Genetic tstg severe inh cond at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$13,423.64
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.
$13,423.64
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.
$939.65 with Superior Health Plan vs $13,423.64 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $939.65 | ↓ -93% |
| Superior Health Plan | STARHealth | $939.65 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $939.65 | ↓ -93% |
| Superior Health Plan | STARPLUS | $939.65 | ↓ -93% |
| Superior Health Plan | STARKids | $939.65 | ↓ -93% |
| Cook Childrens Health Plan | STAR | $1,469.14 | ↓ -89% |
| Cook Childrens Health Plan | CHIP | $1,469.14 | ↓ -89% |
| Cigna | IFP | $1,812.19 | ↓ -87% |
| Cigna | QHP | $1,879.31 | ↓ -86% |
| WellMed | MGMCR | $2,436.32 | ↓ -82% |
| Mutual of Omaha | MGMCR | $2,448.56 | ↓ -82% |
| Devoted Health | SNP | $2,448.56 | ↓ -82% |
| Devoted Health | HMO | $2,448.56 | ↓ -82% |
| Devoted Health | POS | $2,448.56 | ↓ -82% |
| Devoted Health | MCR | $2,448.56 | ↓ -82% |
| Devoted Health | MME | $2,448.56 | ↓ -82% |
| TriWest Veterans | FEDERAL | $2,448.56 | ↓ -82% |
| Humana | MGMCR | $2,448.56 | ↓ -82% |
| United | AllPayerAppendix | $2,448.56 | ↓ -82% |
| United | NarrowNetworkIndivExchange | $2,448.56 | ↓ -82% |
| United | SmallGroup | $2,448.56 | ↓ -82% |
| Devoted Health | PPO | $2,448.56 | ↓ -82% |
| Amerigroup | DualEligible | $2,448.56 | ↓ -82% |
| BCBS | MGMCRHMO | $2,448.56 | ↓ -82% |
| BCBS | MCRPPO | $2,448.56 | ↓ -82% |
| United | MGMCR | $2,460.80 | ↓ -82% |
| Aetna | MCR | $2,469.37 | ↓ -82% |
| Care N Care | MGMCR | $2,473.05 | ↓ -82% |
| Cigna Healthspring | MGMCR | $2,497.53 | ↓ -81% |
| Integranet | MGMCR | $2,522.02 | ↓ -81% |
| WellCare | MGMCR | $2,522.02 | ↓ -81% |
| United | OptionsPPO | $2,523.64 | ↓ -81% |
| Unicare | CHIP | $2,550.49 | ↓ -81% |
| Superior Health Plan | MGMCRDualEligible | $2,570.99 | ↓ -81% |
| ProCare Advantge | MCR | $2,570.99 | ↓ -81% |
| Superior Health Plan | MGMCRSNP | $2,570.99 | ↓ -81% |
| Superior Health Plan | MGMCRPPO | $2,570.99 | ↓ -81% |
| Superior Health Plan | MGMCRHMO | $2,570.99 | ↓ -81% |
| Superior Health Plan | MGMCRPOS | $2,570.99 | ↓ -81% |
| Superior Health Plan | MGMCRPFFS | $2,570.99 | ↓ -81% |
| American Health Plan of Texas, Inc. | MGMCR | $2,570.99 | ↓ -81% |
| Provider Partners Health Plan | MCR | $2,595.47 | ↓ -81% |
| Texas Independent Health Plan | MGMCR | $2,595.47 | ↓ -81% |
| Molina | MCR | $2,668.93 | ↓ -80% |
| Molina | MME | $2,668.93 | ↓ -80% |
| Molina | MMP | $2,668.93 | ↓ -80% |
| Imperial Insurance Company | MCR | $2,693.42 | ↓ -80% |
| Universal Healthcare Group | MCR | $2,938.27 | ↓ -78% |
| Aetna | QHPHIX | $3,114.58 | ↓ -77% |
| Verda Health Plan | MGMCR | $3,183.13 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $3,288.79 | ↓ -76% |
| Evry Health | COMM | $3,463.30 | ↓ -74% |
| Bravo Health | MCRSNP | $3,672.84 | ↓ -73% |
| Bravo Health | MCRHMO | $3,672.84 | ↓ -73% |
| Bravo Health | MCRPOS | $3,672.84 | ↓ -73% |
| Bravo Health | MCRPFFS | $3,672.84 | ↓ -73% |
| Bravo Health | MCRPPO | $3,672.84 | ↓ -73% |
