St analysis behavior qualitative voice/resonance 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.
$24.40 with Superior Health Plan vs $483.96 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 |
|---|---|---|---|
| Superior Health Plan | MCDSTAR | $24.40 | — |
| Superior Health Plan | STARHealth | $24.40 | — |
| Superior Health Plan | STARPLUS | $24.40 | — |
| Superior Health Plan | STARKids | $24.40 | — |
| Superior Health Plan | CHIP | $24.40 | — |
| Cigna | IFP | $47.06 | — |
| Cigna | QHP | $48.80 | — |
| United | OptionsPPO | $63.79 | — |
| Unicare | CHIP | $66.23 | — |
| Oscar | HIX | $72.51 | — |
| Humana | Tricare | $106.10 | — |
| WellMed | MGMCR | $108.83 | — |
| TriWest Veterans | FEDERAL | $109.38 | — |
| Devoted Health | MME | $109.38 | — |
| Mutual of Omaha | MGMCR | $109.38 | — |
| Devoted Health | MCR | $109.38 | — |
| Devoted Health | POS | $109.38 | — |
| Devoted Health | HMO | $109.38 | — |
| Amerigroup | DualEligible | $109.38 | — |
| Devoted Health | SNP | $109.38 | — |
| Humana | MGMCR | $109.38 | — |
| BCBS | MGMCRHMO | $109.38 | — |
| BCBS | MCRPPO | $109.38 | — |
| Devoted Health | PPO | $109.38 | — |
| TriWest Health Alliance | TRCR | $109.38 | — |
| Aetna | MCR | $110.31 | — |
| Care N Care | MGMCR | $110.47 | — |
| Cigna Healthspring | MGMCR | $111.57 | — |
| United | MGMCR | $111.57 | — |
| Integranet | MGMCR | $112.66 | — |
| WellCare | MGMCR | $112.66 | — |
| Superior Health Plan | MGMCRPFFS | $114.85 | — |
| ProCare Advantge | MCR | $114.85 | — |
| Superior Health Plan | MGMCRSNP | $114.85 | — |
| Superior Health Plan | MGMCRPOS | $114.85 | — |
| Superior Health Plan | MGMCRDualEligible | $114.85 | — |
| Superior Health Plan | MGMCRPPO | $114.85 | — |
| Superior Health Plan | MGMCRHMO | $114.85 | — |
| American Health Plan of Texas, Inc. | MGMCR | $114.85 | — |
| Provider Partners Health Plan | MCR | $115.94 | — |
| Texas Independent Health Plan | MGMCR | $115.94 | — |
| Healthcare Highways | CityofPlano | $117.83 | — |
| Molina | MME | $119.22 | — |
| Molina | MMP | $119.22 | — |
| Molina | MCR | $119.22 | — |
| Imperial Insurance Company | MCR | $120.32 | — |
| Universal Healthcare Group | MCR | $131.26 | — |
| Verda Health Plan | MGMCR | $142.19 | — |
| BCBS | Traditional | $144.32 | — |
| Fidelis SecureCare | MGMCR | $156.87 | — |
| United | GlobalBenefitPlan | $156.87 | — |
| City of McKinney | COMM | $156.87 | — |
| Bravo Health | MCRSNP | $164.07 | — |
| Bravo Health | MCRPFFS | $164.07 | — |
| Bravo Health | MCRHMO | $164.07 | — |
| Bravo Health | MCRPOS | $164.07 | — |
| Bravo Health | MCRPPO | $164.07 | — |
| Global Sports Services | COMMPPO | $174.30 | — |
| National ChoiceCare | WCOMP | $174.30 | — |
| Aetna | ASA | $176.04 | — |
| Physicians Coop of TX | MGMCR | $191.73 | — |
| PC Texas Partners | WCOMP | $191.73 | — |
| Rockport Health Group | WORKERSCOMP | $191.73 | — |
| Aetna | WCOMP | $191.73 | — |
| Superior | ValueHMO | $195.79 | — |
| Aetna Coventry First Health | COMM | $199.75 | — |
| Averde Health, Inc | PPO | $202.19 | — |
| USA Managed Care | WORKERSCOMP | $207.82 | — |
| Corvel Corporation | WORKERSCOMP | $216.57 | — |
| Coastal Comp Health Networks | WCOMP | $244.02 | — |
| Mega Life | MGMCRPPO | $244.02 | — |
| Superior | EPO | $245.01 | — |
| Superior | HMO | $245.01 | — |
| HealthSmart Preferred Care | PPO | $247.51 | — |
| BCBS | MyBlueHealth | $248.76 | — |
| BCBS | BlueAdvantageHMO | $248.76 | — |
| Multiplan | PHCSPrimaryNetwork | $261.45 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $261.45 | — |
| USC Health Services | COMM | $278.88 | — |
| USA Managed Care | COMM | $278.88 | — |
| Molina Healthcare | HIX | $286.58 | — |
| Multiplan | ComplementaryNetwork | $296.31 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $313.74 | — |
| Independent Medical Systems | COMM | $348.60 | — |
| National Healthcare Solutions | COMM | $348.60 | — |
| Unicare | MCD | $348.60 | — |
| BCBS | BlueEssentials | $440.54 | — |
| BCBS | BlueEssentialsAccess | $440.54 | — |
| BCBS | EPOSOA | $462.25 | — |
| BCBS | PPO | $483.96 | — |
Visitor-reported prices
Comments
St analysis behavior qualitative voice/resonance at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $382.60 | $108.00 – $542.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $376.38 | $77.47 – $564.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $401.71 | $80.34 – $502.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $382.60 | $102.03 – $542.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $376.38 | $108.00 – $564.57 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $376.38 | $155.00 – $564.57 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $401.71 | $108.00 – $602.57 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $382.60 | $102.03 – $542.02 |