Ortho elbow w/lock w/ft&adj at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$385.00
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.
$385.00
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.
$26.95 with Superior Health Plan vs $3,176.82 with Humana — 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 | $26.95 | ↓ -93% |
| Superior Health Plan | STARHealth | $26.95 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $26.95 | ↓ -93% |
| Superior Health Plan | CHIP | $26.95 | ↓ -93% |
| Superior Health Plan | STARKids | $26.95 | ↓ -93% |
| Cigna | IFP | $51.98 | ↓ -86% |
| Cigna | QHP | $53.90 | ↓ -86% |
| United | OptionsPPO | $72.38 | ↓ -81% |
| Unicare | CHIP | $73.15 | ↓ -81% |
| BCBS | BlueAdvantageHMO | $95.09 | ↓ -75% |
| BCBS | MyBlueHealth | $95.09 | ↓ -75% |
| Cigna | LocalPlus | $101.64 | ↓ -74% |
| Cigna | NewBusiness | $101.64 | ↓ -74% |
| Cigna | OpenAccessPlus | $113.58 | ↓ -70% |
| Cigna | HMO | $113.58 | ↓ -70% |
| Cigna | NetworkBenefit | $113.58 | ↓ -70% |
| BCBS | BlueEssentials | $122.81 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $122.81 | ↓ -68% |
| BCBS | EPOSOA | $128.97 | ↓ -67% |
| Healthcare Highways | CityofPlano | $130.13 | ↓ -66% |
| BCBS | PPO | $134.75 | ↓ -65% |
| Cigna | AllOther | $143.60 | ↓ -63% |
| BCBS | Traditional | $170.94 | ↓ -56% |
| City of McKinney | COMM | $173.25 | ↓ -55% |
| National ChoiceCare | WCOMP | $192.50 | ↓ -50% |
| Aetna | ASA | $202.90 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $211.75 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $211.75 | ↓ -45% |
| Aetna | WCOMP | $211.75 | ↓ -45% |
| PC Texas Partners | WCOMP | $211.75 | ↓ -45% |
| Averde Health, Inc | PPO | $223.30 | ↓ -42% |
| Mega Life | MGMCRPPO | $269.50 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $273.35 | ↓ -29% |
| Aetna Coventry First Health | COMM | $279.89 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $288.75 | ↓ -25% |
| USC Health Services | COMM | $308.00 | ↓ -20% |
| USA Managed Care | COMM | $308.00 | ↓ -20% |
| Galaxy Health Network | PPO | $327.25 | ↓ -15% |
| Unicare | MCD | $385.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $385.00 | ↑ +0% |
| Independent Medical Systems | COMM | $385.00 | ↑ +0% |
| Humana | Tricare | $545.44 | ↑ +42% |
| BCBS | MGMCRHMO | $551.28 | ↑ +43% |
| BCBS | MCRPPO | $551.28 | ↑ +43% |
| WellMed | MGMCR | $559.50 | ↑ +45% |
| Devoted Health | PPO | $562.31 | ↑ +46% |
| Devoted Health | SNP | $562.31 | ↑ +46% |
| Devoted Health | HMO | $562.31 | ↑ +46% |
| Devoted Health | POS | $562.31 | ↑ +46% |
| Devoted Health | MCR | $562.31 | ↑ +46% |
| Devoted Health | MME | $562.31 | ↑ +46% |
| Humana | MGMCR | $562.31 | ↑ +46% |
| Amerigroup | DualEligible | $562.31 | ↑ +46% |
| Mutual of Omaha | MGMCR | $562.31 | ↑ +46% |
| TriWest Health Alliance | TRCR | $562.31 | ↑ +46% |
| TriWest Veterans | FEDERAL | $562.31 | ↑ +46% |
| United | MGMCR | $565.12 | ↑ +47% |
| Aetna | MCR | $567.09 | ↑ +47% |
| Care N Care | MGMCR | $567.93 | ↑ +48% |
| Cigna Healthspring | MGMCR | $573.56 | ↑ +49% |
| Integranet | MGMCR | $579.18 | ↑ +50% |
| WellCare | MGMCR | $579.18 | ↑ +50% |
| Superior Health Plan | MGMCRPFFS | $590.43 | ↑ +53% |
| Superior Health Plan | MGMCRHMO | $590.43 | ↑ +53% |
| American Health Plan of Texas, Inc. | MGMCR | $590.43 | ↑ +53% |
| ProCare Advantge | MCR | $590.43 | ↑ +53% |
| Superior Health Plan | MGMCRPPO | $590.43 | ↑ +53% |
| Superior Health Plan | MGMCRSNP | $590.43 | ↑ +53% |
| Superior Health Plan | MGMCRPOS | $590.43 | ↑ +53% |
| Superior Health Plan | MGMCRDualEligible | $590.43 | ↑ +53% |
| Texas Independent Health Plan | MGMCR | $596.05 | ↑ +55% |
| Provider Partners Health Plan | MCR | $596.05 | ↑ +55% |
| Molina | MME | $612.92 | ↑ +59% |
| Molina | MCR | $612.92 | ↑ +59% |
| Molina | MMP | $612.92 | ↑ +59% |
| Imperial Insurance Company | MCR | $618.54 | ↑ +61% |
| Universal Healthcare Group | MCR | $674.77 | ↑ +75% |
| Verda Health Plan | MGMCR | $731.00 | ↑ +90% |
| Bravo Health | MCRPPO | $843.46 | ↑ +119% |
| Bravo Health | MCRHMO | $843.46 | ↑ +119% |
| Bravo Health | MCRPOS | $843.46 | ↑ +119% |
| Bravo Health | MCRPFFS | $843.46 | ↑ +119% |
| Bravo Health | MCRSNP | $843.46 | ↑ +119% |
| Superior | ValueHMO | $1,006.53 | ↑ +161% |
| USA Managed Care | WORKERSCOMP | $1,068.39 | ↑ +178% |
| Corvel Corporation | WORKERSCOMP | $1,113.37 | ↑ +189% |
| Superior | EPO | $1,259.57 | ↑ +227% |
| Superior | HMO | $1,259.57 | ↑ +227% |
| Molina Healthcare | HIX | $1,473.25 | ↑ +283% |
| Humana | COMM | $3,176.82 | ↑ +725% |
Visitor-reported prices
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Ortho elbow w/lock w/ft&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $348.29 | $98.68 – $493.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $428.40 | $56.89 – $414.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $428.40 | $55.28 – $368.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $348.29 | $92.88 – $493.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $428.40 | $88.73 – $414.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $428.40 | $142.81 – $414.61 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $428.40 | $92.14 – $414.61 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $348.29 | $92.88 – $493.41 |