Ph1 assmt&mgmt nqhp 21-30 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.
$9.66 with Humana vs $208.22 with BCBS — 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 | COMM | $9.66 | — |
| Humana | Tricare | $25.05 | — |
| TriWest Health Alliance | TRCR | $25.82 | — |
| BCBS | MGMCRHMO | $32.51 | — |
| BCBS | MCRPPO | $32.51 | — |
| WellMed | MGMCR | $34.04 | — |
| United | MGMCR | $34.21 | — |
| Amerigroup | DualEligible | $34.21 | — |
| Mutual of Omaha | MGMCR | $34.21 | — |
| Humana | MGMCR | $34.21 | — |
| Devoted Health | SNP | $34.21 | — |
| Devoted Health | HMO | $34.21 | — |
| Devoted Health | POS | $34.21 | — |
| Devoted Health | MCR | $34.21 | — |
| Devoted Health | MME | $34.21 | — |
| Devoted Health | PPO | $34.21 | — |
| Aetna | MCR | $34.50 | — |
| Care N Care | MGMCR | $34.55 | — |
| Cigna Healthspring | MGMCR | $34.89 | — |
| WellCare | MGMCR | $35.24 | — |
| Integranet | MGMCR | $35.24 | — |
| Superior Health Plan | MGMCRHMO | $35.92 | — |
| Superior Health Plan | MGMCRPPO | $35.92 | — |
| Superior Health Plan | MGMCRDualEligible | $35.92 | — |
| Superior Health Plan | MGMCRPFFS | $35.92 | — |
| Superior Health Plan | MGMCRPOS | $35.92 | — |
| Superior Health Plan | MGMCRSNP | $35.92 | — |
| American Health Plan of Texas, Inc. | MGMCR | $35.92 | — |
| ProCare Advantge | MCR | $35.92 | — |
| Texas Independent Health Plan | MGMCR | $36.26 | — |
| Provider Partners Health Plan | MCR | $36.26 | — |
| Molina | MCR | $37.29 | — |
| Molina | MME | $37.29 | — |
| Molina | MMP | $37.29 | — |
| Imperial Insurance Company | MCR | $37.63 | — |
| Universal Healthcare Group | MCR | $41.05 | — |
| Verda Health Plan | MGMCR | $44.47 | — |
| Bravo Health | MCRPFFS | $51.31 | — |
| Bravo Health | MCRPPO | $51.31 | — |
| Bravo Health | MCRSNP | $51.31 | — |
| Bravo Health | MCRHMO | $51.31 | — |
| Bravo Health | MCRPOS | $51.31 | — |
| Superior | ValueHMO | $61.24 | — |
| USA Managed Care | WORKERSCOMP | $65.00 | — |
| Corvel Corporation | WORKERSCOMP | $67.74 | — |
| Superior | EPO | $76.63 | — |
| Superior | HMO | $76.63 | — |
| Molina Healthcare | HIX | $89.63 | — |
| BCBS | BluePremier | $91.85 | — |
| BCBS | BlueAdvantageHMO | $107.03 | — |
| BCBS | MyBlueHealth | $107.03 | — |
| BCBS | BlueEssentials | $189.54 | — |
| BCBS | BlueEssentialsAccess | $189.54 | — |
| BCBS | EPOSOA | $198.88 | — |
| BCBS | PPO | $208.22 | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 21-30 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $87.78 | $24.87 – $124.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $92.30 | $19.00 – $138.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $87.78 | $17.56 – $117.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $87.78 | $23.41 – $124.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $92.30 | $29.63 – $143.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $92.30 | $47.69 – $138.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $87.78 | $29.26 – $131.67 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $87.78 | $23.41 – $124.36 |