#hypersens-actinomyces ab at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$157.09
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.
$157.09
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.
$6.11 with Cook Childrens Health Plan vs $157.09 with Unicare — 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 | $6.11 | ↓ -96% |
| Cook Childrens Health Plan | STAR | $6.11 | ↓ -96% |
| TEXAS HEALTH NETWORK | MCD | $8.42 | ↓ -95% |
| United | STAR | $8.55 | ↓ -95% |
| United | STARKids | $8.55 | ↓ -95% |
| United | STARPLUS | $8.55 | ↓ -95% |
| United | CHIP | $8.55 | ↓ -95% |
| Parkland Community Health Plan | MCD | $8.55 | ↓ -95% |
| Amerigroup | MGMCD | $8.55 | ↓ -95% |
| Amerigroup | CHIP | $8.55 | ↓ -95% |
| United | STARPerinate | $8.55 | ↓ -95% |
| Cigna Healthspring | MGMCD | $8.98 | ↓ -94% |
| Aetna Better Health | CHIP | $9.23 | ↓ -94% |
| Aetna Better Health | MCD | $9.23 | ↓ -94% |
| Molina | CHIP | $9.41 | ↓ -94% |
| Molina | MCDSTAR | $9.41 | ↓ -94% |
| Molina | STAR+PLUS | $9.41 | ↓ -94% |
| Molina | STARKIDS | $9.41 | ↓ -94% |
| WellMed | MGMCR | $10.13 | ↓ -94% |
| Devoted Health | PPO | $10.18 | ↓ -94% |
| BCBS | MGMCRHMO | $10.18 | ↓ -94% |
| United | NarrowNetworkIndivExchange | $10.18 | ↓ -94% |
| TriWest Veterans | FEDERAL | $10.18 | ↓ -94% |
| Devoted Health | HMO | $10.18 | ↓ -94% |
| Amerigroup | DualEligible | $10.18 | ↓ -94% |
| United | AllPayerAppendix | $10.18 | ↓ -94% |
| Mutual of Omaha | MGMCR | $10.18 | ↓ -94% |
| United | SmallGroup | $10.18 | ↓ -94% |
| BCBS | MCRPPO | $10.18 | ↓ -94% |
| Devoted Health | SNP | $10.18 | ↓ -94% |
| Humana | MGMCR | $10.18 | ↓ -94% |
| Devoted Health | POS | $10.18 | ↓ -94% |
| Devoted Health | MCR | $10.18 | ↓ -94% |
| Devoted Health | MME | $10.18 | ↓ -94% |
| United | MGMCR | $10.23 | ↓ -93% |
| Aetna | MCR | $10.27 | ↓ -93% |
| Care N Care | MGMCR | $10.28 | ↓ -93% |
| Cigna Healthspring | MGMCR | $10.38 | ↓ -93% |
| WellCare | MGMCR | $10.49 | ↓ -93% |
| Integranet | MGMCR | $10.49 | ↓ -93% |
| Superior Health Plan | MGMCRPPO | $10.69 | ↓ -93% |
| Humana | MGMCD | $10.69 | ↓ -93% |
| ProCare Advantge | MCR | $10.69 | ↓ -93% |
| Superior Health Plan | MGMCRHMO | $10.69 | ↓ -93% |
| Superior Health Plan | MGMCRDualEligible | $10.69 | ↓ -93% |
| Superior Health Plan | MGMCRPFFS | $10.69 | ↓ -93% |
| Superior Health Plan | MGMCRPOS | $10.69 | ↓ -93% |
| Superior Health Plan | MGMCRSNP | $10.69 | ↓ -93% |
| American Health Plan of Texas, Inc. | MGMCR | $10.69 | ↓ -93% |
| Provider Partners Health Plan | MCR | $10.79 | ↓ -93% |
| Texas Independent Health Plan | MGMCR | $10.79 | ↓ -93% |
| Humana | Tricare | $10.97 | ↓ -93% |
| Superior Health Plan | STARPLUS | $11.00 | ↓ -93% |
| Superior Health Plan | CHIP | $11.00 | ↓ -93% |
| Superior Health Plan | STARKids | $11.00 | ↓ -93% |
| Superior Health Plan | STARHealth | $11.00 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $11.00 | ↓ -93% |
| Molina | MME | $11.10 | ↓ -93% |
| Molina | MCR | $11.10 | ↓ -93% |
| Molina | MMP | $11.10 | ↓ -93% |
| Imperial Insurance Company | MCR | $11.20 | ↓ -93% |
| TriWest Health Alliance | TRCR | $11.31 | ↓ -93% |
| Universal Healthcare Group | MCR | $12.22 | ↓ -92% |
| Aetna | QHPHIX | $12.95 | ↓ -92% |
| Verda Health Plan | MGMCR | $13.23 | ↓ -92% |
| Bravo Health | MCRPOS | $15.27 | ↓ -90% |
| Bravo Health | MCRPPO | $15.27 | ↓ -90% |
| Bravo Health | MCRSNP | $15.27 | ↓ -90% |
