Autoimmune rheumatoid arthr anl 12 mrk ia 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.
$504.39 with Cook Childrens Health Plan vs $7,564.42 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $504.39 | — |
| Cook Childrens Health Plan | STAR | $504.39 | — |
| WellMed | MGMCR | $836.45 | — |
| Devoted Health | POS | $840.65 | — |
| Devoted Health | MCR | $840.65 | — |
| Devoted Health | MME | $840.65 | — |
| Devoted Health | PPO | $840.65 | — |
| Humana | MGMCR | $840.65 | — |
| Mutual of Omaha | MGMCR | $840.65 | — |
| Devoted Health | SNP | $840.65 | — |
| Devoted Health | HMO | $840.65 | — |
| United | AllPayerAppendix | $840.65 | — |
| United | MGMCR | $840.65 | — |
| United | NarrowNetworkIndivExchange | $840.65 | — |
| United | SmallGroup | $840.65 | — |
| Amerigroup | DualEligible | $840.65 | — |
| BCBS | MGMCRHMO | $840.65 | — |
| BCBS | MCRPPO | $840.65 | — |
| Aetna | MCR | $847.80 | — |
| Care N Care | MGMCR | $849.06 | — |
| Cigna Healthspring | MGMCR | $857.46 | — |
| Integranet | MGMCR | $865.87 | — |
| WellCare | MGMCR | $865.87 | — |
| American Health Plan of Texas, Inc. | MGMCR | $882.68 | — |
| Superior Health Plan | MGMCRPPO | $882.68 | — |
| Superior Health Plan | MGMCRDualEligible | $882.68 | — |
| Superior Health Plan | MGMCRPFFS | $882.68 | — |
| Superior Health Plan | MGMCRPOS | $882.68 | — |
| Superior Health Plan | MGMCRSNP | $882.68 | — |
| ProCare Advantge | MCR | $882.68 | — |
| Superior Health Plan | MGMCRHMO | $882.68 | — |
| Texas Independent Health Plan | MGMCR | $891.09 | — |
| Provider Partners Health Plan | MCR | $891.09 | — |
| Molina | MCR | $916.31 | — |
| Molina | MMP | $916.31 | — |
| Molina | MME | $916.31 | — |
| Imperial Insurance Company | MCR | $924.72 | — |
| Universal Healthcare Group | MCR | $1,008.78 | — |
| Aetna | QHPHIX | $1,069.31 | — |
| Verda Health Plan | MGMCR | $1,092.85 | — |
| Bravo Health | MCRPFFS | $1,260.97 | — |
| Bravo Health | MCRHMO | $1,260.97 | — |
| Bravo Health | MCRPOS | $1,260.97 | — |
| Bravo Health | MCRPPO | $1,260.97 | — |
| Bravo Health | MCRSNP | $1,260.97 | — |
| BCBS | BlueAdvantageHMO | $1,471.14 | — |
| BCBS | MyBlueHealth | $1,471.14 | — |
| Aetna | NewBusiness | $1,472.82 | — |
| Superior | ValueHMO | $1,504.76 | — |
| Aetna | COMM | $1,568.65 | — |
| Aetna | Meritain | $1,568.65 | — |
| USA Managed Care | WORKERSCOMP | $1,597.23 | — |
| Corvel Corporation | WORKERSCOMP | $1,664.49 | — |
| BCBS | BluePremier | $1,773.77 | — |
| Aetna | OON | $1,846.07 | — |
| Superior | HMO | $1,883.06 | — |
| Superior | EPO | $1,883.06 | — |
| BCBS | BlueEssentialsAccess | $2,076.41 | — |
| BCBS | BlueEssentials | $2,076.41 | — |
| BCBS | EPOSOA | $2,177.28 | — |
| Oscar | HIX | $2,185.69 | — |
| Molina Healthcare | HIX | $2,202.50 | — |
| BCBS | PPO | $2,278.16 | — |
| Cigna | LocalPlus | $3,203.59 | — |
| Cigna | NewBusiness | $3,206.78 | — |
| Cigna | HMO | $3,578.18 | — |
| Cigna | OpenAccessPlus | $3,578.18 | — |
| Cigna | NetworkBenefit | $3,578.18 | — |
| Cigna | AllOther | $4,528.63 | — |
| Humana | COMM | $7,564.42 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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Autoimmune rheumatoid arthr anl 12 mrk ia at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $357.79 | $35.00 – $1,807.40 |