Carcinoembryonic ag (cea) 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.
$7.28 with Superior Health Plan vs $210.65 with Humana — 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 | $7.28 | — |
| Superior Health Plan | STARHealth | $7.28 | — |
| Superior Health Plan | MCDSTAR | $7.28 | — |
| Superior Health Plan | STARPLUS | $7.28 | — |
| Superior Health Plan | STARKids | $7.28 | — |
| Cook Childrens Health Plan | CHIP | $11.38 | — |
| Cook Childrens Health Plan | STAR | $11.38 | — |
| Cigna | IFP | $14.03 | — |
| Cigna | QHP | $14.55 | — |
| TEXAS HEALTH NETWORK | MCD | $15.69 | — |
| Amerigroup | CHIP | $15.93 | — |
| United | CHIP | $15.93 | — |
| Amerigroup | MGMCD | $15.93 | — |
| United | STAR | $15.93 | — |
| Parkland Community Health Plan | MCD | $15.93 | — |
| United | STARPerinate | $15.93 | — |
| United | STARPLUS | $15.93 | — |
| United | STARKids | $15.93 | — |
| Cigna Healthspring | MGMCD | $16.73 | — |
| Aetna Better Health | CHIP | $17.20 | — |
| Aetna Better Health | MCD | $17.20 | — |
| Molina | STAR+PLUS | $17.52 | — |
| Molina | STARKIDS | $17.52 | — |
| Molina | MCDSTAR | $17.52 | — |
| Molina | CHIP | $17.52 | — |
| WellMed | MGMCR | $18.87 | — |
| Amerigroup | DualEligible | $18.96 | — |
| Devoted Health | SNP | $18.96 | — |
| Devoted Health | HMO | $18.96 | — |
| Devoted Health | POS | $18.96 | — |
| Devoted Health | MCR | $18.96 | — |
| Devoted Health | MME | $18.96 | — |
| Humana | MGMCR | $18.96 | — |
| TriWest Veterans | FEDERAL | $18.96 | — |
| United | AllPayerAppendix | $18.96 | — |
| United | NarrowNetworkIndivExchange | $18.96 | — |
| United | SmallGroup | $18.96 | — |
| BCBS | MCRPPO | $18.96 | — |
| Mutual of Omaha | MGMCR | $18.96 | — |
| BCBS | MGMCRHMO | $18.96 | — |
| Devoted Health | PPO | $18.96 | — |
| United | MGMCR | $19.05 | — |
| Aetna | MCR | $19.12 | — |
| Care N Care | MGMCR | $19.15 | — |
| Cigna Healthspring | MGMCR | $19.34 | — |
| WellCare | MGMCR | $19.53 | — |
| Integranet | MGMCR | $19.53 | — |
| United | OptionsPPO | $19.54 | — |
| Unicare | CHIP | $19.75 | — |
| Superior Health Plan | MGMCRPPO | $19.91 | — |
| Superior Health Plan | MGMCRHMO | $19.91 | — |
| ProCare Advantge | MCR | $19.91 | — |
| Humana | MGMCD | $19.91 | — |
| American Health Plan of Texas, Inc. | MGMCR | $19.91 | — |
| Superior Health Plan | MGMCRSNP | $19.91 | — |
| Superior Health Plan | MGMCRPOS | $19.91 | — |
| Superior Health Plan | MGMCRPFFS | $19.91 | — |
| Superior Health Plan | MGMCRDualEligible | $19.91 | — |
| Texas Independent Health Plan | MGMCR | $20.10 | — |
| Provider Partners Health Plan | MCR | $20.10 | — |
| Humana | Tricare | $20.43 | — |
| Molina | MMP | $20.67 | — |
| Molina | MCR | $20.67 | — |
| Molina | MME | $20.67 | — |
| Imperial Insurance Company | MCR | $20.86 | — |
| TriWest Health Alliance | TRCR | $21.06 | — |
| Universal Healthcare Group | MCR | $22.75 | — |
| Aetna | QHPHIX | $24.13 | — |
| Verda Health Plan | MGMCR | $24.65 | — |
| Healthcare Highways | NarrowNetwork | $25.47 | — |
| Evry Health | COMM | $26.82 | — |
| Bravo Health | MCRPOS | $28.44 | — |
| Bravo Health | MCRHMO | $28.44 | — |
| Bravo Health | MCRPPO | $28.44 | — |
| Bravo Health | MCRPFFS | $28.44 | — |
| Bravo Health | MCRSNP | $28.44 | — |
| BCBS | MyBlueHealth | $33.18 | — |
| BCBS | BlueAdvantageHMO | $33.18 | — |
| Aetna | NewBusiness | $33.23 | — |
| Superior | ValueHMO | $33.94 | — |
| BCBS | BlueEssentials | $34.51 | — |
| BCBS | BlueEssentialsAccess | $34.51 | — |
| Healthcare Highways | CityofPlano | $35.14 | — |
| Aetna | Meritain | $35.39 | — |
| Aetna | COMM | $35.39 | — |
| USA Managed Care | WORKERSCOMP | $36.02 | — |
| BCBS | EPOSOA | $36.21 | — |
| BCBS | BluePremier | $36.78 | — |
| Corvel Corporation | WORKERSCOMP | $37.54 | — |
| BCBS | PPO | $37.92 | — |
| Aetna | OON | $41.65 | — |
| Superior | EPO | $42.47 | — |
| Superior | HMO | $42.47 | — |
| BCBS | Traditional | $46.15 | — |
| Fidelis SecureCare | MGMCR | $46.78 | — |
| City of McKinney | COMM | $46.78 | — |
| Oscar | HIX | $49.30 | — |
| Molina Healthcare | HIX | $49.68 | — |
| Global Sports Services | COMMPPO | $51.98 | — |
| National ChoiceCare | WCOMP | $51.98 | — |
| Aetna | ASA | $54.78 | — |
| Rockport Health Group | WORKERSCOMP | $57.17 | — |
| Aetna | WCOMP | $57.17 | — |
| PC Texas Partners | WCOMP | $57.17 | — |
| Physicians Coop of TX | MGMCR | $57.17 | — |
| Averde Health, Inc | PPO | $60.29 | — |
| Cigna | LocalPlus | $72.32 | — |
| Cigna | NewBusiness | $72.39 | — |
| Mega Life | MGMCRPPO | $72.77 | — |
| Coastal Comp Health Networks | WCOMP | $72.77 | — |
| Multiplan PHCS | PrimaryNetwork | $72.77 | — |
| HealthSmart Preferred Care | PPO | $73.80 | — |
| Aetna Coventry First Health | COMM | $75.57 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $77.96 | — |
| Cigna | OpenAccessPlus | $80.77 | — |
| Cigna | HMO | $80.77 | — |
| Cigna | NetworkBenefit | $80.77 | — |
| USC Health Services | COMM | $83.16 | — |
| USA Managed Care | COMM | $83.16 | — |
| Galaxy Health Network | PPO | $88.36 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $93.56 | — |
| Cigna | AllOther | $102.23 | — |
| Independent Medical Systems | COMM | $103.95 | — |
| Unicare | MCD | $103.95 | — |
| National Healthcare Solutions | COMM | $103.95 | — |
| Humana | COMM | $210.65 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Carcinoembryonic ag (cea) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $326.49 | $17.06 – $73.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $340.80 | $10.00 – $200.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $340.80 | $12.00 – $201.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $340.80 | $12.00 – $217.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $340.80 | $10.00 – $200.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $340.80 | $12.00 – $201.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $340.80 | $8.00 – $201.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $340.80 | $12.00 – $260.87 |