Inj, micafungin (par pharm) at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$842.69
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.
$842.69
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.
$0.30 with Humana vs $842.69 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 | $0.30 | ↓ -100% |
| TriWest Health Alliance | TRCR | $0.31 | ↓ -100% |
| United | AllPayerAppendix | $0.36 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $0.36 | ↓ -100% |
| United | SmallGroup | $0.36 | ↓ -100% |
| BCBS | BlueAdvantageHMO | $0.93 | ↓ -100% |
| BCBS | MyBlueHealth | $0.93 | ↓ -100% |
| BCBS | BlueEssentialsAccess | $1.36 | ↓ -100% |
| BCBS | BlueEssentials | $1.36 | ↓ -100% |
| BCBS | EPOSOA | $1.43 | ↓ -100% |
| BCBS | PPO | $1.50 | ↓ -100% |
| BCBS | BluePremier | $1.78 | ↓ -100% |
| Cigna | LocalPlus | $2.18 | ↓ -100% |
| Cigna | NewBusiness | $2.18 | ↓ -100% |
| Cigna | OpenAccessPlus | $2.43 | ↓ -100% |
| Cigna | HMO | $2.43 | ↓ -100% |
| Cigna | NetworkBenefit | $2.43 | ↓ -100% |
| Cigna | AllOther | $3.08 | ↓ -100% |
| Superior Health Plan | STARHealth | $58.99 | ↓ -93% |
| Superior Health Plan | CHIP | $58.99 | ↓ -93% |
| Superior Health Plan | STARKids | $58.99 | ↓ -93% |
| Superior Health Plan | STARPLUS | $58.99 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $58.99 | ↓ -93% |
| Cigna | IFP | $113.76 | ↓ -87% |
| Aetna | QHPHIX | $113.76 | ↓ -87% |
| Cigna | QHP | $117.98 | ↓ -86% |
| United | OptionsPPO | $158.43 | ↓ -81% |
| Unicare | CHIP | $160.11 | ↓ -81% |
| Aetna | NewBusiness | $167.70 | ↓ -80% |
| Aetna | COMM | $179.49 | ↓ -79% |
| Aetna | Meritain | $179.49 | ↓ -79% |
| Aetna | OON | $211.52 | ↓ -75% |
| Healthcare Highways | CityofPlano | $284.83 | ↓ -66% |
| BCBS | Traditional | $374.15 | ↓ -56% |
| City of McKinney | COMM | $379.21 | ↓ -55% |
| Global Sports Services | COMMPPO | $421.35 | ↓ -50% |
| National ChoiceCare | WCOMP | $421.35 | ↓ -50% |
| Aetna | ASA | $444.10 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $463.48 | ↓ -45% |
| Aetna | WCOMP | $463.48 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $463.48 | ↓ -45% |
| PC Texas Partners | WCOMP | $463.48 | ↓ -45% |
| Averde Health, Inc | PPO | $488.76 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $589.88 | ↓ -30% |
| Mega Life | MGMCRPPO | $589.88 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $598.31 | ↓ -29% |
| Aetna Coventry First Health | COMM | $612.64 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $632.02 | ↓ -25% |
| USA Managed Care | COMM | $674.15 | ↓ -20% |
| USC Health Services | COMM | $674.15 | ↓ -20% |
| Galaxy Health Network | PPO | $716.29 | ↓ -15% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $758.42 | ↓ -10% |
| Independent Medical Systems | COMM | $842.69 | ↑ +0% |
| Unicare | MCD | $842.69 | ↑ +0% |
| National Healthcare Solutions | COMM | $842.69 | ↑ +0% |
Visitor-reported prices
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Inj, micafungin (par pharm) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $252.43 | $0.31 – $0.87 |
| HCA HOUSTON MEDICAL CENTER | Houston | $408.67 | $0.31 – $0.87 |
| Covenant Children's Hospital | Lubbock | $337.52 | $1.01 – $1.29 |
| HCA HOUSTON KINGWOOD | HUMBLE | $491.59 | $0.22 – $0.87 |
| HCA HOUSTON NORTHWEST | SPRING | $511.16 | $0.31 – $0.87 |
| Baylor St Luke's Medical Center | Houston | $42.05 | $26.43 – $120.12 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $42.05 | $26.43 – $120.12 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $42.05 | $26.43 – $120.12 |