Tacrolimus 1 mg capsule, immediate-release 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.
$0.22 with Humana vs $56.99 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 |
|---|---|---|---|
| Humana | Tricare | $0.22 | — |
| TriWest Health Alliance | TRCR | $0.23 | — |
| United | SmallGroup | $0.38 | — |
| United | NarrowNetworkIndivExchange | $0.38 | — |
| United | AllPayerAppendix | $0.38 | — |
| Cigna | NewBusiness | $0.91 | — |
| Cigna | LocalPlus | $0.91 | — |
| Cigna | OpenAccessPlus | $1.01 | — |
| Cigna | NetworkBenefit | $1.01 | — |
| Cigna | HMO | $1.01 | — |
| Cigna | AllOther | $1.28 | — |
| Superior Health Plan | STARPLUS | $3.99 | — |
| Superior Health Plan | STARKids | $3.99 | — |
| Superior Health Plan | CHIP | $3.99 | — |
| Superior Health Plan | MCDSTAR | $3.99 | — |
| Superior Health Plan | STARHealth | $3.99 | — |
| Cigna | IFP | $7.69 | — |
| Cigna | QHP | $7.98 | — |
| United | OptionsPPO | $10.43 | — |
| Unicare | CHIP | $10.83 | — |
| Superior | EPO | $11.40 | — |
| Superior | HMO | $11.40 | — |
| Superior | ValueHMO | $11.40 | — |
| BCBS | MyBlueHealth | $12.52 | — |
| BCBS | BlueAdvantageHMO | $12.52 | — |
| Molina Healthcare | HIX | $14.25 | — |
| BCBS | BlueEssentials | $18.33 | — |
| BCBS | BlueEssentialsAccess | $18.33 | — |
| BCBS | EPOSOA | $19.24 | — |
| Healthcare Highways | CityofPlano | $19.26 | — |
| BCBS | PPO | $20.15 | — |
| BCBS | Traditional | $23.59 | — |
| City of McKinney | COMM | $25.65 | — |
| United | GlobalBenefitPlan | $25.65 | — |
| Global Sports Services | COMMPPO | $28.50 | — |
| National ChoiceCare | WCOMP | $28.50 | — |
| Aetna | ASA | $28.78 | — |
| PC Texas Partners | WCOMP | $31.34 | — |
| Rockport Health Group | WORKERSCOMP | $31.34 | — |
| Aetna | WCOMP | $31.34 | — |
| Physicians Coop of TX | MGMCR | $31.34 | — |
| Aetna Coventry First Health | COMM | $32.66 | — |
| Averde Health, Inc | PPO | $33.05 | — |
| Mega Life | MGMCRPPO | $39.89 | — |
| Coastal Comp Health Networks | WCOMP | $39.89 | — |
| HealthSmart Preferred Care | PPO | $40.46 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $42.74 | — |
| Multiplan | PHCSPrimaryNetwork | $42.74 | — |
| USA Managed Care | COMM | $45.59 | — |
| USC Health Services | COMM | $45.59 | — |
| Multiplan | ComplementaryNetwork | $48.44 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $51.29 | — |
| Unicare | MCD | $56.99 | — |
| National Healthcare Solutions | COMM | $56.99 | — |
| Independent Medical Systems | COMM | $56.99 | — |
Visitor-reported prices
Comments
Tacrolimus 1 mg capsule, immediate-release at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $43.10 | $0.11 – $3.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $43.10 | $0.08 – $0.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $43.10 | $0.08 – $3.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $43.10 | $0.11 – $3.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $43.10 | $0.13 – $3.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $43.10 | $0.21 – $0.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $43.10 | $0.13 – $3.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $43.10 | $0.11 – $3.43 |