Inj, clindamycin (baxter) 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.
$2.45 with Humana vs $150.61 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Humana | Tricare | $2.45 | — |
| TriWest Health Alliance | TRCR | $2.53 | — |
| United | SmallGroup | $3.88 | — |
| United | AllPayerAppendix | $3.88 | — |
| United | NarrowNetworkIndivExchange | $3.88 | — |
| Cigna | LocalPlus | $10.41 | — |
| Cigna | NewBusiness | $10.42 | — |
| Superior Health Plan | STARKids | $10.54 | — |
| Superior Health Plan | CHIP | $10.54 | — |
| Superior Health Plan | STARPLUS | $10.54 | — |
| Superior Health Plan | MCDSTAR | $10.54 | — |
| Superior Health Plan | STARHealth | $10.54 | — |
| Cigna | HMO | $11.63 | — |
| Cigna | OpenAccessPlus | $11.63 | — |
| Cigna | NetworkBenefit | $11.63 | — |
| Cigna | AllOther | $14.71 | — |
| BCBS | BlueAdvantageHMO | $14.94 | — |
| BCBS | MyBlueHealth | $14.94 | — |
| Cigna | IFP | $20.33 | — |
| Aetna | QHPHIX | $20.33 | — |
| Cigna | QHP | $21.09 | — |
| BCBS | BlueEssentialsAccess | $21.87 | — |
| BCBS | BlueEssentials | $21.87 | — |
| BCBS | EPOSOA | $22.95 | — |
| BCBS | PPO | $24.03 | — |
| United | OptionsPPO | $28.31 | — |
| BCBS | BluePremier | $28.58 | — |
| Unicare | CHIP | $28.62 | — |
| Aetna | NewBusiness | $29.97 | — |
| Aetna | Meritain | $32.08 | — |
| Aetna | COMM | $32.08 | — |
| Aetna | OON | $37.80 | — |
| Healthcare Highways | CityofPlano | $50.91 | — |
| BCBS | Traditional | $66.87 | — |
| City of McKinney | COMM | $67.77 | — |
| Global Sports Services | COMMPPO | $75.31 | — |
| National ChoiceCare | WCOMP | $75.31 | — |
| Aetna | ASA | $79.37 | — |
| Physicians Coop of TX | MGMCR | $82.84 | — |
| Aetna | WCOMP | $82.84 | — |
| Rockport Health Group | WORKERSCOMP | $82.84 | — |
| PC Texas Partners | WCOMP | $82.84 | — |
| Averde Health, Inc | PPO | $87.35 | — |
| Coastal Comp Health Networks | WCOMP | $105.43 | — |
| Mega Life | MGMCRPPO | $105.43 | — |
| HealthSmart Preferred Care | PPO | $106.93 | — |
| Aetna Coventry First Health | COMM | $109.49 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $112.96 | — |
| USA Managed Care | COMM | $120.49 | — |
| USC Health Services | COMM | $120.49 | — |
| Galaxy Health Network | PPO | $128.02 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $135.55 | — |
| Independent Medical Systems | COMM | $150.61 | — |
| Unicare | MCD | $150.61 | — |
| National Healthcare Solutions | COMM | $150.61 | — |
Visitor-reported prices
Comments
Inj, clindamycin (baxter) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $117.87 | $16.67 – $16.67 |
| Covenant Children's Hospital | Lubbock | $69.30 | $6.01 – $16.19 |
| Baylor St Luke's Medical Center | Houston | $28.04 | $14.71 – $66.84 |
| St. Luke's Health Memorial Lufkin | Lufkin | $45.29 | $9.74 – $38.95 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $28.04 | $14.71 – $66.84 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $28.04 | $14.71 – $66.84 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $28.04 | $14.71 – $66.84 |
| Texas Health Presbyterian Hospital Allen | Allen | $35.69 | $5.65 – $5.65 |