589.10 | — |
| Independent Medical Systems | COMM | $3,046.00 | — |
| National Healthcare Solutions | COMM | $3,046.00 | — |
| Unicare | MCD | $3,046.00 | — |
Visitor-reported prices
Comments
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $6,000.56 | $441.22 – $1,176.71 |
| Covenant Medical Center | Lubbock | $6,000.56 | $125.01 – $441.22 |
| Covenant Hospital Plainview | Plainview | $6,000.56 | not published |
| Covenant Hospital Levelland | Levelland | $6,000.56 | not published |
| Covenant Specialty Hospital | Lubbock | $6,000.56 | not published |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $128.43 – $305.07 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $128.43 – $305.07 |
| HCA HOUSTON CONROE | CONROE | not published | $209.78 – $305.07 |