Perq nl/pl lithotrp smpl<2cm 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.
$948.00 with Superior Health Plan vs $28,286.00 with Cigna — 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 | CHIP | $948.00 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Cigna | IFP | $1,443.44 | — |
| Cigna | QHP | $1,496.91 | — |
| United | OptionsPPO | $1,881.82 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Unicare | CHIP | $2,673.05 | — |
| TEXAS HEALTH NETWORK | MCD | $3,272.44 | — |
| United | STAR | $3,322.27 | — |
| Cook Childrens Health Plan | CHIP | $3,322.27 | — |
| United | STARPLUS | $3,322.27 | — |
| Cook Childrens Health Plan | STAR | $3,322.27 | — |
| United | CHIP | $3,322.27 | — |
| United | STARKids | $3,322.27 | — |
| Parkland Community Health Plan | MCD | $3,322.27 | — |
| United | STARPerinate | $3,322.27 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Amerigroup | MGMCD | $3,488.38 | — |
| Amerigroup | CHIP | $3,488.38 | — |
| Cigna Healthspring | MGMCD | $3,488.38 | — |
| Healthcare Highways | CityofPlano | $3,613.96 | — |
| Molina | STARKIDS | $3,654.50 | — |
| Molina | CHIP | $3,654.50 | — |
| Molina | STAR+PLUS | $3,654.50 | — |
| Molina | MCDSTAR | $3,654.50 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna Better Health | MCD | $3,986.72 | — |
| Aetna Better Health | CHIP | $3,986.72 | — |
| Humana | MGMCD | $4,152.84 | — |
| Aetna | OON | $4,332.00 | — |
| BCBS | Traditional | $4,747.33 | — |
| City of McKinney | COMM | $4,811.48 | — |
| National ChoiceCare | WCOMP | $5,346.09 | — |
| Aetna | ASA | $5,634.78 | — |
| Aetna | WCOMP | $5,880.70 | — |
| Physicians Coop of TX | MGMCR | $5,880.70 | — |
| PC Texas Partners | WCOMP | $5,880.70 | — |
| Rockport Health Group | WORKERSCOMP | $5,880.70 | — |
| Averde Health, Inc | PPO | $6,201.46 | — |
| USC Health Services | COMM | $6,415.31 | — |
| Healthcare Highways | NarrowNetwork | $7,300.00 | — |
| Jostens | WCOMP | $7,484.53 | — |
| Mega Life | MGMCRPPO | $7,484.53 | — |
| Multiplan PHCS | PrimaryNetwork | $7,484.53 | — |
| Coastal Comp Health Networks | WCOMP | $7,484.53 | — |
| Aetna Coventry First Health | COMM | $7,805.29 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $8,019.14 | — |
| HealthSmart Preferred Care | PPO | $8,019.14 | — |
| USA Managed Care | COMM | $8,553.74 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $8,553.74 | — |
| Oscar | HIX | $8,560.00 | — |
| United | NarrowNetworkIndivExchange | $8,629.00 | — |
| Galaxy Health Network | PPO | $9,088.35 | — |
| WellMed | MGMCR | $9,557.15 | — |
| Evry Health | COMM | $9,907.00 | — |
| United | SmallGroup | $10,460.00 | — |
| BCBS | BluePremier | $10,488.31 | — |
| Unicare | MCD | $10,692.18 | — |
| National Healthcare Solutions | COMM | $10,692.18 | — |
| Independent Medical Systems | COMM | $10,692.18 | — |
| Curative Administrators | COMM | $12,436.00 | — |
| United | AllPayerAppendix | $15,450.00 | — |
| BCBS | BlueAdvantageHMO | $18,636.92 | — |
| BCBS | MyBlueHealth | $18,636.92 | — |
| Cigna | LocalPlus | $20,013.00 | — |
| Cigna | NewBusiness | $20,033.00 | — |
| Cigna | HMO | $22,360.00 | — |
| Cigna | NetworkBenefit | $22,360.00 | — |
| Cigna | OpenAccessPlus | $22,360.00 | — |
| BCBS | BlueEssentials | $22,993.60 | — |
| BCBS | BlueEssentialsAccess | $22,993.60 | — |
| BCBS | EPOSOA | $24,123.11 | — |
| BCBS | PPO | $25,252.62 | — |
| Cigna | AllOther | $28,286.00 | — |
| Humana | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Perq nl/pl lithotrp smpl<2cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,060.20 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,413.21 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,060.20 | $85.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,060.20 | $3,322.27 – $22,821.27 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,413.21 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $7,060.20 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $7,060.20 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $7,413.21 | $71.00 – $22,821.27 |