Absorpt drg >16 <=48 without bdr at Texas Health Arlington Memorial Hospital
800 W Randol Mill Rd, Arlington, TX · Texashealth · · NPI 1174533343
$260.76
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.
$434.60
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.
$0.77 with Amerigroup vs $7.16 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $0.77 | ↓ -100% |
| Cook Childrens | Managed Medicaid | $0.77 | ↓ -100% |
| United Healthcare | Managed Medicaid | $0.77 | ↓ -100% |
| Parkland | Managed Medicaid | $0.77 | ↓ -100% |
| Blue Cross Blue Shield | Managed Medicaid | $0.77 | ↓ -100% |
| Superior Wellcare | Managed Medicaid | $0.81 | ↓ -100% |
| Molina | Managed Medicaid | $0.83 | ↓ -100% |
| Aetna | Managed Medicaid | $0.84 | ↓ -100% |
| Blue Cross Blue Shield | Exchange | $2.21 | ↓ -99% |
| Aetna | Whole Health | $3.12 | ↓ -99% |
| Fort Worth Firefighters | Commercial | $3.34 | ↓ -99% |
| Blue Cross Blue Shield | HMO | $3.52 | ↓ -99% |
| City of Fort Worth | Commercial | $3.58 | ↓ -99% |
| Blue Cross Blue Shield | PPO | $3.91 | ↓ -99% |
| United Healthcare | All Payer | $3.94 | ↓ -98% |
| Aetna | Commercial | $4.17 | ↓ -98% |
| United Healthcare Options | PPO | $4.17 | ↓ -98% |
| Cigna | OAP/HMO | $4.21 | ↓ -98% |
| Blue Cross Blue Shield | Medicare Advantage | $4.55 | ↓ -98% |
| American Health | Medicare Advantage | $4.55 | ↓ -98% |
| Quick Trip | Commercial | $4.57 | ↓ -98% |
| HealthSpring | Medicare Advantage | $4.64 | ↓ -98% |
| Humana | Medicare Advantage | $4.73 | ↓ -98% |
| Molina | Medicare Advantage | $4.78 | ↓ -98% |
| Amerigroup | Medicare Advantage | $4.78 | ↓ -98% |
| Superior Wellcare | Medicare Advantage HMO | $4.78 | ↓ -98% |
| Superior Wellcare | Medicare Advantage MMP | $5.01 | ↓ -98% |
| United Healthcare | Medicare Advantage PPO | $5.05 | ↓ -98% |
| United Healthcare | Medicare Advantage HMO | $5.14 | ↓ -98% |
| PHCS | PPO | $5.29 | ↓ -98% |
| Cigna | PPO | $5.30 | ↓ -98% |
| Aetna | Coventry | $5.33 | ↓ -98% |
| Aetna | ASA | $5.33 | ↓ -98% |
| Healthsmart | Commercial | $5.71 | ↓ -98% |
| Blue Cross Blue Shield | Traditional | $6.28 | ↓ -98% |
| Multiplan | Commercial | $6.62 | ↓ -97% |
| USA | MCO | $6.70 | ↓ -97% |
| Galaxy | Commercial | $6.70 | ↓ -97% |
| Cigna | Indemnity | $7.16 | ↓ -97% |
Visitor-reported prices
Comments
Absorpt drg >16 <=48 without bdr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Smithville (Ascension Seton) | Smithville | $3.78 | $3.74 – $4.54 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $7.35 | $3.74 – $4.54 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $7.00 | $3.97 – $12.16 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $5.00 | $3.97 – $12.16 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $5.00 | $3.97 – $12.16 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $3.00 | $3.97 – $12.16 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $5.00 | $3.97 – $12.16 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills | $5.00 | $3.97 – $12.16 |