Tomosynthesis breast screen bilateral at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$265.34
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.
$265.34
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.
$18.57 with Superior Health Plan vs $265.34 with Unicare — 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 | $18.57 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $18.57 | ↓ -93% |
| Superior Health Plan | STARHealth | $18.57 | ↓ -93% |
| Superior Health Plan | STARPLUS | $18.57 | ↓ -93% |
| Superior Health Plan | STARKids | $18.57 | ↓ -93% |
| Humana | Tricare | $22.36 | ↓ -92% |
| WellMed | MGMCR | $22.93 | ↓ -91% |
| Humana | MGMCR | $23.05 | ↓ -91% |
| Devoted Health | SNP | $23.05 | ↓ -91% |
| Amerigroup | DualEligible | $23.05 | ↓ -91% |
| Mutual of Omaha | MGMCR | $23.05 | ↓ -91% |
| TriWest Health Alliance | TRCR | $23.05 | ↓ -91% |
| BCBS | MCRPPO | $23.05 | ↓ -91% |
| BCBS | MGMCRHMO | $23.05 | ↓ -91% |
| Devoted Health | HMO | $23.05 | ↓ -91% |
| Devoted Health | POS | $23.05 | ↓ -91% |
| Devoted Health | MCR | $23.05 | ↓ -91% |
| Devoted Health | MME | $23.05 | ↓ -91% |
| Devoted Health | PPO | $23.05 | ↓ -91% |
| TriWest Veterans | FEDERAL | $23.05 | ↓ -91% |
| Aetna | MCR | $23.25 | ↓ -91% |
| Care N Care | MGMCR | $23.28 | ↓ -91% |
| United | MGMCR | $23.51 | ↓ -91% |
| Cigna Healthspring | MGMCR | $23.51 | ↓ -91% |
| WellCare | MGMCR | $23.74 | ↓ -91% |
| Integranet | MGMCR | $23.74 | ↓ -91% |
| ProCare Advantge | MCR | $24.20 | ↓ -91% |
| Superior Health Plan | MGMCRPFFS | $24.20 | ↓ -91% |
| Superior Health Plan | MGMCRPOS | $24.20 | ↓ -91% |
| Superior Health Plan | MGMCRSNP | $24.20 | ↓ -91% |
| Superior Health Plan | MGMCRPPO | $24.20 | ↓ -91% |
| Superior Health Plan | MGMCRDualEligible | $24.20 | ↓ -91% |
| Superior Health Plan | MGMCRHMO | $24.20 | ↓ -91% |
| American Health Plan of Texas, Inc. | MGMCR | $24.20 | ↓ -91% |
| Texas Independent Health Plan | MGMCR | $24.43 | ↓ -91% |
| Provider Partners Health Plan | MCR | $24.43 | ↓ -91% |
| Molina | MMP | $25.12 | ↓ -91% |
| Molina | MME | $25.12 | ↓ -91% |
| Molina | MCR | $25.12 | ↓ -91% |
| Imperial Insurance Company | MCR | $25.36 | ↓ -90% |
| Universal Healthcare Group | MCR | $27.66 | ↓ -90% |
| Verda Health Plan | MGMCR | $29.97 | ↓ -89% |
| United | SmallGroup | $34.51 | ↓ -87% |
| United | NarrowNetworkIndivExchange | $34.51 | ↓ -87% |
| BCBS | BlueAdvantageHMO | $34.57 | ↓ -87% |
| BCBS | MyBlueHealth | $34.57 | ↓ -87% |
| Bravo Health | MCRPFFS | $34.58 | ↓ -87% |
| Bravo Health | MCRHMO | $34.58 | ↓ -87% |
| Bravo Health | MCRPOS | $34.58 | ↓ -87% |
| Bravo Health | MCRPPO | $34.58 | ↓ -87% |
| Bravo Health | MCRSNP | $34.58 | ↓ -87% |
| Cigna | IFP | $35.82 | ↓ -87% |
| Cigna | QHP | $37.15 | ↓ -86% |
| Superior | ValueHMO | $41.26 | ↓ -84% |
| USA Managed Care | WORKERSCOMP | $43.80 | ↓ -83% |
| Corvel Corporation | WORKERSCOMP | $45.64 | ↓ -83% |
| United | OptionsPPO | $48.56 | ↓ -82% |
| Unicare | CHIP | $50.41 | ↓ -81% |
| Superior | EPO | $51.63 | ↓ -81% |
| Superior | HMO | $51.63 | ↓ -81% |
| TEXAS HEALTH NETWORK | MCD | $52.00 | ↓ -80% |
| Amerigroup | CHIP | $52.79 | ↓ -80% |
| Cook Childrens Health Plan | CHIP | $52.79 | ↓ -80% |
| Amerigroup | MGMCD | $52.79 | ↓ -80% |
| United | STARPerinate | $52.79 | ↓ -80% |
| United | STARKids | $52.79 | ↓ -80% |
