Fine needle aspiration biopsy without img gdn; ea addtl 10004 at Texas Health Arlington Memorial Hospital
800 W Randol Mill Rd, Arlington, TX · Texashealth · · NPI 1174533343
$132.60
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.
$221.00
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.
$22.28 with Blue Cross Blue Shield vs $1,568.00 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 | $22.28 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $22.28 | ↓ -83% |
| Parkland | Managed Medicaid | $22.28 | ↓ -83% |
| United Healthcare | Managed Medicaid | $22.28 | ↓ -83% |
| Amerigroup | Managed Medicaid | $22.28 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $23.38 | ↓ -82% |
| Molina | Managed Medicaid | $24.07 | ↓ -82% |
| Aetna | Managed Medicaid | $24.51 | ↓ -82% |
| American Health | Medicare Advantage | $52.46 | ↓ -60% |
| Blue Cross Blue Shield | Medicare Advantage | $52.46 | ↓ -60% |
| HealthSpring | Medicare Advantage | $53.51 | ↓ -60% |
| Humana | Medicare Advantage | $54.56 | ↓ -59% |
| Amerigroup | Medicare Advantage | $55.09 | ↓ -58% |
| Molina | Medicare Advantage | $55.09 | ↓ -58% |
| Superior Wellcare | Medicare Advantage HMO | $55.09 | ↓ -58% |
| Superior Wellcare | Medicare Advantage MMP | $57.71 | ↓ -56% |
| United Healthcare | Medicare Advantage PPO | $58.23 | ↓ -56% |
| United Healthcare | Medicare Advantage HMO | $59.28 | ↓ -55% |
| Blue Cross Blue Shield | Exchange | $88.84 | ↓ -33% |
| City of Fort Worth | Commercial | $103.87 | ↓ -22% |
| Aetna | Whole Health | $113.40 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $115.45 | ↓ -13% |
| Cigna | OAP/HMO | $122.17 | ↓ -8% |
| Quick Trip | Commercial | $132.60 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $140.34 | ↑ +6% |
| Aetna | Commercial | $151.19 | ↑ +14% |
| PHCS | PPO | $153.60 | ↑ +16% |
| Cigna | PPO | $154.04 | ↑ +16% |
| Aetna | Coventry | $154.92 | ↑ +17% |
| Aetna | ASA | $154.92 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $155.81 | ↑ +18% |
| Healthsmart | Commercial | $165.75 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $189.84 | ↑ +43% |
| Multiplan | Commercial | $192.27 | ↑ +45% |
| USA | MCO | $194.48 | ↑ +47% |
| Galaxy | Commercial | $194.48 | ↑ +47% |
| Cigna | Indemnity | $207.96 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +840% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +1083% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy without img gdn; ea addtl 10004 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Heart & Vascular Hospital Arlington | Arlington | not published | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $210.73 | $59.71 – $298.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $227.59 | $46.84 – $341.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $227.17 | $45.43 – $283.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $210.73 | $56.19 – $298.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $227.59 | $73.06 – $341.38 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $227.59 | $117.59 – $341.38 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $227.17 | $71.00 – $340.76 |