Consultation pathology during surgery frozen section first tissue block 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.
$53.98 with Aetna vs $952.21 with Unicare — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $53.98 | — |
| Superior Health Plan | MCDSTAR | $66.65 | — |
| Superior Health Plan | STARHealth | $66.65 | — |
| Superior Health Plan | CHIP | $66.65 | — |
| Superior Health Plan | STARKids | $66.65 | — |
| Superior Health Plan | STARPLUS | $66.65 | — |
| Aetna | NewBusiness | $74.34 | — |
| Aetna | Meritain | $79.18 | — |
| Aetna | COMM | $79.18 | — |
| Aetna | OON | $93.18 | — |
| Cigna | IFP | $128.55 | — |
| Cigna | QHP | $133.31 | — |
| United | SmallGroup | $149.16 | — |
| United | NarrowNetworkIndivExchange | $149.16 | — |
| United | AllPayerAppendix | $149.16 | — |
| Cigna | LocalPlus | $158.55 | — |
| Cigna | NewBusiness | $158.71 | — |
| Cigna | HMO | $177.09 | — |
| Cigna | NetworkBenefit | $177.09 | — |
| Cigna | OpenAccessPlus | $177.09 | — |
| United | OptionsPPO | $179.02 | — |
| Unicare | CHIP | $180.92 | — |
| Oscar | HIX | $198.06 | — |
| Cigna | AllOther | $224.14 | — |
| Healthcare Highways | NarrowNetwork | $233.29 | — |
| Evry Health | COMM | $245.67 | — |
| BCBS | BlueAdvantageHMO | $251.13 | — |
| BCBS | MyBlueHealth | $251.13 | — |
| BCBS | BlueEssentials | $261.17 | — |
| BCBS | BlueEssentialsAccess | $261.17 | — |
| BCBS | EPOSOA | $274.08 | — |
| BCBS | BluePremier | $278.39 | — |
| Humana | COMM | $279.13 | — |
| BCBS | PPO | $287.00 | — |
| Healthcare Highways | CityofPlano | $321.85 | — |
| BCBS | Traditional | $422.78 | — |
| Fidelis SecureCare | MGMCR | $428.49 | — |
| City of McKinney | COMM | $428.49 | — |
| Global Sports Services | COMMPPO | $476.11 | — |
| National ChoiceCare | WCOMP | $476.11 | — |
| Aetna | ASA | $501.81 | — |
| PC Texas Partners | WCOMP | $523.72 | — |
| Aetna | WCOMP | $523.72 | — |
| Rockport Health Group | WORKERSCOMP | $523.72 | — |
| Physicians Coop of TX | MGMCR | $523.72 | — |
| Averde Health, Inc | PPO | $552.28 | — |
| Mega Life | MGMCRPPO | $666.55 | — |
| Coastal Comp Health Networks | WCOMP | $666.55 | — |
| Multiplan PHCS | PrimaryNetwork | $666.55 | — |
| HealthSmart Preferred Care | PPO | $676.07 | — |
| Aetna Coventry First Health | COMM | $692.26 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $714.16 | — |
| USA Managed Care | COMM | $761.77 | — |
| USC Health Services | COMM | $761.77 | — |
| Galaxy Health Network | PPO | $809.38 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $856.99 | — |
| Independent Medical Systems | COMM | $952.21 | — |
| National Healthcare Solutions | COMM | $952.21 | — |
| Unicare | MCD | $952.21 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section first tissue block at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $297.87 | $35.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $282.52 | $36.00 – $423.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $210.80 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $297.87 | $35.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $282.52 | $36.00 – $423.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $282.52 | $26.00 – $423.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $210.80 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $297.87 | $35.00 – $423.12 |