| Bravo Health | MCRPFFS | $15.27 | ↓ -90% |
| Bravo Health | MCRHMO | $15.27 | ↓ -90% |
| BCBS | MyBlueHealth | $17.81 | ↓ -89% |
| BCBS | BlueAdvantageHMO | $17.81 | ↓ -89% |
| Aetna | NewBusiness | $17.84 | ↓ -89% |
| Superior | ValueHMO | $18.22 | ↓ -88% |
| BCBS | BlueEssentialsAccess | $18.53 | ↓ -88% |
| BCBS | BlueEssentials | $18.53 | ↓ -88% |
| Aetna | COMM | $19.00 | ↓ -88% |
| Aetna | Meritain | $19.00 | ↓ -88% |
| USA Managed Care | WORKERSCOMP | $19.34 | ↓ -88% |
| BCBS | EPOSOA | $19.44 | ↓ -88% |
| BCBS | BluePremier | $19.75 | ↓ -87% |
| Corvel Corporation | WORKERSCOMP | $20.16 | ↓ -87% |
| BCBS | PPO | $20.36 | ↓ -87% |
| Cigna | IFP | $21.21 | ↓ -86% |
| Cigna | QHP | $21.99 | ↓ -86% |
| Aetna | OON | $22.36 | ↓ -86% |
| Superior | HMO | $22.80 | ↓ -85% |
| Superior | EPO | $22.80 | ↓ -85% |
| Oscar | HIX | $26.47 | ↓ -83% |
| Molina Healthcare | HIX | $26.67 | ↓ -83% |
| United | OptionsPPO | $29.53 | ↓ -81% |
| Unicare | CHIP | $29.85 | ↓ -81% |
| Healthcare Highways | NarrowNetwork | $38.49 | ↓ -75% |
| Cigna | LocalPlus | $38.75 | ↓ -75% |
| Cigna | NewBusiness | $38.78 | ↓ -75% |
| Evry Health | COMM | $40.53 | ↓ -74% |
| Cigna | HMO | $43.28 | ↓ -72% |
| Cigna | NetworkBenefit | $43.28 | ↓ -72% |
| Cigna | OpenAccessPlus | $43.28 | ↓ -72% |
| Healthcare Highways | CityofPlano | $53.10 | ↓ -66% |
| Cigna | AllOther | $54.77 | ↓ -65% |
| BCBS | Traditional | $69.75 | ↓ -56% |
| City of McKinney | COMM | $70.69 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $70.69 | ↓ -55% |
| Global Sports Services | COMMPPO | $78.55 | ↓ -50% |
| National ChoiceCare | WCOMP | $78.55 | ↓ -50% |
| Aetna | ASA | $82.79 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $86.40 | ↓ -45% |
| Aetna | WCOMP | $86.40 | ↓ -45% |
| PC Texas Partners | WCOMP | $86.40 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $86.40 | ↓ -45% |
| Averde Health, Inc | PPO | $91.11 | ↓ -42% |
| Mega Life | MGMCRPPO | $109.96 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $109.96 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $109.96 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $111.53 | ↓ -29% |
| Humana | COMM | $113.02 | ↓ -28% |
| Aetna Coventry First Health | COMM | $114.20 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $117.82 | ↓ -25% |
| USC Health Services | COMM | $125.67 | ↓ -20% |
| USA Managed Care | COMM | $125.67 | ↓ -20% |
| Galaxy Health Network | PPO | $133.53 | ↓ -15% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $141.38 | ↓ -10% |
| Independent Medical Systems | COMM | $157.09 | ↑ +0% |
| National Healthcare Solutions | COMM | $157.09 | ↑ +0% |
| Unicare | MCD | $157.09 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
#hypersens-actinomyces ab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $27.48 | $9.16 – $141.30 |
| St. Luke's Health Memorial Lufkin | Lufkin | $17.34 | $8.55 – $103.99 |
| St. Joseph Health College Station Hospital | College Station | $27.48 | $8.55 – $133.45 |
| St. Joseph Health Grimes Hospital | Navasota | $27.48 | $9.16 – $133.45 |
| St. Luke's Health Memorial Livingston | Livingston | $17.34 | $8.55 – $103.99 |
| St. Luke's Health Memorial San Augustine | San Augustine | $17.34 | $8.55 – $103.99 |
| St. Joseph Health Burleson Hospital | Caldwell | $27.48 | $9.16 – $141.30 |
| Ascension Providence | Waco | $22.95 | $3.59 – $44.89 |