Platelet pheresis each unit 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.
$75.04 with Superior Health Plan vs $3,013.14 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 | $75.04 | — |
| Superior Health Plan | STARHealth | $75.04 | — |
| Superior Health Plan | MCDSTAR | $75.04 | — |
| Superior Health Plan | CHIP | $75.04 | — |
| Superior Health Plan | STARKids | $75.04 | — |
| Cigna | IFP | $144.73 | — |
| Cigna | QHP | $150.09 | — |
| United | OptionsPPO | $201.55 | — |
| Unicare | CHIP | $203.69 | — |
| Oscar | HIX | $222.99 | — |
| Healthcare Highways | NarrowNetwork | $262.65 | — |
| BCBS | BlueAdvantageHMO | $264.80 | — |
| BCBS | MyBlueHealth | $264.80 | — |
| Evry Health | COMM | $276.59 | — |
| Cigna | LocalPlus | $283.02 | — |
| Cigna | NewBusiness | $283.02 | — |
| BCBS | BluePremier | $313.04 | — |
| Cigna | HMO | $316.25 | — |
| Cigna | OpenAccessPlus | $316.25 | — |
| Cigna | NetworkBenefit | $316.25 | — |
| BCBS | BlueEssentialsAccess | $341.98 | — |
| BCBS | BlueEssentials | $341.98 | — |
| BCBS | EPOSOA | $359.14 | — |
| Healthcare Highways | CityofPlano | $362.35 | — |
| BCBS | PPO | $375.22 | — |
| Cigna | AllOther | $399.87 | — |
| Curative Administrators | COMM | $428.82 | — |
| BCBS | Traditional | $475.99 | — |
| Fidelis SecureCare | MGMCR | $482.42 | — |
| City of McKinney | COMM | $482.42 | — |
| Global Sports Services | COMMPPO | $536.02 | — |
| National ChoiceCare | WCOMP | $536.02 | — |
| Aetna | ASA | $564.97 | — |
| PC Texas Partners | WCOMP | $589.63 | — |
| Aetna | WCOMP | $589.63 | — |
| Physicians Coop of TX | MGMCR | $589.63 | — |
| Rockport Health Group | WORKERSCOMP | $589.63 | — |
| Averde Health, Inc | PPO | $621.79 | — |
| Mega Life | MGMCRPPO | $750.43 | — |
| Multiplan PHCS | PrimaryNetwork | $750.43 | — |
| Coastal Comp Health Networks | WCOMP | $750.43 | — |
| HealthSmart Preferred Care | PPO | $761.16 | — |
| Aetna Coventry First Health | COMM | $779.38 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $804.04 | — |
| USC Health Services | COMM | $857.64 | — |
| USA Managed Care | COMM | $857.64 | — |
| Galaxy Health Network | PPO | $911.24 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $964.85 | — |
| Aetna | QHPHIX | $965.49 | — |
| National Healthcare Solutions | COMM | $1,072.05 | — |
| Unicare | MCD | $1,072.05 | — |
| Independent Medical Systems | COMM | $1,072.05 | — |
| Aetna | NewBusiness | $1,329.83 | — |
| Aetna | Meritain | $1,416.36 | — |
| Aetna | COMM | $1,416.36 | — |
| Aetna | OON | $1,666.84 | — |
| Humana | COMM | $3,013.14 | — |
Visitor-reported prices
Comments
Platelet pheresis each unit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,260.36 | $288.60 – $1,575.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,260.36 | $259.42 – $1,890.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,326.70 | $265.34 – $1,658.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,260.36 | $288.60 – $1,575.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,260.36 | $288.60 – $1,890.54 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,260.36 | $651.19 – $1,890.54 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,326.70 | $288.60 – $1,990.04 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,260.36 | $288.60 – $1,575.45 |