Dialysis one evaluation 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.
$606.20 with Humana vs $11,843.80 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 |
|---|---|---|---|
| Humana | COMM | $606.20 | — |
| Superior Health Plan | STARHealth | $829.07 | — |
| Superior Health Plan | CHIP | $829.07 | — |
| Superior Health Plan | STARKids | $829.07 | — |
| Superior Health Plan | STARPLUS | $829.07 | — |
| Superior Health Plan | MCDSTAR | $829.07 | — |
| Cigna | IFP | $1,598.91 | — |
| Aetna | QHPHIX | $1,598.91 | — |
| Cigna | QHP | $1,658.13 | — |
| United | OptionsPPO | $2,226.63 | — |
| Unicare | CHIP | $2,250.32 | — |
| Imperial Insurance Company | MCR | $2,250.32 | — |
| Aetna | NewBusiness | $2,356.92 | — |
| Oscar | HIX | $2,463.51 | — |
| Aetna | Meritain | $2,522.73 | — |
| Aetna | COMM | $2,522.73 | — |
| Healthcare Highways | NarrowNetwork | $2,901.73 | — |
| BCBS | BlueAdvantageHMO | $2,925.42 | — |
| BCBS | MyBlueHealth | $2,925.42 | — |
| Aetna | OON | $2,972.79 | — |
| Evry Health | COMM | $3,055.70 | — |
| Cigna | LocalPlus | $3,126.76 | — |
| Cigna | NewBusiness | $3,126.76 | — |
| BCBS | BluePremier | $3,458.39 | — |
| Cigna | NetworkBenefit | $3,493.92 | — |
| Cigna | OpenAccessPlus | $3,493.92 | — |
| Cigna | HMO | $3,493.92 | — |
| BCBS | BlueEssentials | $3,778.17 | — |
| BCBS | BlueEssentialsAccess | $3,778.17 | — |
| BCBS | EPOSOA | $3,967.67 | — |
| Healthcare Highways | CityofPlano | $4,003.20 | — |
| BCBS | PPO | $4,145.33 | — |
| Cigna | AllOther | $4,417.74 | — |
| Curative Administrators | COMM | $4,737.52 | — |
| BCBS | Traditional | $5,258.65 | — |
| Fidelis SecureCare | MGMCR | $5,329.71 | — |
| City of McKinney | COMM | $5,329.71 | — |
| Global Sports Services | COMMPPO | $5,921.90 | — |
| National ChoiceCare | WCOMP | $5,921.90 | — |
| Aetna | ASA | $6,241.68 | — |
| Physicians Coop of TX | MGMCR | $6,514.09 | — |
| PC Texas Partners | WCOMP | $6,514.09 | — |
| Aetna | WCOMP | $6,514.09 | — |
| Rockport Health Group | WORKERSCOMP | $6,514.09 | — |
| Averde Health, Inc | PPO | $6,869.40 | — |
| Mega Life | MGMCRPPO | $8,290.66 | — |
| Multiplan PHCS | PrimaryNetwork | $8,290.66 | — |
| Coastal Comp Health Networks | WCOMP | $8,290.66 | — |
| HealthSmart Preferred Care | PPO | $8,409.10 | — |
| Aetna Coventry First Health | COMM | $8,610.44 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $8,882.85 | — |
| USC Health Services | COMM | $9,475.04 | — |
| USA Managed Care | COMM | $9,475.04 | — |
| Galaxy Health Network | PPO | $10,067.23 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $10,659.42 | — |
| Independent Medical Systems | COMM | $11,843.80 | — |
| Unicare | MCD | $11,843.80 | — |
| National Healthcare Solutions | COMM | $11,843.80 | — |
Visitor-reported prices
Comments
Dialysis one evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,775.84 | $398.20 – $2,219.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,775.84 | $365.53 – $2,663.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,775.84 | $355.17 – $2,219.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,775.84 | $398.20 – $2,219.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,775.84 | $398.20 – $2,663.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,775.84 | $917.52 – $2,663.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,775.84 | $398.20 – $2,663.77 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,775.84 | $398.20 – $2,219.80 |