Drainage of rectal abscess 45020 at Texas Health Heart & Vascular Hospital Arlington
811 Wright Street, Arlington, TX · Texashealth · · NPI 1407169196
$4,168.80
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.
?
What you pay up front if you don't use insurance.
$6,948.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$939.93 with Blue Cross Blue Shield vs $6,538.07 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $939.93 | ↓ -77% |
| Cook Childrens | Managed Medicaid | $939.93 | ↓ -77% |
| Amerigroup | Managed Medicaid | $939.93 | ↓ -77% |
| United Healthcare | Managed Medicaid | $939.93 | ↓ -77% |
| Superior Wellcare | Managed Medicaid | $986.93 | ↓ -76% |
| Molina | Managed Medicaid | $1,015.12 | ↓ -76% |
| Aetna | Managed Medicaid | $1,033.92 | ↓ -75% |
| Blue Cross Blue Shield | Exchange | $2,195.57 | ↓ -47% |
| Fort Worth Firefighters | Commercial | $2,319.00 | ↓ -44% |
| American Health | Medicare Advantage | $2,792.90 | ↓ -33% |
| Blue Cross Blue Shield | Medicare Advantage | $2,792.90 | ↓ -33% |
| HealthSpring | Medicare Advantage | $2,848.76 | ↓ -32% |
| Humana | Medicare Advantage | $2,904.62 | ↓ -30% |
| Humana | Medicare Advantage PPO | $2,904.62 | ↓ -30% |
| United Healthcare | All Payer | $2,923.00 | ↓ -30% |
| Superior Wellcare | Medicare Advantage HMO | $2,932.55 | ↓ -30% |
| Molina | Medicare Advantage | $2,932.55 | ↓ -30% |
| Amerigroup | Medicare Advantage | $2,932.55 | ↓ -30% |
| Aetna | Whole Health | $2,944.56 | ↓ -29% |
| Superior Wellcare | Medicare Advantage MMP | $3,072.19 | ↓ -26% |
| United Healthcare | Medicare Advantage PPO | $3,100.12 | ↓ -26% |
| United Healthcare | Medicare Advantage HMO | $3,155.98 | ↓ -24% |
| City of Fort Worth | Commercial | $3,265.56 | ↓ -22% |
| United Healthcare Options | PPO | $3,751.00 | ↓ -10% |
| Cigna | OAP/HMO | $3,840.85 | ↓ -8% |
| Aetna | Commercial | $3,925.62 | ↓ -6% |
| Quick Trip | Commercial | $4,168.80 | ↑ +0% |
| Blue Cross Blue Shield | PPO | $4,411.98 | ↑ +6% |
| Blue Cross Blue Shield | HMO | $4,411.98 | ↑ +6% |
| PHCS | PPO | $4,828.86 | ↑ +16% |
| Cigna | PPO | $4,842.76 | ↑ +16% |
| Aetna | ASA | $4,870.55 | ↑ +17% |
| Aetna | Coventry | $4,870.55 | ↑ +17% |
| Healthsmart | Commercial | $5,211.00 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $5,968.33 | ↑ +43% |
| Multiplan | Commercial | $6,044.76 | ↑ +45% |
| Galaxy | Commercial | $6,114.24 | ↑ +47% |
| USA | MCO | $6,114.24 | ↑ +47% |
| Cigna | Indemnity | $6,538.07 | ↑ +57% |
Visitor-reported prices
Comments
Drainage of rectal abscess 45020 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Arlington Memorial Hospital | Arlington | $4,168.80 | $939.93 – $1,033.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,556.37 | $320.35 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,556.37 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,556.37 | $1,005.73 – $6,955.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,556.37 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,556.37 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,556.37 | $856.00 – $6,955.62 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,556.37 | $907.88 – $6,955.62 |