Biopsy of heart lining at Texas Health Arlington Memorial Hospital
800 W Randol Mill Rd, Arlington, TX · Texashealth · · NPI 1174533343
$2,687.10
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.
$4,478.50
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.
$451.43 with Blue Cross Blue Shield vs $12,345.00 with United Healthcare Options — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $451.43 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $451.43 | ↓ -83% |
| Parkland | Managed Medicaid | $451.43 | ↓ -83% |
| United Healthcare | Managed Medicaid | $451.43 | ↓ -83% |
| Amerigroup | Managed Medicaid | $451.43 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $473.83 | ↓ -82% |
| Molina | Managed Medicaid | $487.71 | ↓ -82% |
| Aetna | Managed Medicaid | $496.67 | ↓ -82% |
| Blue Cross Blue Shield | Exchange | $1,298.77 | ↓ -52% |
| Aetna | Whole Health | $1,764.53 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $2,069.07 | ↓ -23% |
| City of Fort Worth | Commercial | $2,104.90 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $2,301.95 | ↓ -14% |
| Aetna | Commercial | $2,352.56 | ↓ -12% |
| Cigna | OAP/HMO | $2,475.71 | ↓ -8% |
| Quick Trip | Commercial | $2,687.10 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $2,734.12 | ↑ +2% |
| PHCS | PPO | $3,112.56 | ↑ +16% |
| Cigna | PPO | $3,121.51 | ↑ +16% |
| Aetna | Coventry | $3,139.43 | ↑ +17% |
| Aetna | ASA | $3,139.43 | ↑ +17% |
| Blue Cross Blue Shield | Medicare Advantage | $3,177.09 | ↑ +18% |
| American Health | Medicare Advantage | $3,177.09 | ↑ +18% |
| HealthSpring | Medicare Advantage | $3,240.64 | ↑ +21% |
| Humana | Medicare Advantage | $3,304.18 | ↑ +23% |
| Amerigroup | Medicare Advantage | $3,335.95 | ↑ +24% |
| Molina | Medicare Advantage | $3,335.95 | ↑ +24% |
| Superior Wellcare | Medicare Advantage HMO | $3,335.95 | ↑ +24% |
| Healthsmart | Commercial | $3,358.88 | ↑ +25% |
| Superior Wellcare | Medicare Advantage MMP | $3,494.80 | ↑ +30% |
| United Healthcare | Medicare Advantage PPO | $3,526.58 | ↑ +31% |
| United Healthcare | Medicare Advantage HMO | $3,590.12 | ↑ +34% |
| Blue Cross Blue Shield | Traditional | $3,694.76 | ↑ +37% |
| Multiplan | Commercial | $3,896.30 | ↑ +45% |
| Galaxy | Commercial | $3,941.08 | ↑ +47% |
| USA | MCO | $3,941.08 | ↑ +47% |
| Cigna | Indemnity | $4,214.27 | ↑ +57% |
| United Healthcare | All Payer | $9,560.00 | ↑ +256% |
| United Healthcare Options | PPO | $12,345.00 | ↑ +359% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Heart & Vascular Hospital Arlington | Arlington | $2,687.10 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,819.15 | $1,648.76 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,306.49 | $1,298.09 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,099.77 | $1,019.95 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,819.15 | $1,551.77 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,306.49 | $2,024.38 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,306.49 | $3,258.35 – $9,459.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,099.77 | $1,699.92 – $7,896.23 |