Integra meshed bil wound mat 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.
$74.90 with Superior Health Plan vs $1,070.00 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $74.90 | — |
| Superior Health Plan | STARHealth | $74.90 | — |
| Superior Health Plan | MCDSTAR | $74.90 | — |
| Superior Health Plan | STARPLUS | $74.90 | — |
| Superior Health Plan | STARKids | $74.90 | — |
| Cigna | IFP | $144.45 | — |
| Aetna | QHPHIX | $144.45 | — |
| Cigna | QHP | $149.80 | — |
| United | OptionsPPO | $201.16 | — |
| Unicare | CHIP | $203.30 | — |
| United | SmallGroup | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | AllPayerAppendix | $209.78 | — |
| Aetna | NewBusiness | $212.93 | — |
| Aetna | Meritain | $227.91 | — |
| Aetna | COMM | $227.91 | — |
| BCBS | BlueAdvantageHMO | $264.29 | — |
| BCBS | MyBlueHealth | $264.29 | — |
| Aetna | OON | $268.57 | — |
| BCBS | BluePremier | $312.44 | — |
| BCBS | BlueEssentialsAccess | $341.33 | — |
| BCBS | BlueEssentials | $341.33 | — |
| BCBS | EPOSOA | $358.45 | — |
| Healthcare Highways | CityofPlano | $361.66 | — |
| BCBS | PPO | $374.50 | — |
| Cigna | LocalPlus | $416.37 | — |
| Cigna | NewBusiness | $416.78 | — |
| Cigna | NetworkBenefit | $465.16 | — |
| Cigna | OpenAccessPlus | $465.16 | — |
| Cigna | HMO | $465.16 | — |
| BCBS | Traditional | $475.08 | — |
| City of McKinney | COMM | $481.50 | — |
| Global Sports Services | COMMPPO | $535.00 | — |
| National ChoiceCare | WCOMP | $535.00 | — |
| Aetna | ASA | $563.89 | — |
| Cigna | AllOther | $588.46 | — |
| Physicians Coop of TX | MGMCR | $588.50 | — |
| PC Texas Partners | WCOMP | $588.50 | — |
| Rockport Health Group | WORKERSCOMP | $588.50 | — |
| Aetna | WCOMP | $588.50 | — |
| Averde Health, Inc | PPO | $620.60 | — |
| Mega Life | MGMCRPPO | $749.00 | — |
| Coastal Comp Health Networks | WCOMP | $749.00 | — |
| HealthSmart Preferred Care | PPO | $759.70 | — |
| Aetna Coventry First Health | COMM | $777.89 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $802.50 | — |
| USA Managed Care | COMM | $856.00 | — |
| USC Health Services | COMM | $856.00 | — |
| Galaxy Health Network | PPO | $909.50 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $963.00 | — |
| Independent Medical Systems | COMM | $1,070.00 | — |
| Unicare | MCD | $1,070.00 | — |
| National Healthcare Solutions | COMM | $1,070.00 | — |
Visitor-reported prices
Comments
Integra meshed bil wound mat at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $32,600.91 | not published |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,190.00 | $166.52 – $209.78 |
| Baylor St Luke's Medical Center | Houston | $8,521.10 | $214.67 – $24,346.00 |
| St. Joseph Health Madison Hospital | Madisonville | $24,354.93 | $82.23 – $125,253.90 |
| HCA HOUSTON PEARLAND | Pearland | $1,350.00 | $166.52 – $209.78 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,521.10 | $214.67 – $24,346.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8,521.10 | $214.67 – $24,346.00 |
| St. Joseph Health College Station Hospital | College Station | $24,354.93 | $82.23 – $118,295.35 |