Clsd tx mandibular fx without manip 21450 at Texas Health Heart & Vascular Hospital Arlington

811 Wright Street, Arlington, TX · Texashealth · · NPI 1407169196

Source: hospital's published price file ↗ · Published Apr 21, 2026 · Ingested Sep 16, 2026

$523.95

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$873.25

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$250.84 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 →

Payer
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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
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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 $250.84 ↓ -52%
Cook Childrens Managed Medicaid $250.84 ↓ -52%
Amerigroup Managed Medicaid $250.84 ↓ -52%
United Healthcare Managed Medicaid $250.84 ↓ -52%
Superior Wellcare Managed Medicaid $263.38 ↓ -50%
Molina Managed Medicaid $270.91 ↓ -48%
Aetna Managed Medicaid $275.92 ↓ -47%
Blue Cross Blue Shield Exchange $275.95 ↓ -47%
Aetna Whole Health $370.08 ↓ -29%
City of Fort Worth Commercial $410.43 ↓ -22%
Fort Worth Firefighters Commercial $456.19 ↓ -13%
Cigna OAP/HMO $482.73 ↓ -8%
Aetna Commercial $493.39 ↓ -6%
Quick Trip Commercial $523.95 ↑ +0%
Blue Cross Blue Shield Medicare Advantage $542.68 ↑ +4%
American Health Medicare Advantage $542.68 ↑ +4%
HealthSpring Medicare Advantage $553.53 ↑ +6%
Blue Cross Blue Shield PPO $554.51 ↑ +6%
Blue Cross Blue Shield HMO $554.51 ↑ +6%
Humana Medicare Advantage $564.39 ↑ +8%
Humana Medicare Advantage PPO $564.39 ↑ +8%
Superior Wellcare Medicare Advantage HMO $569.81 ↑ +9%
Amerigroup Medicare Advantage $569.81 ↑ +9%
Molina Medicare Advantage $569.81 ↑ +9%
Superior Wellcare Medicare Advantage MMP $596.95 ↑ +14%
United Healthcare Medicare Advantage PPO $602.37 ↑ +15%
PHCS PPO $606.91 ↑ +16%
Cigna PPO $608.66 ↑ +16%
Aetna Coventry $612.15 ↑ +17%
Aetna ASA $612.15 ↑ +17%
United Healthcare Medicare Advantage HMO $613.23 ↑ +17%
Healthsmart Commercial $654.94 ↑ +25%
Blue Cross Blue Shield Traditional $750.12 ↑ +43%
Multiplan Commercial $759.73 ↑ +45%
Galaxy Commercial $768.46 ↑ +47%
USA MCO $768.46 ↑ +47%
Cigna Indemnity $821.73 ↑ +57%
United Healthcare All Payer $1,247.00 ↑ +138%
United Healthcare Options PPO $1,568.00 ↑ +199%

Visitor-reported prices

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Clsd tx mandibular fx without manip 21450 at other Texas hospitals

Hospital City Cash price Negotiated range
Texas Health Arlington Memorial Hospital Arlington $523.95 $250.84 – $275.92
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $777.86 $71.00 – $4,463.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $720.25 $71.00 – $4,463.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $777.86 $85.00 – $4,463.00
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $777.86 $250.84 – $1,363.00
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $720.25 $71.00 – $4,463.00
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $777.86 $71.00 – $4,463.00
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $777.86 $71.00 – $4,463.00

All Texas hospitals for this procedure →