Endoluminal bx biliary tree at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$4,826.54
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.
$4,826.54
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.
$651.58 with Cigna vs $4,826.54 with Independent Medical Systems — 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 |
|---|---|---|---|
| Cigna | IFP | $651.58 | ↓ -87% |
| Cigna | QHP | $675.72 | ↓ -86% |
| United | OptionsPPO | $907.39 | ↓ -81% |
| Unicare | CHIP | $917.04 | ↓ -81% |
| Imperial Insurance Company | MCR | $917.04 | ↓ -81% |
| Superior Health Plan | MCDSTAR | $948.00 | ↓ -80% |
| Superior Health Plan | CHIP | $948.00 | ↓ -80% |
| Superior Health Plan | STARKids | $948.00 | ↓ -80% |
| Superior Health Plan | STARPLUS | $948.00 | ↓ -80% |
| Superior Health Plan | STARHealth | $948.00 | ↓ -80% |
| BCBS | MyBlueHealth | $1,192.16 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $1,192.16 | ↓ -75% |
| Cigna | NewBusiness | $1,274.21 | ↓ -74% |
| Cigna | LocalPlus | $1,274.21 | ↓ -74% |
| BCBS | BluePremier | $1,409.35 | ↓ -71% |
| Cigna | HMO | $1,423.83 | ↓ -70% |
| Cigna | OpenAccessPlus | $1,423.83 | ↓ -70% |
| Cigna | NetworkBenefit | $1,423.83 | ↓ -70% |
| United | SmallGroup | $1,454.00 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $1,539.67 | ↓ -68% |
| BCBS | BlueEssentials | $1,539.67 | ↓ -68% |
| BCBS | EPOSOA | $1,616.89 | ↓ -67% |
| Healthcare Highways | CityofPlano | $1,631.37 | ↓ -66% |
| Curative Administrators | COMM | $1,672.00 | ↓ -65% |
| BCBS | PPO | $1,689.29 | ↓ -65% |
| Cigna | AllOther | $1,800.30 | ↓ -63% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -59% |
| Healthcare Highways | NarrowNetwork | $2,069.00 | ↓ -57% |
| BCBS | Traditional | $2,142.98 | ↓ -56% |
| City of McKinney | COMM | $2,171.94 | ↓ -55% |
| United | AllPayerAppendix | $2,174.00 | ↓ -55% |
| Humana | COMM | $2,258.64 | ↓ -53% |
| Evry Health | COMM | $2,287.00 | ↓ -53% |
| National ChoiceCare | WCOMP | $2,413.27 | ↓ -50% |
| Aetna | QHPHIX | $2,513.00 | ↓ -48% |
| Aetna | ASA | $2,543.59 | ↓ -47% |
| Oscar | HIX | $2,636.00 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,654.60 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,654.60 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,654.60 | ↓ -45% |
| Aetna | WCOMP | $2,654.60 | ↓ -45% |
| Averde Health, Inc | PPO | $2,799.39 | ↓ -42% |
| United | NarrowNetworkIndivExchange | $2,960.00 | ↓ -39% |
| Coastal Comp Health Networks | WCOMP | $3,378.58 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,378.58 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $3,378.58 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $3,426.84 | ↓ -29% |
| Aetna | NewBusiness | $3,445.00 | ↓ -29% |
| Aetna Coventry First Health | COMM | $3,508.89 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,619.91 | ↓ -25% |
| Aetna | Meritain | $3,682.00 | ↓ -24% |
| Aetna | COMM | $3,682.00 | ↓ -24% |
| USC Health Services | COMM | $3,861.23 | ↓ -20% |
| USA Managed Care | COMM | $3,861.23 | ↓ -20% |
| Galaxy Health Network | PPO | $4,102.56 | ↓ -15% |
| Aetna | OON | $4,332.00 | ↓ -10% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $4,343.89 | ↓ -10% |
| Unicare | MCD | $4,826.54 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,826.54 | ↑ +0% |
| Independent Medical Systems | COMM | $4,826.54 | ↑ +0% |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Endoluminal bx biliary tree at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,628.05 | $744.61 – $3,723.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,251.06 | $71.00 – $3,376.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,803.39 | $71.00 – $2,254.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,628.05 | $700.81 – $3,723.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,251.06 | $85.00 – $3,376.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,251.06 | $1,163.05 – $3,376.58 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,803.39 | $71.00 – $2,705.09 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,628.05 | $700.81 – $3,723.07 |