Shrinker prosth below knee 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.
$40.25 with Superior Health Plan vs $575.00 with National Healthcare Solutions — 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 | MCDSTAR | $40.25 | — |
| Superior Health Plan | STARHealth | $40.25 | — |
| Superior Health Plan | CHIP | $40.25 | — |
| Superior Health Plan | STARKids | $40.25 | — |
| Superior Health Plan | STARPLUS | $40.25 | — |
| Humana | Tricare | $52.45 | — |
| BCBS | MGMCRHMO | $53.01 | — |
| BCBS | MCRPPO | $53.01 | — |
| WellMed | MGMCR | $53.80 | — |
| TriWest Health Alliance | TRCR | $54.07 | — |
| Devoted Health | HMO | $54.07 | — |
| Devoted Health | MCR | $54.07 | — |
| Amerigroup | DualEligible | $54.07 | — |
| United | MGMCR | $54.07 | — |
| Devoted Health | MME | $54.07 | — |
| Devoted Health | SNP | $54.07 | — |
| Humana | MGMCR | $54.07 | — |
| Mutual of Omaha | MGMCR | $54.07 | — |
| Devoted Health | PPO | $54.07 | — |
| Devoted Health | POS | $54.07 | — |
| Aetna | MCR | $54.53 | — |
| Care N Care | MGMCR | $54.61 | — |
| Cigna Healthspring | MGMCR | $55.15 | — |
| WellCare | MGMCR | $55.69 | — |
| Integranet | MGMCR | $55.69 | — |
| Superior Health Plan | MGMCRDualEligible | $56.77 | — |
| Superior Health Plan | MGMCRHMO | $56.77 | — |
| Superior Health Plan | MGMCRPPO | $56.77 | — |
| Superior Health Plan | MGMCRPFFS | $56.77 | — |
| Superior Health Plan | MGMCRPOS | $56.77 | — |
| Superior Health Plan | MGMCRSNP | $56.77 | — |
| ProCare Advantge | MCR | $56.77 | — |
| American Health Plan of Texas, Inc. | MGMCR | $56.77 | — |
| Texas Independent Health Plan | MGMCR | $57.31 | — |
| Provider Partners Health Plan | MCR | $57.31 | — |
| Molina | MME | $58.94 | — |
| Molina | MMP | $58.94 | — |
| Molina | MCR | $58.94 | — |
| Imperial Insurance Company | MCR | $59.48 | — |
| Universal Healthcare Group | MCR | $64.88 | — |
| Verda Health Plan | MGMCR | $70.29 | — |
| Cigna | IFP | $77.63 | — |
| Cigna | QHP | $80.50 | — |
| Bravo Health | MCRHMO | $81.11 | — |
| Bravo Health | MCRPFFS | $81.11 | — |
| Bravo Health | MCRPOS | $81.11 | — |
| Bravo Health | MCRPPO | $81.11 | — |
| Bravo Health | MCRSNP | $81.11 | — |
| Superior | ValueHMO | $96.79 | — |
| United | OptionsPPO | $101.20 | — |
| USA Managed Care | WORKERSCOMP | $102.73 | — |
| Corvel Corporation | WORKERSCOMP | $107.06 | — |
| Superior | EPO | $121.12 | — |
| Superior | HMO | $121.12 | — |
| Molina Healthcare | HIX | $141.66 | — |
| BCBS | BlueAdvantageHMO | $142.03 | — |
| BCBS | MyBlueHealth | $142.03 | — |
| Unicare | CHIP | $143.75 | — |
| Cigna | NewBusiness | $151.80 | — |
| Cigna | LocalPlus | $151.80 | — |
| Cigna | NetworkBenefit | $169.63 | — |
| Cigna | HMO | $169.63 | — |
| Cigna | OpenAccessPlus | $169.63 | — |
| BCBS | BlueEssentials | $183.43 | — |
| BCBS | BlueEssentialsAccess | $183.43 | — |
| BCBS | EPOSOA | $192.63 | — |
| Healthcare Highways | CityofPlano | $194.35 | — |
| BCBS | PPO | $201.25 | — |
| Cigna | AllOther | $214.47 | — |
| BCBS | Traditional | $255.30 | — |
| City of McKinney | COMM | $258.75 | — |
| National ChoiceCare | WCOMP | $287.50 | — |
| Aetna | ASA | $303.02 | — |
| Humana | COMM | $305.53 | — |
| PC Texas Partners | WCOMP | $316.25 | — |
| Aetna | WCOMP | $316.25 | — |
| Rockport Health Group | WORKERSCOMP | $316.25 | — |
| Physicians Coop of TX | MGMCR | $316.25 | — |
| Averde Health, Inc | PPO | $333.50 | — |
| USC Health Services | COMM | $345.00 | — |
| Jostens | WCOMP | $402.50 | — |
| Mega Life | MGMCRPPO | $402.50 | — |
| Aetna Coventry First Health | COMM | $419.75 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $431.25 | — |
| HealthSmart Preferred Care | PPO | $431.25 | — |
| USA Managed Care | COMM | $460.00 | — |
| Randalls Food Market | PPO | $460.00 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $460.00 | — |
| Galaxy Health Network | PPO | $488.75 | — |
| Unicare | MCD | $575.00 | — |
| Independent Medical Systems | COMM | $575.00 | — |
| National Healthcare Solutions | COMM | $575.00 | — |
Visitor-reported prices
Comments
Shrinker prosth below knee at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $152.40 | $8.52 – $62.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $152.40 | $8.28 – $55.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $152.40 | $13.29 – $215.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $152.40 | $21.39 – $62.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $152.40 | $13.80 – $215.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $152.40 | $8.28 – $215.90 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $152.40 | $10.35 – $215.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $152.40 | $7.59 – $215.90 |