Pq kyphplsty 1 bdy lumb w/img 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.
$2,362.54 with TEXAS HEALTH NETWORK vs $46,837.90 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $2,362.54 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| United | STARKids | $2,398.52 | — |
| Cook Childrens Health Plan | STAR | $2,398.52 | — |
| United | STAR | $2,398.52 | — |
| United | CHIP | $2,398.52 | — |
| Parkland Community Health Plan | MCD | $2,398.52 | — |
| United | STARPerinate | $2,398.52 | — |
| United | STARPLUS | $2,398.52 | — |
| Cook Childrens Health Plan | CHIP | $2,398.52 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Cigna Healthspring | MGMCD | $2,518.45 | — |
| Amerigroup | CHIP | $2,518.45 | — |
| Amerigroup | MGMCD | $2,518.45 | — |
| Molina | STARKIDS | $2,638.37 | — |
| Molina | CHIP | $2,638.37 | — |
| Molina | STAR+PLUS | $2,638.37 | — |
| Molina | MCDSTAR | $2,638.37 | — |
| Aetna Better Health | MCD | $2,878.22 | — |
| Aetna Better Health | CHIP | $2,878.22 | — |
| Humana | MGMCD | $2,998.15 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Fidelis SecureCare | MGMCR | $4,250.00 | — |
| Aetna | OON | $4,332.00 | — |
| Cigna | IFP | $6,323.12 | — |
| Cigna | QHP | $6,557.31 | — |
| WellMed | MGMCR | $7,337.80 | — |
| BCBS | BluePremier | $7,776.53 | — |
| Oscar | HIX | $8,024.00 | — |
| Healthcare Highways | NarrowNetwork | $8,517.00 | — |
| Curative Administrators | COMM | $8,778.00 | — |
| United | OptionsPPO | $8,805.53 | — |
| Unicare | CHIP | $8,899.20 | — |
| Evry Health | COMM | $9,417.00 | — |
| BCBS | BlueAdvantageHMO | $13,698.67 | — |
| BCBS | MyBlueHealth | $13,698.67 | — |
| BCBS | BlueEssentials | $15,253.97 | — |
| BCBS | BlueEssentialsAccess | $15,253.97 | — |
| Healthcare Highways | CityofPlano | $15,831.21 | — |
| BCBS | EPOSOA | $16,031.63 | — |
| BCBS | PPO | $16,749.46 | — |
| United | SmallGroup | $16,805.00 | — |
| United | NarrowNetworkIndivExchange | $18,755.00 | — |
| Cigna | LocalPlus | $20,013.00 | — |
| Cigna | NewBusiness | $20,033.00 | — |
| BCBS | Traditional | $20,796.03 | — |
| City of McKinney | COMM | $21,077.06 | — |
| Cigna | OpenAccessPlus | $22,360.00 | — |
| Cigna | NetworkBenefit | $22,360.00 | — |
| Cigna | HMO | $22,360.00 | — |
| National ChoiceCare | WCOMP | $23,418.95 | — |
| Aetna | ASA | $24,683.57 | — |
| Physicians Coop of TX | MGMCR | $25,760.85 | — |
| Rockport Health Group | WORKERSCOMP | $25,760.85 | — |
| Aetna | WCOMP | $25,760.85 | — |
| PC Texas Partners | WCOMP | $25,760.85 | — |
| United | AllPayerAppendix | $26,520.00 | — |
| Averde Health, Inc | PPO | $27,165.98 | — |
| Cigna | AllOther | $28,286.00 | — |
| Coastal Comp Health Networks | WCOMP | $32,786.53 | — |
| Multiplan PHCS | PrimaryNetwork | $32,786.53 | — |
| Mega Life | MGMCRPPO | $32,786.53 | — |
| HealthSmart Preferred Care | PPO | $33,254.91 | — |
| Aetna Coventry First Health | COMM | $34,051.15 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $35,128.43 | — |
| USA Managed Care | COMM | $37,470.32 | — |
| USC Health Services | COMM | $37,470.32 | — |
| Galaxy Health Network | PPO | $39,812.21 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $42,154.11 | — |
| Humana | COMM | $45,558.91 | — |
| National Healthcare Solutions | COMM | $46,837.90 | — |
| Independent Medical Systems | COMM | $46,837.90 | — |
| Unicare | MCD | $46,837.90 | — |
Visitor-reported prices
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Pq kyphplsty 1 bdy lumb w/img at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,430.78 | $2,398.52 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,620.65 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,736.87 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,430.78 | $2,398.52 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,620.65 | $85.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,620.65 | $2,398.52 – $17,722.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $12,736.87 | $71.00 – $19,105.31 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,430.78 | $2,398.52 – $17,722.46 |