Endoluminl ivus oct c 1st at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$4,512.37
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.
$4,512.37
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.
$237.30 with BCBS vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| BCBS | BluePremier | $237.30 | ↓ -95% |
| BCBS | MyBlueHealth | $276.51 | ↓ -94% |
| BCBS | BlueAdvantageHMO | $276.51 | ↓ -94% |
| BCBS | BlueEssentialsAccess | $489.68 | ↓ -89% |
| BCBS | BlueEssentials | $489.68 | ↓ -89% |
| BCBS | EPOSOA | $513.81 | ↓ -89% |
| BCBS | PPO | $537.94 | ↓ -88% |
| Cigna | IFP | $609.17 | ↓ -86% |
| Aetna | QHPHIX | $609.17 | ↓ -86% |
| Cigna | QHP | $631.73 | ↓ -86% |
| United | OptionsPPO | $848.33 | ↓ -81% |
| Imperial Insurance Company | MCR | $857.35 | ↓ -81% |
| Unicare | CHIP | $857.35 | ↓ -81% |
| Aetna | NewBusiness | $897.96 | ↓ -80% |
| Aetna | Meritain | $961.13 | ↓ -79% |
| Aetna | COMM | $961.13 | ↓ -79% |
| Aetna | OON | $1,132.60 | ↓ -75% |
| United | SmallGroup | $1,454.00 | ↓ -68% |
| Healthcare Highways | CityofPlano | $1,525.18 | ↓ -66% |
| BCBS | Traditional | $2,003.49 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $2,030.57 | ↓ -55% |
| City of McKinney | COMM | $2,030.57 | ↓ -55% |
| United | AllPayerAppendix | $2,174.00 | ↓ -52% |
| National ChoiceCare | WCOMP | $2,256.18 | ↓ -50% |
| Aetna | ASA | $2,378.02 | ↓ -47% |
| PC Texas Partners | WCOMP | $2,481.80 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,481.80 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,481.80 | ↓ -45% |
| Aetna | WCOMP | $2,481.80 | ↓ -45% |
| Averde Health, Inc | PPO | $2,617.17 | ↓ -42% |
| Oscar | HIX | $2,636.00 | ↓ -42% |
| United | NarrowNetworkIndivExchange | $2,960.00 | ↓ -34% |
| Multiplan PHCS | PrimaryNetwork | $3,158.66 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3,158.66 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,158.66 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $3,203.78 | ↓ -29% |
| Aetna Coventry First Health | COMM | $3,280.49 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,384.28 | ↓ -25% |
| USA Managed Care | COMM | $3,609.90 | ↓ -20% |
| USC Health Services | COMM | $3,609.90 | ↓ -20% |
| Galaxy Health Network | PPO | $3,835.51 | ↓ -15% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $4,061.13 | ↓ -10% |
| Independent Medical Systems | COMM | $4,512.37 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,512.37 | ↑ +0% |
| Unicare | MCD | $4,512.37 | ↑ +0% |
| Superior Health Plan | CHIP | $5,591.00 | ↑ +24% |
| Superior Health Plan | STARHealth | $5,591.00 | ↑ +24% |
| Superior Health Plan | MCDSTAR | $5,591.00 | ↑ +24% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↑ +24% |
| Superior Health Plan | STARKids | $5,591.00 | ↑ +24% |
| Healthcare Highways | NarrowNetwork | $26,766.00 | ↑ +493% |
| Humana | COMM | $27,514.00 | ↑ +510% |
| Evry Health | COMM | $29,597.00 | ↑ +556% |
| Curative Administrators | COMM | $43,890.00 | ↑ +873% |
Visitor-reported prices
Comments
Endoluminl ivus oct c 1st at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,332.07 | $308.69 – $7,553.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,067.48 | $303.66 – $7,601.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,067.48 | $303.66 – $6,334.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,332.07 | $235.29 – $7,553.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,067.48 | $371.03 – $7,601.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,067.48 | $2,618.20 – $7,601.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,067.48 | $303.66 – $7,601.22 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5,332.07 | $308.69 – $7,553.76 |