Decalcification 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.
$8.72 with United vs $525.80 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 |
|---|---|---|---|
| United | AllPayerAppendix | $8.72 | — |
| United | SmallGroup | $8.72 | — |
| United | NarrowNetworkIndivExchange | $8.72 | — |
| Aetna | QHPHIX | $11.09 | — |
| Aetna | NewBusiness | $15.27 | — |
| BCBS | BlueAdvantageHMO | $15.77 | — |
| BCBS | MyBlueHealth | $15.77 | — |
| Aetna | COMM | $16.27 | — |
| Aetna | Meritain | $16.27 | — |
| BCBS | BlueEssentialsAccess | $16.40 | — |
| BCBS | BlueEssentials | $16.40 | — |
| BCBS | EPOSOA | $17.21 | — |
| BCBS | BluePremier | $17.48 | — |
| BCBS | PPO | $18.02 | — |
| Aetna | OON | $19.14 | — |
| Cigna | LocalPlus | $32.01 | — |
| Cigna | NewBusiness | $32.04 | — |
| Cigna | OpenAccessPlus | $35.75 | — |
| Cigna | NetworkBenefit | $35.75 | — |
| Cigna | HMO | $35.75 | — |
| Superior Health Plan | STARPLUS | $36.81 | — |
| Superior Health Plan | STARHealth | $36.81 | — |
| Superior Health Plan | STARKids | $36.81 | — |
| Superior Health Plan | CHIP | $36.81 | — |
| Superior Health Plan | MCDSTAR | $36.81 | — |
| Cigna | AllOther | $45.25 | — |
| Cigna | IFP | $70.98 | — |
| Cigna | QHP | $73.61 | — |
| Humana | COMM | $78.56 | — |
| United | OptionsPPO | $98.85 | — |
| Imperial Insurance Company | MCR | $99.90 | — |
| Unicare | CHIP | $99.90 | — |
| Oscar | HIX | $109.37 | — |
| Healthcare Highways | NarrowNetwork | $128.82 | — |
| Evry Health | COMM | $135.66 | — |
| Healthcare Highways | CityofPlano | $177.72 | — |
| BCBS | Traditional | $233.46 | — |
| Fidelis SecureCare | MGMCR | $236.61 | — |
| City of McKinney | COMM | $236.61 | — |
| National ChoiceCare | WCOMP | $262.90 | — |
| Global Sports Services | COMMPPO | $262.90 | — |
| Aetna | ASA | $277.10 | — |
| Physicians Coop of TX | MGMCR | $289.19 | — |
| Aetna | WCOMP | $289.19 | — |
| PC Texas Partners | WCOMP | $289.19 | — |
| Rockport Health Group | WORKERSCOMP | $289.19 | — |
| Averde Health, Inc | PPO | $304.96 | — |
| Mega Life | MGMCRPPO | $368.06 | — |
| Coastal Comp Health Networks | WCOMP | $368.06 | — |
| Multiplan PHCS | PrimaryNetwork | $368.06 | — |
| HealthSmart Preferred Care | PPO | $373.32 | — |
| Aetna Coventry First Health | COMM | $382.26 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $394.35 | — |
| USA Managed Care | COMM | $420.64 | — |
| USC Health Services | COMM | $420.64 | — |
| Galaxy Health Network | PPO | $446.93 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $473.22 | — |
| Independent Medical Systems | COMM | $525.80 | — |
| Unicare | MCD | $525.80 | — |
| National Healthcare Solutions | COMM | $525.80 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Decalcification at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $127.58 | $34.69 – $34.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $88.31 | $10.00 – $125.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $94.87 | $12.00 – $142.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $91.04 | $12.00 – $113.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $88.31 | $10.00 – $125.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $94.87 | $12.00 – $142.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $94.87 | $8.00 – $142.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $91.04 | $12.00 – $136.57 |