Reduction of procidentia 45900 at Texas Health Arlington Memorial Hospital
800 W Randol Mill Rd, Arlington, TX · Texashealth · · NPI 1174533343
$1,355.70
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.
$2,259.50
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.
$328.50 with Amerigroup vs $3,076.00 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $328.50 | ↓ -76% |
| Cook Childrens | Managed Medicaid | $328.50 | ↓ -76% |
| United Healthcare | Managed Medicaid | $328.50 | ↓ -76% |
| Parkland | Managed Medicaid | $328.50 | ↓ -76% |
| Blue Cross Blue Shield | Managed Medicaid | $328.50 | ↓ -76% |
| Superior Wellcare | Managed Medicaid | $344.93 | ↓ -75% |
| Molina | Managed Medicaid | $354.78 | ↓ -74% |
| Aetna | Managed Medicaid | $361.35 | ↓ -73% |
| Blue Cross Blue Shield | Exchange | $908.32 | ↓ -33% |
| American Health | Medicare Advantage | $935.73 | ↓ -31% |
| Blue Cross Blue Shield | Medicare Advantage | $935.73 | ↓ -31% |
| HealthSpring | Medicare Advantage | $954.45 | ↓ -30% |
| Humana | Medicare Advantage | $973.16 | ↓ -28% |
| Molina | Medicare Advantage | $982.52 | ↓ -28% |
| Amerigroup | Medicare Advantage | $982.52 | ↓ -28% |
| Superior Wellcare | Medicare Advantage HMO | $982.52 | ↓ -28% |
| Superior Wellcare | Medicare Advantage MMP | $1,029.31 | ↓ -24% |
| United Healthcare | Medicare Advantage PPO | $1,038.67 | ↓ -23% |
| United Healthcare | Medicare Advantage HMO | $1,057.38 | ↓ -22% |
| City of Fort Worth | Commercial | $1,061.97 | ↓ -22% |
| Aetna | Whole Health | $1,159.35 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $1,180.36 | ↓ -13% |
| Cigna | OAP/HMO | $1,249.05 | ↓ -8% |
| Quick Trip | Commercial | $1,355.70 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $1,434.78 | ↑ +6% |
| Aetna | Commercial | $1,545.72 | ↑ +14% |
| PHCS | PPO | $1,570.35 | ↑ +16% |
| Cigna | PPO | $1,574.87 | ↑ +16% |
| Aetna | ASA | $1,583.91 | ↑ +17% |
| Aetna | Coventry | $1,583.91 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $1,592.95 | ↑ +18% |
| Healthsmart | Commercial | $1,694.63 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $1,940.91 | ↑ +43% |
| Multiplan | Commercial | $1,965.77 | ↑ +45% |
| Galaxy | Commercial | $1,988.36 | ↑ +47% |
| USA | MCO | $1,988.36 | ↑ +47% |
| Cigna | Indemnity | $2,126.19 | ↑ +57% |
| United Healthcare | All Payer | $2,380.00 | ↑ +76% |
| United Healthcare Options | PPO | $3,076.00 | ↑ +127% |
Visitor-reported prices
Comments
Reduction of procidentia 45900 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Heart & Vascular Hospital Arlington | Arlington | $1,355.70 | $328.50 – $361.35 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,406.62 | $328.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $980.53 | $201.82 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,155.24 | $328.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,406.62 | $328.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $980.53 | $351.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $980.53 | $328.50 – $2,264.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,155.24 | $328.50 – $2,264.11 |