Injection, pentamidine iseth 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.
$58.50 with Superior Health Plan vs $852.21 with Cigna — 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 | STARPLUS | $58.50 | — |
| Superior Health Plan | MCDSTAR | $58.50 | — |
| Superior Health Plan | STARHealth | $58.50 | — |
| Superior Health Plan | CHIP | $58.50 | — |
| Superior Health Plan | STARKids | $58.50 | — |
| Aetna | QHPHIX | $112.82 | — |
| Cigna | IFP | $112.82 | — |
| Cigna | QHP | $117.00 | — |
| United | OptionsPPO | $157.11 | — |
| Unicare | CHIP | $158.78 | — |
| Aetna | NewBusiness | $166.30 | — |
| Superior | EPO | $167.14 | — |
| Superior | ValueHMO | $167.14 | — |
| Superior | HMO | $167.14 | — |
| Aetna | COMM | $178.00 | — |
| Aetna | Meritain | $178.00 | — |
| Molina Healthcare | HIX | $208.92 | — |
| Aetna | OON | $209.76 | — |
| Healthcare Highways | CityofPlano | $282.46 | — |
| BCBS | BlueAdvantageHMO | $358.70 | — |
| BCBS | MyBlueHealth | $358.70 | — |
| Humana | COMM | $369.56 | — |
| BCBS | Traditional | $371.04 | — |
| City of McKinney | COMM | $376.06 | — |
| Global Sports Services | COMMPPO | $417.84 | — |
| National ChoiceCare | WCOMP | $417.84 | — |
| Physicians Coop of TX | MGMCR | $459.62 | — |
| Aetna | WCOMP | $459.62 | — |
| PC Texas Partners | WCOMP | $459.62 | — |
| Rockport Health Group | WORKERSCOMP | $459.62 | — |
| Averde Health, Inc | PPO | $484.69 | — |
| BCBS | BlueEssentials | $525.05 | — |
| BCBS | BlueEssentialsAccess | $525.05 | — |
| BCBS | EPOSOA | $551.04 | — |
| BCBS | PPO | $577.03 | — |
| Coastal Comp Health Networks | WCOMP | $584.98 | — |
| Mega Life | MGMCRPPO | $584.98 | — |
| HealthSmart Preferred Care | PPO | $593.33 | — |
| Cigna | LocalPlus | $602.98 | — |
| Cigna | NewBusiness | $603.58 | — |
| Aetna Coventry First Health | COMM | $607.54 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $626.76 | — |
| USA Managed Care | COMM | $668.54 | — |
| USC Health Services | COMM | $668.54 | — |
| Cigna | OpenAccessPlus | $673.63 | — |
| Cigna | NetworkBenefit | $673.63 | — |
| Cigna | HMO | $673.63 | — |
| BCBS | BluePremier | $686.20 | — |
| Galaxy Health Network | PPO | $710.33 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $752.11 | — |
| National Healthcare Solutions | COMM | $835.68 | — |
| Independent Medical Systems | COMM | $835.68 | — |
| Unicare | MCD | $835.68 | — |
| Cigna | AllOther | $852.21 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Injection, pentamidine iseth at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $23.80 | $203.78 – $503.17 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,727.48 | $203.78 – $503.17 |
| Covenant Children's Hospital | Lubbock | $782.53 | $388.85 – $415.12 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $2,205.42 | $358.70 – $602.98 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $536.63 | $290.08 – $602.98 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $2,172.38 | $358.70 – $602.98 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $1,759.40 | $358.70 – $602.98 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $783.41 | $344.14 – $602.98 |