Pr planning advance care 1st 30 minutes 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.
$36.20 with Humana vs $420.19 with BCBS — 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 |
|---|---|---|---|
| Humana | COMM | $36.20 | — |
| BCBS | MCRPPO | $79.73 | — |
| BCBS | MGMCRHMO | $79.73 | — |
| WellMed | MGMCR | $86.00 | — |
| Devoted Health | MCR | $86.43 | — |
| Devoted Health | MME | $86.43 | — |
| TriWest Veterans | FEDERAL | $86.43 | — |
| Devoted Health | SNP | $86.43 | — |
| Humana | MGMCR | $86.43 | — |
| Devoted Health | POS | $86.43 | — |
| Amerigroup | DualEligible | $86.43 | — |
| Mutual of Omaha | MGMCR | $86.43 | — |
| Devoted Health | PPO | $86.43 | — |
| Devoted Health | HMO | $86.43 | — |
| United | MGMCR | $86.86 | — |
| Aetna | MCR | $87.16 | — |
| Care N Care | MGMCR | $87.29 | — |
| Cigna Healthspring | MGMCR | $88.16 | — |
| WellCare | MGMCR | $89.02 | — |
| Integranet | MGMCR | $89.02 | — |
| Superior Health Plan | MGMCRPPO | $90.75 | — |
| Superior Health Plan | MGMCRPFFS | $90.75 | — |
| Superior Health Plan | MGMCRDualEligible | $90.75 | — |
| Superior Health Plan | MGMCRPOS | $90.75 | — |
| Superior Health Plan | MGMCRSNP | $90.75 | — |
| ProCare Advantge | MCR | $90.75 | — |
| American Health Plan of Texas, Inc. | MGMCR | $90.75 | — |
| Superior Health Plan | MGMCRHMO | $90.75 | — |
| Provider Partners Health Plan | MCR | $91.62 | — |
| Texas Independent Health Plan | MGMCR | $91.62 | — |
| Molina | MME | $94.21 | — |
| Molina | MCR | $94.21 | — |
| Molina | MMP | $94.21 | — |
| Imperial Insurance Company | MCR | $95.07 | — |
| Universal Healthcare Group | MCR | $103.72 | — |
| Verda Health Plan | MGMCR | $112.36 | — |
| Bravo Health | MCRPOS | $129.65 | — |
| Bravo Health | MCRHMO | $129.65 | — |
| Bravo Health | MCRPFFS | $129.65 | — |
| Bravo Health | MCRPPO | $129.65 | — |
| Bravo Health | MCRSNP | $129.65 | — |
| Superior | ValueHMO | $154.71 | — |
| USA Managed Care | WORKERSCOMP | $164.22 | — |
| Corvel Corporation | WORKERSCOMP | $171.13 | — |
| BCBS | BluePremier | $185.35 | — |
| Superior | HMO | $193.60 | — |
| Superior | EPO | $193.60 | — |
| BCBS | BlueAdvantageHMO | $215.99 | — |
| BCBS | MyBlueHealth | $215.99 | — |
| Molina Healthcare | HIX | $226.45 | — |
| BCBS | BlueEssentials | $382.49 | — |
| BCBS | BlueEssentialsAccess | $382.49 | — |
| BCBS | EPOSOA | $401.34 | — |
| BCBS | PPO | $420.19 | — |
Visitor-reported prices
Comments
Pr planning advance care 1st 30 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $66.15 | $51.03 – $189.00 |
| St. Joseph Health Madison Hospital | Madisonville | $19.08 | $13.89 – $109.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $66.15 | $51.03 – $189.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $66.15 | $51.03 – $189.00 |
| St. Joseph Health College Station Hospital | College Station | $19.08 | $59.95 – $109.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $66.15 | $51.03 – $189.00 |
| St. Joseph Health Grimes Hospital | Navasota | $19.08 | $39.53 – $120.99 |
| St. Luke's Health - The Vintage Hospital | Houston | $66.15 | $51.03 – $189.00 |