Surgical pathology level 1 gross examination only 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.
$12.63 with Aetna vs $399.17 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 |
|---|---|---|---|
| Aetna | NewBusiness | $12.63 | — |
| Aetna | Meritain | $13.51 | — |
| Aetna | COMM | $13.51 | — |
| Aetna | OON | $15.99 | — |
| United | NarrowNetworkIndivExchange | $24.67 | — |
| United | AllPayerAppendix | $24.67 | — |
| United | SmallGroup | $24.67 | — |
| Superior Health Plan | CHIP | $27.94 | — |
| Superior Health Plan | STARKids | $27.94 | — |
| Superior Health Plan | STARPLUS | $27.94 | — |
| Superior Health Plan | MCDSTAR | $27.94 | — |
| Superior Health Plan | STARHealth | $27.94 | — |
| BCBS | BlueAdvantageHMO | $40.23 | — |
| BCBS | MyBlueHealth | $40.23 | — |
| Cigna | LocalPlus | $44.92 | — |
| Cigna | NewBusiness | $44.97 | — |
| BCBS | BlueEssentials | $45.98 | — |
| BCBS | BlueEssentialsAccess | $45.98 | — |
| BCBS | EPOSOA | $48.28 | — |
| Cigna | HMO | $50.18 | — |
| Cigna | OpenAccessPlus | $50.18 | — |
| Cigna | NetworkBenefit | $50.18 | — |
| BCBS | PPO | $50.58 | — |
| Cigna | IFP | $53.89 | — |
| Cigna | QHP | $55.88 | — |
| Cigna | AllOther | $63.50 | — |
| United | OptionsPPO | $73.05 | — |
| Unicare | CHIP | $75.84 | — |
| Oscar | HIX | $83.03 | — |
| Healthcare Highways | NarrowNetwork | $97.80 | — |
| Evry Health | COMM | $102.99 | — |
| Healthcare Highways | CityofPlano | $134.92 | — |
| BCBS | Traditional | $165.26 | — |
| City of McKinney | COMM | $179.63 | — |
| Fidelis SecureCare | MGMCR | $179.63 | — |
| United | GlobalBenefitPlan | $179.63 | — |
| National ChoiceCare | WCOMP | $199.59 | — |
| Global Sports Services | COMMPPO | $199.59 | — |
| Aetna | ASA | $201.58 | — |
| Physicians Coop of TX | MGMCR | $219.54 | — |
| Rockport Health Group | WORKERSCOMP | $219.54 | — |
| Aetna | WCOMP | $219.54 | — |
| PC Texas Partners | WCOMP | $219.54 | — |
| Aetna Coventry First Health | COMM | $228.72 | — |
| Averde Health, Inc | PPO | $231.52 | — |
| Coastal Comp Health Networks | WCOMP | $279.42 | — |
| Mega Life | MGMCRPPO | $279.42 | — |
| HealthSmart Preferred Care | PPO | $283.41 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $299.38 | — |
| Multiplan | PHCSPrimaryNetwork | $299.38 | — |
| USA Managed Care | COMM | $319.34 | — |
| USC Health Services | COMM | $319.34 | — |
| Multiplan | ComplementaryNetwork | $339.29 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $359.25 | — |
| National Healthcare Solutions | COMM | $399.17 | — |
| Unicare | MCD | $399.17 | — |
| Independent Medical Systems | COMM | $399.17 | — |
Visitor-reported prices
Comments
Surgical pathology level 1 gross examination only at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $369.31 | $88.51 – $88.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $110.02 | $27.61 – $137.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $139.48 | $28.71 – $209.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $113.42 | $22.68 – $141.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $110.02 | $27.61 – $137.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $139.48 | $27.61 – $209.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $139.48 | $26.00 – $209.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $113.42 | $27.61 – $170.14 |