Pq dr cath chg w cont s&i 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.
$81.48 with BCBS vs $1,756.48 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 |
|---|---|---|---|
| BCBS | BluePremier | $81.48 | — |
| BCBS | MyBlueHealth | $89.70 | — |
| BCBS | BlueAdvantageHMO | $89.70 | — |
| Aetna | QHPHIX | $101.17 | — |
| Superior Health Plan | STARHealth | $122.95 | — |
| Superior Health Plan | CHIP | $122.95 | — |
| Superior Health Plan | STARKids | $122.95 | — |
| Superior Health Plan | STARPLUS | $122.95 | — |
| Superior Health Plan | MCDSTAR | $122.95 | — |
| Aetna | NewBusiness | $138.72 | — |
| Aetna | Meritain | $148.60 | — |
| Aetna | COMM | $148.60 | — |
| Aetna | OON | $174.28 | — |
| Cigna | IFP | $237.12 | — |
| Cigna | QHP | $245.91 | — |
| BCBS | BlueEssentialsAccess | $266.35 | — |
| BCBS | BlueEssentials | $266.35 | — |
| BCBS | EPOSOA | $279.36 | — |
| Humana | COMM | $286.06 | — |
| BCBS | PPO | $292.37 | — |
| United | OptionsPPO | $330.22 | — |
| Unicare | CHIP | $333.73 | — |
| Imperial Insurance Company | MCR | $333.73 | — |
| Healthcare Highways | NarrowNetwork | $430.34 | — |
| Evry Health | COMM | $453.17 | — |
| Cigna | LocalPlus | $463.71 | — |
| Cigna | NewBusiness | $463.71 | — |
| Cigna | OpenAccessPlus | $518.16 | — |
| Cigna | NetworkBenefit | $518.16 | — |
| Cigna | HMO | $518.16 | — |
| Healthcare Highways | CityofPlano | $593.69 | — |
| Cigna | AllOther | $655.17 | — |
| Curative Administrators | COMM | $702.59 | — |
| BCBS | Traditional | $779.88 | — |
| City of McKinney | COMM | $790.42 | — |
| Fidelis SecureCare | MGMCR | $790.42 | — |
| Global Sports Services | COMMPPO | $878.24 | — |
| National ChoiceCare | WCOMP | $878.24 | — |
| Aetna | ASA | $925.66 | — |
| Aetna | WCOMP | $966.06 | — |
| Rockport Health Group | WORKERSCOMP | $966.06 | — |
| Physicians Coop of TX | MGMCR | $966.06 | — |
| PC Texas Partners | WCOMP | $966.06 | — |
| Averde Health, Inc | PPO | $1,018.76 | — |
| Coastal Comp Health Networks | WCOMP | $1,229.54 | — |
| Multiplan PHCS | PrimaryNetwork | $1,229.54 | — |
| Mega Life | MGMCRPPO | $1,229.54 | — |
| HealthSmart Preferred Care | PPO | $1,247.10 | — |
| Aetna Coventry First Health | COMM | $1,276.96 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,317.36 | — |
| USC Health Services | COMM | $1,405.18 | — |
| USA Managed Care | COMM | $1,405.18 | — |
| Galaxy Health Network | PPO | $1,493.01 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $1,580.83 | — |
| National Healthcare Solutions | COMM | $1,756.48 | — |
| Independent Medical Systems | COMM | $1,756.48 | — |
| Unicare | MCD | $1,756.48 | — |
Visitor-reported prices
Comments
Pq dr cath chg w cont s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $633.97 | $136.94 – $898.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $745.67 | $153.48 – $1,118.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $531.83 | $106.37 – $664.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $633.97 | $156.80 – $898.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $745.67 | $239.36 – $1,118.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $745.67 | $385.26 – $1,118.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $531.83 | $177.28 – $797.74 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $633.97 | $136.94 – $898.12 |