Screening Mammogram 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.
$53.90 with Superior Health Plan vs $769.97 with National Healthcare Solutions — 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 | STARHealth | $53.90 | — |
| Superior Health Plan | CHIP | $53.90 | — |
| Superior Health Plan | MCDSTAR | $53.90 | — |
| Superior Health Plan | STARPLUS | $53.90 | — |
| Superior Health Plan | STARKids | $53.90 | — |
| Humana | Tricare | $86.71 | — |
| BCBS | MGMCRHMO | $89.39 | — |
| TriWest Health Alliance | TRCR | $89.39 | — |
| BCBS | MCRPPO | $89.39 | — |
| WellMed | MGMCR | $89.42 | — |
| Devoted Health | SNP | $89.87 | — |
| Devoted Health | HMO | $89.87 | — |
| Devoted Health | POS | $89.87 | — |
| Devoted Health | MCR | $89.87 | — |
| Devoted Health | MME | $89.87 | — |
| Humana | MGMCR | $89.87 | — |
| Devoted Health | PPO | $89.87 | — |
| Mutual of Omaha | MGMCR | $89.87 | — |
| TriWest Veterans | FEDERAL | $89.87 | — |
| Amerigroup | DualEligible | $89.87 | — |
| United | MGMCR | $90.32 | — |
| Aetna | MCR | $90.63 | — |
| Care N Care | MGMCR | $90.77 | — |
| Cigna Healthspring | MGMCR | $91.67 | — |
| Integranet | MGMCR | $92.57 | — |
| WellCare | MGMCR | $92.57 | — |
| Superior Health Plan | MGMCRHMO | $94.36 | — |
| Superior Health Plan | MGMCRPOS | $94.36 | — |
| Superior Health Plan | MGMCRSNP | $94.36 | — |
| Superior Health Plan | MGMCRDualEligible | $94.36 | — |
| ProCare Advantge | MCR | $94.36 | — |
| Superior Health Plan | MGMCRPPO | $94.36 | — |
| American Health Plan of Texas, Inc. | MGMCR | $94.36 | — |
| Superior Health Plan | MGMCRPFFS | $94.36 | — |
| Provider Partners Health Plan | MCR | $95.26 | — |
| Texas Independent Health Plan | MGMCR | $95.26 | — |
| Molina | MCR | $97.96 | — |
| Molina | MMP | $97.96 | — |
| Molina | MME | $97.96 | — |
| Imperial Insurance Company | MCR | $98.86 | — |
| Cigna | IFP | $103.95 | — |
| Cigna | QHP | $107.80 | — |
| Universal Healthcare Group | MCR | $107.84 | — |
| Verda Health Plan | MGMCR | $116.83 | — |
| BCBS | BluePremier | $118.37 | — |
| BCBS | MyBlueHealth | $130.31 | — |
| BCBS | BlueAdvantageHMO | $130.31 | — |
| Bravo Health | MCRPOS | $134.81 | — |
| Bravo Health | MCRHMO | $134.81 | — |
| Bravo Health | MCRPPO | $134.81 | — |
| Bravo Health | MCRSNP | $134.81 | — |
| Bravo Health | MCRPFFS | $134.81 | — |
| United | NarrowNetworkIndivExchange | $137.05 | — |
| United | SmallGroup | $137.05 | — |
| United | OptionsPPO | $144.75 | — |
| Unicare | CHIP | $146.29 | — |
| Aetna | QHPHIX | $155.26 | — |
| Superior | ValueHMO | $160.87 | — |
| USA Managed Care | WORKERSCOMP | $170.75 | — |
| Corvel Corporation | WORKERSCOMP | $177.94 | — |
| Healthcare Highways | NarrowNetwork | $188.64 | — |
| Evry Health | COMM | $198.65 | — |
| Superior | HMO | $201.31 | — |
| Superior | EPO | $201.31 | — |
| Aetna | NewBusiness | $212.88 | — |
| United | AllPayerAppendix | $217.46 | — |
| Aetna | Meritain | $228.04 | — |
| Aetna | COMM | $228.04 | — |
| Molina Healthcare | HIX | $235.46 | — |
| Humana | COMM | $238.61 | — |
| Healthcare Highways | CityofPlano | $260.25 | — |
| Aetna | OON | $267.47 | — |
| Curative Administrators | COMM | $307.99 | — |
| BCBS | Traditional | $341.87 | — |
| City of McKinney | COMM | $346.49 | — |
| Fidelis SecureCare | MGMCR | $346.49 | — |
| National ChoiceCare | WCOMP | $384.99 | — |
| Global Sports Services | COMMPPO | $384.99 | — |
| BCBS | BlueEssentials | $386.94 | — |
| BCBS | BlueEssentialsAccess | $386.94 | — |
| Aetna | ASA | $405.77 | — |
| BCBS | EPOSOA | $405.84 | — |
| Aetna | WCOMP | $423.48 | — |
| Physicians Coop of TX | MGMCR | $423.48 | — |
| PC Texas Partners | WCOMP | $423.48 | — |
| Rockport Health Group | WORKERSCOMP | $423.48 | — |
| BCBS | PPO | $424.74 | — |
| Averde Health, Inc | PPO | $446.58 | — |
| Multiplan PHCS | PrimaryNetwork | $538.98 | — |
| Coastal Comp Health Networks | WCOMP | $538.98 | — |
| Mega Life | MGMCRPPO | $538.98 | — |
| HealthSmart Preferred Care | PPO | $546.68 | — |
| Aetna Coventry First Health | COMM | $559.77 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $577.48 | — |
| USA Managed Care | COMM | $615.98 | — |
| USC Health Services | COMM | $615.98 | — |
| Galaxy Health Network | PPO | $654.47 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $692.97 | — |
| Independent Medical Systems | COMM | $769.97 | — |
| Unicare | MCD | $769.97 | — |
| National Healthcare Solutions | COMM | $769.97 | — |
Visitor-reported prices
Comments
Screening Mammogram at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $792.81 | $382.96 – $382.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $227.22 | $64.38 – $321.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $238.14 | $49.02 – $357.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $238.14 | $47.63 – $334.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $227.22 | $60.59 – $321.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $238.14 | $76.44 – $406.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $238.14 | $123.04 – $357.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $238.14 | $79.38 – $357.21 |