Ghs ot dds rom 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.
$18.71 with BCBS vs $139.85 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 |
|---|---|---|---|
| BCBS | BluePremier | $18.71 | — |
| BCBS | BlueAdvantageHMO | $21.81 | — |
| BCBS | MyBlueHealth | $21.81 | — |
| Humana | Tricare | $22.89 | — |
| TriWest Health Alliance | TRCR | $23.60 | — |
| BCBS | MGMCRHMO | $23.60 | — |
| BCBS | MCRPPO | $23.60 | — |
| WellMed | MGMCR | $25.64 | — |
| Mutual of Omaha | MGMCR | $25.77 | — |
| Amerigroup | DualEligible | $25.77 | — |
| Humana | MGMCR | $25.77 | — |
| Devoted Health | SNP | $25.77 | — |
| Devoted Health | HMO | $25.77 | — |
| Devoted Health | POS | $25.77 | — |
| Devoted Health | MCR | $25.77 | — |
| Devoted Health | MME | $25.77 | — |
| TriWest Veterans | FEDERAL | $25.77 | — |
| Devoted Health | PPO | $25.77 | — |
| United | MGMCR | $25.90 | — |
| Aetna | MCR | $25.99 | — |
| Care N Care | MGMCR | $26.03 | — |
| Cigna Healthspring | MGMCR | $26.29 | — |
| WellCare | MGMCR | $26.54 | — |
| Integranet | MGMCR | $26.54 | — |
| Superior Health Plan | MGMCRDualEligible | $27.06 | — |
| ProCare Advantge | MCR | $27.06 | — |
| Superior Health Plan | MGMCRHMO | $27.06 | — |
| Superior Health Plan | MGMCRPOS | $27.06 | — |
| American Health Plan of Texas, Inc. | MGMCR | $27.06 | — |
| Superior Health Plan | MGMCRSNP | $27.06 | — |
| Superior Health Plan | MGMCRPPO | $27.06 | — |
| Superior Health Plan | MGMCRPFFS | $27.06 | — |
| Provider Partners Health Plan | MCR | $27.32 | — |
| Texas Independent Health Plan | MGMCR | $27.32 | — |
| Molina | MCR | $28.09 | — |
| Molina | MMP | $28.09 | — |
| Molina | MME | $28.09 | — |
| Imperial Insurance Company | MCR | $28.35 | — |
| Universal Healthcare Group | MCR | $30.92 | — |
| Verda Health Plan | MGMCR | $33.50 | — |
| BCBS | BlueEssentials | $38.62 | — |
| BCBS | BlueEssentialsAccess | $38.62 | — |
| Bravo Health | MCRHMO | $38.66 | — |
| Bravo Health | MCRPFFS | $38.66 | — |
| Bravo Health | MCRSNP | $38.66 | — |
| Bravo Health | MCRPPO | $38.66 | — |
| Bravo Health | MCRPOS | $38.66 | — |
| BCBS | EPOSOA | $40.52 | — |
| BCBS | PPO | $42.43 | — |
| Superior | ValueHMO | $46.13 | — |
| USA Managed Care | WORKERSCOMP | $48.96 | — |
| Corvel Corporation | WORKERSCOMP | $51.02 | — |
| Superior | EPO | $57.72 | — |
| Superior | HMO | $57.72 | — |
| Molina Healthcare | HIX | $67.52 | — |
| Humana | COMM | $139.85 | — |
Visitor-reported prices
Comments
Ghs ot dds rom at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.00 | $23.95 – $201.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $106.09 | $21.22 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.00 | $29.26 – $201.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.00 | $69.23 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $106.09 | $23.95 – $159.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.00 | $23.95 – $189.83 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $134.00 | $23.95 – $201.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $106.09 | $19.45 – $159.14 |