Biopsy of lip 40490 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.
$63.27 with TEXAS HEALTH NETWORK vs $4,332.00 with Aetna — 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $63.27 | — |
| Parkland Community Health Plan | MCD | $64.23 | — |
| United | STARPerinate | $64.23 | — |
| United | STARPLUS | $64.23 | — |
| Cook Childrens Health Plan | CHIP | $64.23 | — |
| United | STARKids | $64.23 | — |
| United | STAR | $64.23 | — |
| Cook Childrens Health Plan | STAR | $64.23 | — |
| United | CHIP | $64.23 | — |
| Cigna Healthspring | MGMCD | $67.44 | — |
| Amerigroup | CHIP | $67.44 | — |
| Amerigroup | MGMCD | $67.44 | — |
| Molina | CHIP | $70.65 | — |
| Molina | STAR+PLUS | $70.65 | — |
| Molina | STARKIDS | $70.65 | — |
| Molina | MCDSTAR | $70.65 | — |
| Aetna Better Health | MCD | $77.08 | — |
| Aetna Better Health | CHIP | $77.08 | — |
| Humana | MGMCD | $80.29 | — |
| BCBS | BluePremier | $104.16 | — |
| WellMed | MGMCR | $239.12 | — |
| BCBS | BlueAdvantageHMO | $346.92 | — |
| BCBS | MyBlueHealth | $346.92 | — |
| Humana | COMM | $379.29 | — |
| BCBS | BlueEssentialsAccess | $446.27 | — |
| BCBS | BlueEssentials | $446.27 | — |
| BCBS | EPOSOA | $468.70 | — |
| BCBS | PPO | $490.33 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| United | SmallGroup | $1,454.00 | — |
| Cigna | LocalPlus | $1,572.00 | — |
| Cigna | NewBusiness | $1,574.00 | — |
| United | NarrowNetworkIndivExchange | $1,628.00 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| Cigna | OpenAccessPlus | $1,757.00 | — |
| Cigna | HMO | $1,757.00 | — |
| Cigna | NetworkBenefit | $1,757.00 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| Cigna | AllOther | $2,222.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Oscar | HIX | $2,636.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
Visitor-reported prices
Comments
Biopsy of lip 40490 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $594.71 | $68.73 – $892.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $579.03 | $64.23 – $723.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $594.71 | $68.73 – $892.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $594.71 | $64.23 – $892.07 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $579.03 | $64.23 – $868.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $594.71 | $64.23 – $743.39 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $594.71 | $64.23 – $892.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $579.03 | $64.23 – $868.54 |