Cyclosporine oral 100 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.
$1.96 with Humana vs $299.89 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Humana | Tricare | $1.96 | — |
| TriWest Health Alliance | TRCR | $2.02 | — |
| United | AllPayerAppendix | $2.99 | — |
| United | SmallGroup | $2.99 | — |
| United | NarrowNetworkIndivExchange | $2.99 | — |
| BCBS | BlueAdvantageHMO | $10.94 | — |
| BCBS | MyBlueHealth | $10.94 | — |
| Cigna | LocalPlus | $12.53 | — |
| Cigna | NewBusiness | $12.54 | — |
| Cigna | OpenAccessPlus | $13.99 | — |
| Cigna | HMO | $13.99 | — |
| Cigna | NetworkBenefit | $13.99 | — |
| BCBS | BlueEssentialsAccess | $16.01 | — |
| BCBS | BlueEssentials | $16.01 | — |
| BCBS | EPOSOA | $16.80 | — |
| BCBS | PPO | $17.59 | — |
| Cigna | AllOther | $17.70 | — |
| Humana | COMM | $18.24 | — |
| BCBS | BluePremier | $20.92 | — |
| Superior Health Plan | STARKids | $20.99 | — |
| Superior Health Plan | MCDSTAR | $20.99 | — |
| Superior Health Plan | CHIP | $20.99 | — |
| Superior Health Plan | STARPLUS | $20.99 | — |
| Superior Health Plan | STARHealth | $20.99 | — |
| Cigna | IFP | $40.49 | — |
| Aetna | QHPHIX | $40.49 | — |
| Cigna | QHP | $41.98 | — |
| United | OptionsPPO | $56.38 | — |
| Unicare | CHIP | $56.98 | — |
| Aetna | NewBusiness | $59.68 | — |
| Aetna | COMM | $63.88 | — |
| Aetna | Meritain | $63.88 | — |
| Aetna | OON | $75.27 | — |
| Healthcare Highways | CityofPlano | $101.36 | — |
| BCBS | Traditional | $133.15 | — |
| City of McKinney | COMM | $134.95 | — |
| Global Sports Services | COMMPPO | $149.94 | — |
| National ChoiceCare | WCOMP | $149.94 | — |
| Aetna | ASA | $158.04 | — |
| Rockport Health Group | WORKERSCOMP | $164.94 | — |
| Aetna | WCOMP | $164.94 | — |
| Physicians Coop of TX | MGMCR | $164.94 | — |
| PC Texas Partners | WCOMP | $164.94 | — |
| Averde Health, Inc | PPO | $173.94 | — |
| Coastal Comp Health Networks | WCOMP | $209.92 | — |
| Mega Life | MGMCRPPO | $209.92 | — |
| HealthSmart Preferred Care | PPO | $212.92 | — |
| Aetna Coventry First Health | COMM | $218.02 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $224.92 | — |
| USC Health Services | COMM | $239.91 | — |
| USA Managed Care | COMM | $239.91 | — |
| Galaxy Health Network | PPO | $254.91 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $269.90 | — |
| Unicare | MCD | $299.89 | — |
| Independent Medical Systems | COMM | $299.89 | — |
| National Healthcare Solutions | COMM | $299.89 | — |
Visitor-reported prices
Comments
Cyclosporine oral 100 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $42.33 | $12.20 – $12.20 |
| Covenant Children's Hospital | Lubbock | $34.88 | $7.24 – $12.66 |
| HCA HOUSTON CONROE | CONROE | $37.40 | $1.81 – $24.84 |
| St. Luke's Health Memorial Lufkin | Lufkin | $22.56 | $2.70 – $35.06 |
| HCA HOUSTON PEARLAND | Pearland | $87.30 | $2.02 – $24.84 |
| HCA HOUSTON SOUTHEAST | PASADENA | $146.97 | $2.02 – $24.84 |
| St. Luke's Health Memorial Livingston | Livingston | $22.56 | $2.70 – $35.06 |
| Covenant Medical Center | Lubbock | $105.63 | $7.24 – $19.09 |