Clozapine, 25 mg 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.
$0.30 with Superior Health Plan vs $7.23 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 | $0.30 | — |
| Superior Health Plan | STARPLUS | $0.30 | — |
| Superior Health Plan | STARHealth | $0.30 | — |
| Superior Health Plan | MCDSTAR | $0.30 | — |
| Superior Health Plan | STARKids | $0.30 | — |
| Aetna | QHPHIX | $0.58 | — |
| Cigna | IFP | $0.58 | — |
| Cigna | QHP | $0.60 | — |
| United | OptionsPPO | $0.81 | — |
| Unicare | CHIP | $0.82 | — |
| Superior | EPO | $0.86 | — |
| Aetna | NewBusiness | $0.86 | — |
| Superior | ValueHMO | $0.86 | — |
| Superior | HMO | $0.86 | — |
| Aetna | Meritain | $0.92 | — |
| Aetna | COMM | $0.92 | — |
| Aetna | OON | $1.08 | — |
| Molina Healthcare | HIX | $1.08 | — |
| Healthcare Highways | CityofPlano | $1.46 | — |
| BCBS | MyBlueHealth | $1.62 | — |
| BCBS | BlueAdvantageHMO | $1.62 | — |
| BCBS | Traditional | $1.92 | — |
| City of McKinney | COMM | $1.94 | — |
| National ChoiceCare | WCOMP | $2.16 | — |
| Global Sports Services | COMMPPO | $2.16 | — |
| BCBS | BlueEssentials | $2.37 | — |
| BCBS | BlueEssentialsAccess | $2.37 | — |
| Rockport Health Group | WORKERSCOMP | $2.38 | — |
| Aetna | WCOMP | $2.38 | — |
| Physicians Coop of TX | MGMCR | $2.38 | — |
| PC Texas Partners | WCOMP | $2.38 | — |
| BCBS | EPOSOA | $2.49 | — |
| Averde Health, Inc | PPO | $2.51 | — |
| BCBS | PPO | $2.61 | — |
| Mega Life | MGMCRPPO | $3.02 | — |
| Coastal Comp Health Networks | WCOMP | $3.02 | — |
| HealthSmart Preferred Care | PPO | $3.07 | — |
| BCBS | BluePremier | $3.10 | — |
| Aetna Coventry First Health | COMM | $3.14 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.24 | — |
| USA Managed Care | COMM | $3.46 | — |
| USC Health Services | COMM | $3.46 | — |
| Galaxy Health Network | PPO | $3.67 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $3.89 | — |
| Cigna | LocalPlus | $3.99 | — |
| Cigna | NewBusiness | $4.00 | — |
| National Healthcare Solutions | COMM | $4.32 | — |
| Independent Medical Systems | COMM | $4.32 | — |
| Unicare | MCD | $4.32 | — |
| Cigna | OpenAccessPlus | $4.46 | — |
| Cigna | NetworkBenefit | $4.46 | — |
| Cigna | HMO | $4.46 | — |
| Cigna | AllOther | $5.64 | — |
| Humana | COMM | $7.23 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Clozapine, 25 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $18.67 | $1.62 – $7.23 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $4.99 | $1.62 – $7.23 |
| Adventhealth Rollins Brook | Lampasas | not published | $1.81 – $1.81 |
| CHRISTUS Children's Hospital | San Antonio | not published | $2.71 – $2.71 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.92 – $9.84 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.92 – $9.84 |
| Covenant Children's Hospital | Lubbock | not published | $1.76 – $1.88 |
| HCA HOUSTON CONROE | CONROE | not published | $0.92 – $9.84 |