Exome sequence analysis 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.
$2,868.00 with Cook Childrens Health Plan vs $43,011.87 with Humana — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $2,868.00 | — |
| Cook Childrens Health Plan | STAR | $2,868.00 | — |
| WellMed | MGMCR | $4,756.10 | — |
| United | SmallGroup | $4,780.00 | — |
| BCBS | MCRPPO | $4,780.00 | — |
| BCBS | MGMCRHMO | $4,780.00 | — |
| Humana | MGMCR | $4,780.00 | — |
| Devoted Health | SNP | $4,780.00 | — |
| Amerigroup | DualEligible | $4,780.00 | — |
| United | AllPayerAppendix | $4,780.00 | — |
| United | NarrowNetworkIndivExchange | $4,780.00 | — |
| Devoted Health | HMO | $4,780.00 | — |
| Devoted Health | POS | $4,780.00 | — |
| Mutual of Omaha | MGMCR | $4,780.00 | — |
| Devoted Health | MCR | $4,780.00 | — |
| Devoted Health | MME | $4,780.00 | — |
| TriWest Veterans | FEDERAL | $4,780.00 | — |
| Devoted Health | PPO | $4,780.00 | — |
| United | MGMCR | $4,803.90 | — |
| Aetna | MCR | $4,820.63 | — |
| Care N Care | MGMCR | $4,827.80 | — |
| Cigna Healthspring | MGMCR | $4,875.60 | — |
| WellCare | MGMCR | $4,923.40 | — |
| Integranet | MGMCR | $4,923.40 | — |
| Superior Health Plan | MGMCRDualEligible | $5,019.00 | — |
| ProCare Advantge | MCR | $5,019.00 | — |
| Superior Health Plan | MGMCRHMO | $5,019.00 | — |
| Superior Health Plan | MGMCRPPO | $5,019.00 | — |
| Superior Health Plan | MGMCRPFFS | $5,019.00 | — |
| Superior Health Plan | MGMCRPOS | $5,019.00 | — |
| Superior Health Plan | MGMCRSNP | $5,019.00 | — |
| American Health Plan of Texas, Inc. | MGMCR | $5,019.00 | — |
| Provider Partners Health Plan | MCR | $5,066.80 | — |
| Texas Independent Health Plan | MGMCR | $5,066.80 | — |
| Humana | Tricare | $5,150.80 | — |
| Molina | MMP | $5,210.20 | — |
| Molina | MCR | $5,210.20 | — |
| Molina | MME | $5,210.20 | — |
| Imperial Insurance Company | MCR | $5,258.00 | — |
| TriWest Health Alliance | TRCR | $5,310.10 | — |
| Universal Healthcare Group | MCR | $5,736.00 | — |
| Aetna | QHPHIX | $6,080.16 | — |
| Verda Health Plan | MGMCR | $6,214.00 | — |
| Bravo Health | MCRPOS | $7,170.00 | — |
| Bravo Health | MCRPPO | $7,170.00 | — |
| Bravo Health | MCRPFFS | $7,170.00 | — |
| Bravo Health | MCRSNP | $7,170.00 | — |
| Bravo Health | MCRHMO | $7,170.00 | — |
| BCBS | MyBlueHealth | $8,365.00 | — |
| BCBS | BlueAdvantageHMO | $8,365.00 | — |
| Aetna | NewBusiness | $8,374.56 | — |
| Superior | ValueHMO | $8,556.20 | — |
| BCBS | BlueEssentialsAccess | $8,699.60 | — |
| BCBS | BlueEssentials | $8,699.60 | — |
| Aetna | Meritain | $8,919.48 | — |
| Aetna | COMM | $8,919.48 | — |
| USA Managed Care | WORKERSCOMP | $9,082.00 | — |
| BCBS | EPOSOA | $9,129.80 | — |
| BCBS | BluePremier | $9,273.20 | — |
| Corvel Corporation | WORKERSCOMP | $9,464.40 | — |
| BCBS | PPO | $9,560.00 | — |
| Aetna | OON | $10,496.88 | — |
| Superior | EPO | $10,707.20 | — |
| Superior | HMO | $10,707.20 | — |
| Oscar | HIX | $12,428.00 | — |
| Molina Healthcare | HIX | $12,523.60 | — |
| Cigna | LocalPlus | $18,214.43 | — |
| Cigna | NewBusiness | $18,232.60 | — |
| Cigna | NetworkBenefit | $20,344.22 | — |
| Cigna | OpenAccessPlus | $20,344.22 | — |
| Cigna | HMO | $20,344.22 | — |
| Cigna | AllOther | $25,748.15 | — |
| Humana | COMM | $43,011.87 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Exome sequence analysis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,912.50 | $35.00 – $11,472.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,750.00 | $12.00 – $11,472.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,750.00 | $12.00 – $11,472.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,912.50 | $35.00 – $11,472.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,750.00 | $12.00 – $11,472.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,750.00 | $8.00 – $11,472.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,750.00 | $12.00 – $11,472.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,912.50 | $35.00 – $11,472.00 |