| Humana | COMM | $4,159.99 | ↓ -69% |
| BCBS | MyBlueHealth | $4,284.98 | ↓ -68% |
| BCBS | BlueAdvantageHMO | $4,284.98 | ↓ -68% |
| Aetna | NewBusiness | $4,289.89 | ↓ -68% |
| Superior | ValueHMO | $4,382.92 | ↓ -67% |
| BCBS | BlueEssentials | $4,456.38 | ↓ -67% |
| BCBS | BlueEssentialsAccess | $4,456.38 | ↓ -67% |
| Healthcare Highways | CityofPlano | $4,537.19 | ↓ -66% |
| Aetna | COMM | $4,569.03 | ↓ -66% |
| Aetna | Meritain | $4,569.03 | ↓ -66% |
| USA Managed Care | WORKERSCOMP | $4,652.26 | ↓ -65% |
| BCBS | EPOSOA | $4,676.75 | ↓ -65% |
| BCBS | BluePremier | $4,750.21 | ↓ -65% |
| Corvel Corporation | WORKERSCOMP | $4,848.15 | ↓ -64% |
| BCBS | PPO | $4,897.12 | ↓ -64% |
| Aetna | OON | $5,377.05 | ↓ -60% |
| Superior | HMO | $5,484.77 | ↓ -59% |
| Superior | EPO | $5,484.77 | ↓ -59% |
| BCBS | Traditional | $5,960.10 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $6,040.64 | ↓ -55% |
| City of McKinney | COMM | $6,040.64 | ↓ -55% |
| Oscar | HIX | $6,366.26 | ↓ -53% |
| Molina Healthcare | HIX | $6,415.23 | ↓ -52% |
| Global Sports Services | COMMPPO | $6,711.82 | ↓ -50% |
| National ChoiceCare | WCOMP | $6,711.82 | ↓ -50% |
| Aetna | ASA | $7,074.26 | ↓ -47% |
| PC Texas Partners | WCOMP | $7,383.00 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $7,383.00 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $7,383.00 | ↓ -45% |
| Aetna | WCOMP | $7,383.00 | ↓ -45% |
| Averde Health, Inc | PPO | $7,785.71 | ↓ -42% |
| Cigna | LocalPlus | $9,330.59 | ↓ -30% |
| Cigna | NewBusiness | $9,339.89 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $9,396.55 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $9,396.55 | ↓ -30% |
| Mega Life | MGMCRPPO | $9,396.55 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $9,530.78 | ↓ -29% |
| Aetna Coventry First Health | COMM | $9,758.99 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $10,067.73 | ↓ -25% |
| Cigna | NetworkBenefit | $10,421.60 | ↓ -22% |
| Cigna | HMO | $10,421.60 | ↓ -22% |
| Cigna | OpenAccessPlus | $10,421.60 | ↓ -22% |
| USA Managed Care | COMM | $10,738.91 | ↓ -20% |
| USC Health Services | COMM | $10,738.91 | ↓ -20% |
| Galaxy Health Network | PPO | $11,410.09 | ↓ -15% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $12,081.28 | ↓ -10% |
| Cigna | AllOther | $13,189.84 | ↓ -2% |
| National Healthcare Solutions | COMM | $13,423.64 | ↑ +0% |
| Unicare | MCD | $13,423.64 | ↑ +0% |
| Independent Medical Systems | COMM | $13,423.64 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Genetic tstg severe inh cond at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,289.90 | $10.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,289.90 | $12.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,289.90 | $12.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,289.90 | $10.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,289.90 | $12.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,289.90 | $8.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,289.90 | $12.00 – $5,876.54 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,289.90 | $10.00 – $5,876.54 |