Injection, famotidine, 20 mg 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.
$1.59 with Superior Health Plan vs $22.68 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $1.59 | — |
| Superior Health Plan | STARKids | $1.59 | — |
| Superior Health Plan | MCDSTAR | $1.59 | — |
| Superior Health Plan | STARPLUS | $1.59 | — |
| Superior Health Plan | STARHealth | $1.59 | — |
| BCBS | BlueAdvantageHMO | $2.00 | — |
| BCBS | MyBlueHealth | $2.00 | — |
| BCBS | BlueEssentialsAccess | $2.93 | — |
| BCBS | BlueEssentials | $2.93 | — |
| Cigna | IFP | $3.06 | — |
| Aetna | QHPHIX | $3.06 | — |
| BCBS | EPOSOA | $3.07 | — |
| Cigna | QHP | $3.18 | — |
| BCBS | PPO | $3.22 | — |
| BCBS | BluePremier | $3.83 | — |
| United | OptionsPPO | $4.26 | — |
| Unicare | CHIP | $4.31 | — |
| Aetna | NewBusiness | $4.51 | — |
| Superior | ValueHMO | $4.54 | — |
| Superior | EPO | $4.54 | — |
| Superior | HMO | $4.54 | — |
| Aetna | Meritain | $4.83 | — |
| Aetna | COMM | $4.83 | — |
| Molina Healthcare | HIX | $5.67 | — |
| Aetna | OON | $5.69 | — |
| Cigna | NewBusiness | $5.99 | — |
| Cigna | LocalPlus | $5.99 | — |
| Cigna | OpenAccessPlus | $6.69 | — |
| Cigna | HMO | $6.69 | — |
| Cigna | NetworkBenefit | $6.69 | — |
| Healthcare Highways | CityofPlano | $7.67 | — |
| Cigna | AllOther | $8.46 | — |
| BCBS | Traditional | $10.07 | — |
| City of McKinney | COMM | $10.21 | — |
| National ChoiceCare | WCOMP | $11.34 | — |
| Global Sports Services | COMMPPO | $11.34 | — |
| Humana | COMM | $12.09 | — |
| Rockport Health Group | WORKERSCOMP | $12.47 | — |
| Aetna | WCOMP | $12.47 | — |
| PC Texas Partners | WCOMP | $12.47 | — |
| Physicians Coop of TX | MGMCR | $12.47 | — |
| Averde Health, Inc | PPO | $13.15 | — |
| Coastal Comp Health Networks | WCOMP | $15.88 | — |
| Mega Life | MGMCRPPO | $15.88 | — |
| HealthSmart Preferred Care | PPO | $16.10 | — |
| Aetna Coventry First Health | COMM | $16.49 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $17.01 | — |
| USC Health Services | COMM | $18.14 | — |
| USA Managed Care | COMM | $18.14 | — |
| Galaxy Health Network | PPO | $19.28 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $20.41 | — |
| Independent Medical Systems | COMM | $22.68 | — |
| National Healthcare Solutions | COMM | $22.68 | — |
| Unicare | MCD | $22.68 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Injection, famotidine, 20 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CONROE | CONROE | $59.37 | $16.46 – $16.46 |
| HCA HOUSTON PEARLAND | Pearland | $33.06 | $1.14 – $16.46 |
| HCA HOUSTON SOUTHEAST | PASADENA | $55.79 | $1.14 – $16.46 |
| CHRISTUS Spohn Hospital - Beeville | Beeville | $4.17 | $1.72 – $3.32 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $8.74 | $0.88 – $3.21 |
| CHRISTUS Health - West Beaumont | Beaumont | $4.65 | $2.26 – $3.84 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi | $4.12 | $1.44 – $3.32 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $61.77 | $2.00 – $12.09 |