Eval aud funcj ea addl 15 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.
$19.48 with Superior Health Plan vs $278.31 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $19.48 | — |
| Superior Health Plan | STARHealth | $19.48 | — |
| Superior Health Plan | MCDSTAR | $19.48 | — |
| Superior Health Plan | CHIP | $19.48 | — |
| Superior Health Plan | STARKids | $19.48 | — |
| Humana | COMM | $31.40 | — |
| Aetna | QHPHIX | $37.57 | — |
| Cigna | IFP | $37.57 | — |
| Cigna | QHP | $38.96 | — |
| BCBS | BluePremier | $43.38 | — |
| United | OptionsPPO | $48.98 | — |
| BCBS | BlueAdvantageHMO | $50.54 | — |
| BCBS | MyBlueHealth | $50.54 | — |
| Imperial Insurance Company | MCR | $52.88 | — |
| Aetna | NewBusiness | $55.38 | — |
| Oscar | HIX | $57.89 | — |
| Aetna | Meritain | $59.28 | — |
| Aetna | COMM | $59.28 | — |
| Unicare | CHIP | $69.58 | — |
| Aetna | OON | $69.86 | — |
| BCBS | BlueEssentialsAccess | $89.51 | — |
| BCBS | BlueEssentials | $89.51 | — |
| BCBS | EPOSOA | $93.92 | — |
| Healthcare Highways | CityofPlano | $94.07 | — |
| BCBS | PPO | $98.33 | — |
| BCBS | Traditional | $123.57 | — |
| City of McKinney | COMM | $125.24 | — |
| Fidelis SecureCare | MGMCR | $125.24 | — |
| National ChoiceCare | WCOMP | $139.16 | — |
| Aetna | ASA | $146.67 | — |
| Aetna | WCOMP | $153.07 | — |
| PC Texas Partners | WCOMP | $153.07 | — |
| Rockport Health Group | WORKERSCOMP | $153.07 | — |
| Physicians Coop of TX | MGMCR | $153.07 | — |
| Averde Health, Inc | PPO | $161.42 | — |
| USC Health Services | COMM | $166.99 | — |
| Coastal Comp Health Networks | WCOMP | $194.82 | — |
| Multiplan PHCS | PrimaryNetwork | $194.82 | — |
| Jostens | WCOMP | $194.82 | — |
| Mega Life | MGMCRPPO | $194.82 | — |
| Aetna Coventry First Health | COMM | $203.17 | — |
| HealthSmart Preferred Care | PPO | $208.73 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $208.73 | — |
| USA Managed Care | COMM | $222.65 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $222.65 | — |
| Randalls Food Market | PPO | $222.65 | — |
| Galaxy Health Network | PPO | $236.56 | — |
| Independent Medical Systems | COMM | $278.31 | — |
| National Healthcare Solutions | COMM | $278.31 | — |
| Unicare | MCD | $278.31 | — |
Visitor-reported prices
Comments
Eval aud funcj ea addl 15 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $95.40 | $19.64 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $95.40 | $19.08 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $95.40 | $30.62 – $157.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $95.40 | $49.29 – $157.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $95.40 | $31.80 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $95.40 | $19.08 – $157.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $95.40 | $23.85 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $95.40 | $17.49 – $157.00 |