Stent/tib/peroneal/unilat/initial 37230 at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$59,923.92
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.
$59,923.92
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.
$2,369.00 with Superior Health Plan vs $59,923.92 with Independent Medical Systems — 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 | CHIP | $2,369.00 | ↓ -96% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -96% |
| Superior Health Plan | MCDSTAR | $2,369.00 | ↓ -96% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -96% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -96% |
| Oscar | HIX | $7,008.00 | ↓ -88% |
| Cigna | IFP | $8,089.73 | ↓ -86% |
| TEXAS HEALTH NETWORK | MCD | $8,369.88 | ↓ -86% |
| Cigna | QHP | $8,389.35 | ↓ -86% |
| United | STARPerinate | $8,497.34 | ↓ -86% |
| Parkland Community Health Plan | MCD | $8,497.34 | ↓ -86% |
| Cook Childrens Health Plan | STAR | $8,497.34 | ↓ -86% |
| United | CHIP | $8,497.34 | ↓ -86% |
| United | STAR | $8,497.34 | ↓ -86% |
| United | STARKids | $8,497.34 | ↓ -86% |
| United | STARPLUS | $8,497.34 | ↓ -86% |
| Cook Childrens Health Plan | CHIP | $8,497.34 | ↓ -86% |
| Cigna Healthspring | MGMCD | $8,922.21 | ↓ -85% |
| Amerigroup | CHIP | $8,922.21 | ↓ -85% |
| Amerigroup | MGMCD | $8,922.21 | ↓ -85% |
| Molina | MCDSTAR | $9,347.07 | ↓ -84% |
| Molina | STARKIDS | $9,347.07 | ↓ -84% |
| Molina | CHIP | $9,347.07 | ↓ -84% |
| Molina | STAR+PLUS | $9,347.07 | ↓ -84% |
| Aetna Better Health | MCD | $10,196.81 | ↓ -83% |
| Aetna Better Health | CHIP | $10,196.81 | ↓ -83% |
| Humana | MGMCD | $10,621.67 | ↓ -82% |
| Evry Health | COMM | $10,763.00 | ↓ -82% |
| United | OptionsPPO | $10,966.08 | ↓ -82% |
| Unicare | CHIP | $11,385.54 | ↓ -81% |
| BCBS | BlueAdvantageHMO | $14,321.82 | ↓ -76% |
| BCBS | MyBlueHealth | $14,321.82 | ↓ -76% |
| Cigna | LocalPlus | $15,819.91 | ↓ -74% |
| Cigna | NewBusiness | $15,819.91 | ↓ -74% |
| Cigna | NetworkBenefit | $17,677.56 | ↓ -70% |
| Cigna | HMO | $17,677.56 | ↓ -70% |
| Cigna | OpenAccessPlus | $17,677.56 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $18,816.11 | ↓ -69% |
| BCBS | BlueEssentials | $18,816.11 | ↓ -69% |
| BCBS | EPOSOA | $19,774.89 | ↓ -67% |
| Healthcare Highways | CityofPlano | $20,254.28 | ↓ -66% |
| BCBS | PPO | $20,673.75 | ↓ -66% |
| Cigna | AllOther | $22,351.62 | ↓ -63% |
| Curative Administrators | COMM | $23,969.57 | ↓ -60% |
| BCBS | Traditional | $24,808.50 | ↓ -59% |
| United | GlobalBenefitPlan | $26,965.76 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $26,965.76 | ↓ -55% |
| City of McKinney | COMM | $26,965.76 | ↓ -55% |
| National ChoiceCare | WCOMP | $29,961.96 | ↓ -50% |
| Aetna | ASA | $30,261.58 | ↓ -49% |
| PC Texas Partners | WCOMP | $32,958.16 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $32,958.16 | ↓ -45% |
| Aetna | WCOMP | $32,958.16 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $32,958.16 | ↓ -45% |
| Aetna Coventry First Health | COMM | $34,336.41 | ↓ -43% |
| Averde Health, Inc | PPO | $34,755.87 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $41,946.74 | ↓ -30% |
| Mega Life | MGMCRPPO | $41,946.74 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $42,545.98 | ↓ -29% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $44,942.94 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $44,942.94 | ↓ -25% |
| USC Health Services | COMM | $47,939.14 | ↓ -20% |
| USA Managed Care | COMM | $47,939.14 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $50,935.33 | ↓ -15% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $53,931.53 | ↓ -10% |
| Unicare | MCD | $59,923.92 | ↑ +0% |
| National Healthcare Solutions | COMM | $59,923.92 | ↑ +0% |
| Independent Medical Systems | COMM | $59,923.92 | ↑ +0% |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,840.56 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29,957.43 | $71.00 – $44,936.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,036.28 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,840.56 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $29,957.43 | $85.00 – $44,936.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $29,957.43 | $14,096.00 – $44,936.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $28,036.28 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $27,840.56 | $7,038.00 – $43,439.01 |