| United | STAR | $52.79 | ↓ -80% |
| United | CHIP | $52.79 | ↓ -80% |
| United | STARPLUS | $52.79 | ↓ -80% |
| Parkland Community Health Plan | MCD | $52.79 | ↓ -80% |
| Cook Childrens Health Plan | STAR | $52.79 | ↓ -80% |
| Aetna | NewBusiness | $54.24 | ↓ -80% |
| Cigna Healthspring | MGMCD | $55.43 | ↓ -79% |
| Aetna Better Health | MCD | $57.01 | ↓ -79% |
| Aetna Better Health | CHIP | $57.01 | ↓ -79% |
| United | AllPayerAppendix | $57.31 | ↓ -78% |
| Aetna | Meritain | $57.94 | ↓ -78% |
| Aetna | COMM | $57.94 | ↓ -78% |
| Molina | STARKIDS | $58.07 | ↓ -78% |
| Molina | MCDSTAR | $58.07 | ↓ -78% |
| Molina | STAR+PLUS | $58.07 | ↓ -78% |
| Molina | CHIP | $58.07 | ↓ -78% |
| Molina Healthcare | HIX | $60.39 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $65.01 | ↓ -75% |
| Humana | MGMCD | $65.99 | ↓ -75% |
| Evry Health | COMM | $68.46 | ↓ -74% |
| Aetna | OON | $68.57 | ↓ -74% |
| Healthcare Highways | CityofPlano | $89.68 | ↓ -66% |
| Cigna | LocalPlus | $92.97 | ↓ -65% |
| Cigna | NewBusiness | $93.07 | ↓ -65% |
| BCBS | BlueEssentialsAccess | $102.94 | ↓ -61% |
| BCBS | BlueEssentials | $102.94 | ↓ -61% |
| Cigna | HMO | $103.85 | ↓ -61% |
| Cigna | OpenAccessPlus | $103.85 | ↓ -61% |
| Cigna | NetworkBenefit | $103.85 | ↓ -61% |
| Curative Administrators | COMM | $106.14 | ↓ -60% |
| BCBS | EPOSOA | $107.98 | ↓ -59% |
| BCBS | Traditional | $109.85 | ↓ -59% |
| BCBS | PPO | $113.03 | ↓ -57% |
| City of McKinney | COMM | $119.40 | ↓ -55% |
| United | GlobalBenefitPlan | $119.40 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $119.40 | ↓ -55% |
| Cigna | AllOther | $131.43 | ↓ -50% |
| National ChoiceCare | WCOMP | $132.67 | ↓ -50% |
| Global Sports Services | COMMPPO | $132.67 | ↓ -50% |
| Aetna | ASA | $134.00 | ↓ -49% |
| PC Texas Partners | WCOMP | $145.94 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $145.94 | ↓ -45% |
| Aetna | WCOMP | $145.94 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $145.94 | ↓ -45% |
| Aetna Coventry First Health | COMM | $152.04 | ↓ -43% |
| Averde Health, Inc | PPO | $153.90 | ↓ -42% |
| Mega Life | MGMCRPPO | $185.74 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $185.74 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $188.39 | ↓ -29% |
| Multiplan | PHCSPrimaryNetwork | $199.00 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $199.00 | ↓ -25% |
| USC Health Services | COMM | $212.27 | ↓ -20% |
| USA Managed Care | COMM | $212.27 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $225.54 | ↓ -15% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $238.81 | ↓ -10% |
| National Healthcare Solutions | COMM | $265.34 | ↑ +0% |
| Independent Medical Systems | COMM | $265.34 | ↑ +0% |
| Unicare | MCD | $265.34 | ↑ +0% |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $318.28 | $97.14 – $97.14 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $95.23 | $50.46 – $134.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.47 | $24.18 – $176.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $77.46 | $46.97 – $96.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $95.23 | $52.46 – $134.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $117.47 | $56.13 – $176.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $117.47 | $52.46 – $185.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $77.46 | $46.97 – $116.19 |