New Patient Office Visit (level 5) at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$937.07
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.
$937.07
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.
$65.59 with Superior Health Plan vs $937.07 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 | $65.59 | ↓ -93% |
| Superior Health Plan | STARHealth | $65.59 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $65.59 | ↓ -93% |
| Superior Health Plan | STARPLUS | $65.59 | ↓ -93% |
| Superior Health Plan | STARKids | $65.59 | ↓ -93% |
| Cigna | IFP | $126.50 | ↓ -87% |
| Aetna | QHPHIX | $126.50 | ↓ -87% |
| Cigna | QHP | $131.19 | ↓ -86% |
| United | OptionsPPO | $176.17 | ↓ -81% |
| Imperial Insurance Company | MCR | $178.04 | ↓ -81% |
| Unicare | CHIP | $178.04 | ↓ -81% |
| Aetna | NewBusiness | $186.48 | ↓ -80% |
| Aetna | Meritain | $199.60 | ↓ -79% |
| Aetna | COMM | $199.60 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $229.58 | ↓ -76% |
| Aetna | OON | $235.20 | ↓ -75% |
| Evry Health | COMM | $241.76 | ↓ -74% |
| Humana | COMM | $258.46 | ↓ -72% |
| Healthcare Highways | CityofPlano | $316.73 | ↓ -66% |
| Curative Administrators | COMM | $374.83 | ↓ -60% |
| BCBS | Traditional | $416.06 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $421.68 | ↓ -55% |
| City of McKinney | COMM | $421.68 | ↓ -55% |
| Global Sports Services | COMMPPO | $468.54 | ↓ -50% |
| National ChoiceCare | WCOMP | $468.54 | ↓ -50% |
| BCBS | BlueAdvantageHMO | $470.77 | ↓ -50% |
| BCBS | MyBlueHealth | $470.77 | ↓ -50% |
| Aetna | ASA | $493.84 | ↓ -47% |
| PC Texas Partners | WCOMP | $515.39 | ↓ -45% |
| Aetna | WCOMP | $515.39 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $515.39 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $515.39 | ↓ -45% |
| Averde Health, Inc | PPO | $543.50 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $655.95 | ↓ -30% |
| Mega Life | MGMCRPPO | $655.95 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $655.95 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $665.32 | ↓ -29% |
| Aetna Coventry First Health | COMM | $681.25 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $702.80 | ↓ -25% |
| USC Health Services | COMM | $749.66 | ↓ -20% |
| USA Managed Care | COMM | $749.66 | ↓ -20% |
| Galaxy Health Network | PPO | $796.51 | ↓ -15% |
| BCBS | BlueEssentials | $833.70 | ↓ -11% |
| BCBS | BlueEssentialsAccess | $833.70 | ↓ -11% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $843.36 | ↓ -10% |
| BCBS | EPOSOA | $874.78 | ↓ -7% |
| BCBS | PPO | $915.87 | ↓ -2% |
| Independent Medical Systems | COMM | $937.07 | ↑ +0% |
| National Healthcare Solutions | COMM | $937.07 | ↑ +0% |
| Unicare | MCD | $937.07 | ↑ +0% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,075.78 | $659.08 – $659.08 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,210.66 | $351.91 – $400.58 |
| Baylor St Luke's Medical Center | Houston | $251.65 | $82.00 – $719.00 |
| St. Joseph Health Madison Hospital | Madisonville | $208.78 | $37.59 – $295.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $246.90 | $100.00 – $671.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $251.65 | $74.00 – $719.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $251.65 | $74.00 – $719.00 |
| St. Joseph Health College Station Hospital | College Station | $208.78 | $77.00 – $363.58 |