Unlisted dx gi procedure at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$7,566.52
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.
$7,566.52
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.
$380.46 with BCBS vs $7,566.52 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 |
|---|---|---|---|
| BCBS | BlueAdvantageHMO | $380.46 | ↓ -95% |
| BCBS | MyBlueHealth | $380.46 | ↓ -95% |
| Superior Health Plan | STARKids | $529.66 | ↓ -93% |
| Superior Health Plan | STARPLUS | $529.66 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $529.66 | ↓ -93% |
| Superior Health Plan | CHIP | $529.66 | ↓ -93% |
| Superior Health Plan | STARHealth | $529.66 | ↓ -93% |
| BCBS | BlueEssentialsAccess | $673.76 | ↓ -91% |
| BCBS | BlueEssentials | $673.76 | ↓ -91% |
| BCBS | EPOSOA | $706.97 | ↓ -91% |
| BCBS | PPO | $740.17 | ↓ -90% |
| Cigna | IFP | $1,021.48 | ↓ -87% |
| Cigna | QHP | $1,059.31 | ↓ -86% |
| United | OptionsPPO | $1,384.67 | ↓ -82% |
| Unicare | CHIP | $1,437.64 | ↓ -81% |
| United | SmallGroup | $1,580.00 | ↓ -79% |
| Curative Administrators | COMM | $1,672.00 | ↓ -78% |
| Evry Health | COMM | $1,952.16 | ↓ -74% |
| Cigna | LocalPlus | $1,997.56 | ↓ -74% |
| Cigna | NewBusiness | $1,997.56 | ↓ -74% |
| United | AllPayerAppendix | $2,174.00 | ↓ -71% |
| Cigna | OpenAccessPlus | $2,232.12 | ↓ -71% |
| Cigna | HMO | $2,232.12 | ↓ -71% |
| Cigna | NetworkBenefit | $2,232.12 | ↓ -71% |
| Healthcare Highways | CityofPlano | $2,557.48 | ↓ -66% |
| Oscar | HIX | $2,636.00 | ↓ -65% |
| Cigna | AllOther | $2,822.31 | ↓ -63% |
| United | NarrowNetworkIndivExchange | $2,960.00 | ↓ -61% |
| BCBS | Traditional | $3,132.54 | ↓ -59% |
| City of McKinney | COMM | $3,404.93 | ↓ -55% |
| United | GlobalBenefitPlan | $3,404.93 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $3,404.93 | ↓ -55% |
| National ChoiceCare | WCOMP | $3,783.26 | ↓ -50% |
| Aetna | ASA | $3,821.09 | ↓ -50% |
| Aetna | WCOMP | $4,161.59 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $4,161.59 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $4,161.59 | ↓ -45% |
| PC Texas Partners | WCOMP | $4,161.59 | ↓ -45% |
| Aetna Coventry First Health | COMM | $4,335.62 | ↓ -43% |
| Averde Health, Inc | PPO | $4,388.58 | ↓ -42% |
| Mega Life | MGMCRPPO | $5,296.56 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $5,296.56 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $5,372.23 | ↓ -29% |
| Multiplan | PHCSPrimaryNetwork | $5,674.89 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $5,674.89 | ↓ -25% |
| USC Health Services | COMM | $6,053.22 | ↓ -20% |
| USA Managed Care | COMM | $6,053.22 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $6,431.54 | ↓ -15% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $6,809.87 | ↓ -10% |
| Unicare | MCD | $7,566.52 | ↑ +0% |
| National Healthcare Solutions | COMM | $7,566.52 | ↑ +0% |
| Independent Medical Systems | COMM | $7,566.52 | ↑ +0% |
Visitor-reported prices
Comments
Unlisted dx gi procedure at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,256.74 | $223.96 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,256.74 | $386.96 – $1,667.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,256.74 | $116.45 – $1,841.00 |