Knee MRI (without contrast) 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.
$205.71 with TEXAS HEALTH NETWORK vs $12,557.80 with Independent Medical Systems — 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $205.71 | — |
| Amerigroup | MGMCD | $208.84 | — |
| Amerigroup | CHIP | $208.84 | — |
| Parkland Community Health Plan | MCD | $208.84 | — |
| Cook Childrens Health Plan | STAR | $208.84 | — |
| Cook Childrens Health Plan | CHIP | $208.84 | — |
| United | CHIP | $208.84 | — |
| United | STARPLUS | $208.84 | — |
| United | STARKids | $208.84 | — |
| United | STAR | $208.84 | — |
| United | STARPerinate | $208.84 | — |
| Cigna Healthspring | MGMCD | $219.28 | — |
| Aetna Better Health | MCD | $225.55 | — |
| Aetna Better Health | CHIP | $225.55 | — |
| Molina | CHIP | $229.72 | — |
| Molina | STAR+PLUS | $229.72 | — |
| Molina | STARKIDS | $229.72 | — |
| Molina | MCDSTAR | $229.72 | — |
| Humana | MGMCD | $261.05 | — |
| BCBS | BluePremier | $277.32 | — |
| BCBS | MyBlueHealth | $293.63 | — |
| BCBS | BlueAdvantageHMO | $293.63 | — |
| United | SmallGroup | $313.62 | — |
| United | NarrowNetworkIndivExchange | $313.62 | — |
| Imaging Providers of Texas | HMOBlue | $450.00 | — |
| United | AllPayerAppendix | $517.79 | — |
| Humana | COMM | $681.84 | — |
| Aetna | QHPHIX | $761.00 | — |
| Superior Health Plan | STARHealth | $879.05 | — |
| Superior Health Plan | STARKids | $879.05 | — |
| Superior Health Plan | MCDSTAR | $879.05 | — |
| Superior Health Plan | CHIP | $879.05 | — |
| Superior Health Plan | STARPLUS | $879.05 | — |
| BCBS | BlueEssentialsAccess | $906.53 | — |
| BCBS | BlueEssentials | $906.53 | — |
| BCBS | EPOSOA | $950.80 | — |
| BCBS | PPO | $995.08 | — |
| Aetna | NewBusiness | $1,045.00 | — |
| Aetna | COMM | $1,117.00 | — |
| Aetna | Meritain | $1,117.00 | — |
| Aetna | OON | $1,314.00 | — |
| Cigna | IFP | $1,695.30 | — |
| Cigna | QHP | $1,758.09 | — |
| United | OptionsPPO | $2,360.87 | — |
| Unicare | CHIP | $2,385.98 | — |
| Healthcare Highways | CityofPlano | $4,244.54 | — |
| BCBS | Traditional | $5,575.66 | — |
| City of McKinney | COMM | $5,651.01 | — |
| Fidelis SecureCare | MGMCR | $5,651.01 | — |
| National ChoiceCare | WCOMP | $6,278.90 | — |
| Global Sports Services | COMMPPO | $6,278.90 | — |
| Aetna | ASA | $6,617.96 | — |
| PC Texas Partners | WCOMP | $6,906.79 | — |
| Aetna | WCOMP | $6,906.79 | — |
| Rockport Health Group | WORKERSCOMP | $6,906.79 | — |
| Physicians Coop of TX | MGMCR | $6,906.79 | — |
| Averde Health, Inc | PPO | $7,283.52 | — |
| Coastal Comp Health Networks | WCOMP | $8,790.46 | — |
| Mega Life | MGMCRPPO | $8,790.46 | — |
| HealthSmart Preferred Care | PPO | $8,916.04 | — |
| Aetna Coventry First Health | COMM | $9,129.52 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $9,418.35 | — |
| USC Health Services | COMM | $10,046.24 | — |
| USA Managed Care | COMM | $10,046.24 | — |
| Galaxy Health Network | PPO | $10,674.13 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $11,302.02 | — |
| National Healthcare Solutions | COMM | $12,557.80 | — |
| Unicare | MCD | $12,557.80 | — |
| Independent Medical Systems | COMM | $12,557.80 | — |
Visitor-reported prices
Comments
Knee MRI (without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,209.22 | $208.84 – $2,761.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,159.09 | $314.76 – $3,238.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,257.48 | $208.84 – $2,821.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,209.22 | $208.84 – $2,761.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,159.09 | $223.46 – $3,238.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,159.09 | $208.84 – $3,238.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,257.48 | $208.84 – $3,386.22 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,209.22 | $208.84 – $2,761.53 |