Pr planning advance care 1st 30 minutes 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.
$36.20 with Humana vs $420.19 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 | $36.20 | — |
| BCBS | MCRPPO | $77.83 | — |
| BCBS | MGMCRHMO | $77.83 | — |
| WellMed | MGMCR | $84.41 | — |
| Humana | MGMCR | $84.83 | — |
| Devoted Health | HMO | $84.83 | — |
| United | MGMCR | $84.83 | — |
| Amerigroup | DualEligible | $84.83 | — |
| Mutual of Omaha | MGMCR | $84.83 | — |
| Devoted Health | POS | $84.83 | — |
| Devoted Health | MCR | $84.83 | — |
| Devoted Health | MME | $84.83 | — |
| Devoted Health | PPO | $84.83 | — |
| Devoted Health | SNP | $84.83 | — |
| Aetna | MCR | $85.55 | — |
| Care N Care | MGMCR | $85.68 | — |
| Cigna Healthspring | MGMCR | $86.53 | — |
| WellCare | MGMCR | $87.37 | — |
| Integranet | MGMCR | $87.37 | — |
| Superior Health Plan | MGMCRPFFS | $89.07 | — |
| Superior Health Plan | MGMCRHMO | $89.07 | — |
| Superior Health Plan | MGMCRPPO | $89.07 | — |
| Superior Health Plan | MGMCRDualEligible | $89.07 | — |
| American Health Plan of Texas, Inc. | MGMCR | $89.07 | — |
| Superior Health Plan | MGMCRPOS | $89.07 | — |
| Superior Health Plan | MGMCRSNP | $89.07 | — |
| ProCare Advantge | MCR | $89.07 | — |
| Texas Independent Health Plan | MGMCR | $89.92 | — |
| Provider Partners Health Plan | MCR | $89.92 | — |
| Molina | MCR | $92.46 | — |
| Molina | MMP | $92.46 | — |
| Molina | MME | $92.46 | — |
| Imperial Insurance Company | MCR | $93.31 | — |
| Universal Healthcare Group | MCR | $101.80 | — |
| Verda Health Plan | MGMCR | $110.28 | — |
| Bravo Health | MCRPOS | $127.25 | — |
| Bravo Health | MCRPFFS | $127.25 | — |
| Bravo Health | MCRSNP | $127.25 | — |
| Bravo Health | MCRHMO | $127.25 | — |
| Bravo Health | MCRPPO | $127.25 | — |
| Superior | ValueHMO | $151.85 | — |
| USA Managed Care | WORKERSCOMP | $161.18 | — |
| Corvel Corporation | WORKERSCOMP | $167.96 | — |
| BCBS | BluePremier | $185.35 | — |
| Superior | HMO | $190.02 | — |
| Superior | EPO | $190.02 | — |
| BCBS | BlueAdvantageHMO | $215.99 | — |
| BCBS | MyBlueHealth | $215.99 | — |
| Molina Healthcare | HIX | $222.25 | — |
| BCBS | BlueEssentialsAccess | $382.49 | — |
| BCBS | BlueEssentials | $382.49 | — |
| BCBS | EPOSOA | $401.34 | — |
| BCBS | PPO | $420.19 | — |
Visitor-reported prices
Comments
Pr planning advance care 1st 30 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $66.15 | $51.03 – $189.00 |
| St. Joseph Health Madison Hospital | Madisonville | $19.08 | $13.89 – $109.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $66.15 | $51.03 – $189.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $66.15 | $51.03 – $189.00 |
| St. Joseph Health College Station Hospital | College Station | $19.08 | $59.95 – $109.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $66.15 | $51.03 – $189.00 |
| St. Joseph Health Grimes Hospital | Navasota | $19.08 | $39.53 – $120.99 |
| St. Luke's Health - The Vintage Hospital | Houston | $66.15 | $51.03 – $189.00 |