C-1 esterase, berinert at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
not published by hospital
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.
not published by hospital
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.
$38.43 with Superior Health Plan vs $648.75 with Cigna — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $38.43 | — |
| Superior Health Plan | STARHealth | $38.43 | — |
| Superior Health Plan | MCDSTAR | $38.43 | — |
| Superior Health Plan | STARPLUS | $38.43 | — |
| Superior Health Plan | STARKids | $38.43 | — |
| Humana | Tricare | $70.10 | — |
| TriWest Health Alliance | TRCR | $72.27 | — |
| Aetna | QHPHIX | $74.12 | — |
| Cigna | IFP | $74.12 | — |
| Cigna | QHP | $76.87 | — |
| United | OptionsPPO | $103.22 | — |
| Unicare | CHIP | $104.32 | — |
| Aetna | NewBusiness | $109.26 | — |
| Aetna | Meritain | $116.95 | — |
| Aetna | COMM | $116.95 | — |
| United | SmallGroup | $125.17 | — |
| United | AllPayerAppendix | $125.17 | — |
| United | NarrowNetworkIndivExchange | $125.17 | — |
| Aetna | OON | $137.81 | — |
| Healthcare Highways | CityofPlano | $185.58 | — |
| BCBS | BlueAdvantageHMO | $203.90 | — |
| BCBS | MyBlueHealth | $203.90 | — |
| BCBS | Traditional | $243.78 | — |
| City of McKinney | COMM | $247.07 | — |
| National ChoiceCare | WCOMP | $274.52 | — |
| Global Sports Services | COMMPPO | $274.52 | — |
| Aetna | ASA | $289.35 | — |
| BCBS | BlueEssentialsAccess | $298.45 | — |
| BCBS | BlueEssentials | $298.45 | — |
| Physicians Coop of TX | MGMCR | $301.98 | — |
| Rockport Health Group | WORKERSCOMP | $301.98 | — |
| Aetna | WCOMP | $301.98 | — |
| PC Texas Partners | WCOMP | $301.98 | — |
| BCBS | EPOSOA | $313.23 | — |
| Averde Health, Inc | PPO | $318.45 | — |
| BCBS | PPO | $328.00 | — |
| Humana | COMM | $350.10 | — |
| Mega Life | MGMCRPPO | $384.33 | — |
| Coastal Comp Health Networks | WCOMP | $384.33 | — |
| HealthSmart Preferred Care | PPO | $389.83 | — |
| BCBS | BluePremier | $390.06 | — |
| Aetna Coventry First Health | COMM | $399.16 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $411.79 | — |
| USC Health Services | COMM | $439.24 | — |
| USA Managed Care | COMM | $439.24 | — |
| Cigna | LocalPlus | $459.03 | — |
| Cigna | NewBusiness | $459.48 | — |
| Galaxy Health Network | PPO | $466.69 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $494.14 | — |
| Cigna | NetworkBenefit | $512.81 | — |
| Cigna | OpenAccessPlus | $512.81 | — |
| Cigna | HMO | $512.81 | — |
| Independent Medical Systems | COMM | $549.05 | — |
| National Healthcare Solutions | COMM | $549.05 | — |
| Unicare | MCD | $549.05 | — |
| Cigna | AllOther | $648.75 | — |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $7,322.76 | $72.25 – $9,153.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,322.76 | $83.32 – $10,984.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,322.76 | $72.25 – $9,153.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $7,322.76 | $72.25 – $9,153.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,322.76 | $72.25 – $10,984.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,322.76 | $83.66 – $10,984.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,322.76 | $72.25 – $10,984.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $7,322.76 | $72.25 – $9,153.45 |