Vaccine dtap-hep b-ipv im 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.
$106.54 with Humana vs $2,200.00 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 |
|---|---|---|---|
| Humana | Tricare | $106.54 | — |
| TriWest Health Alliance | TRCR | $109.84 | — |
| Superior Health Plan | CHIP | $154.00 | — |
| Superior Health Plan | STARPLUS | $154.00 | — |
| Superior Health Plan | STARKids | $154.00 | — |
| Superior Health Plan | MCDSTAR | $154.00 | — |
| Superior Health Plan | STARHealth | $154.00 | — |
| United | SmallGroup | $218.96 | — |
| United | AllPayerAppendix | $218.96 | — |
| United | NarrowNetworkIndivExchange | $218.96 | — |
| Aetna | QHPHIX | $297.00 | — |
| Cigna | IFP | $297.00 | — |
| Cigna | QHP | $308.00 | — |
| BCBS | BlueAdvantageHMO | $319.50 | — |
| BCBS | MyBlueHealth | $319.50 | — |
| United | OptionsPPO | $413.60 | — |
| Unicare | CHIP | $418.00 | — |
| Aetna | NewBusiness | $437.80 | — |
| BCBS | BlueEssentialsAccess | $467.68 | — |
| BCBS | BlueEssentials | $467.68 | — |
| Aetna | Meritain | $468.60 | — |
| Aetna | COMM | $468.60 | — |
| BCBS | EPOSOA | $490.83 | — |
| BCBS | PPO | $513.99 | — |
| Aetna | OON | $552.20 | — |
| BCBS | BluePremier | $611.23 | — |
| Humana | COMM | $701.13 | — |
| Cigna | LocalPlus | $702.22 | — |
| Cigna | NewBusiness | $702.91 | — |
| Healthcare Highways | CityofPlano | $743.60 | — |
| Cigna | HMO | $784.50 | — |
| Cigna | NetworkBenefit | $784.50 | — |
| Cigna | OpenAccessPlus | $784.50 | — |
| BCBS | Traditional | $976.80 | — |
| City of McKinney | COMM | $990.00 | — |
| Cigna | AllOther | $992.46 | — |
| Global Sports Services | COMMPPO | $1,100.00 | — |
| National ChoiceCare | WCOMP | $1,100.00 | — |
| Aetna | ASA | $1,159.40 | — |
| PC Texas Partners | WCOMP | $1,210.00 | — |
| Aetna | WCOMP | $1,210.00 | — |
| Rockport Health Group | WORKERSCOMP | $1,210.00 | — |
| Physicians Coop of TX | MGMCR | $1,210.00 | — |
| Averde Health, Inc | PPO | $1,276.00 | — |
| Coastal Comp Health Networks | WCOMP | $1,540.00 | — |
| Mega Life | MGMCRPPO | $1,540.00 | — |
| HealthSmart Preferred Care | PPO | $1,562.00 | — |
| Aetna Coventry First Health | COMM | $1,599.40 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,650.00 | — |
| USA Managed Care | COMM | $1,760.00 | — |
| USC Health Services | COMM | $1,760.00 | — |
| Galaxy Health Network | PPO | $1,870.00 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $1,980.00 | — |
| National Healthcare Solutions | COMM | $2,200.00 | — |
| Independent Medical Systems | COMM | $2,200.00 | — |
| Unicare | MCD | $2,200.00 | — |
Visitor-reported prices
Comments
Vaccine dtap-hep b-ipv im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Hospital Plainview | Plainview | $29.40 | $343.58 – $343.58 |
| Covenant Hospital Levelland | Levelland | $505.49 | $343.58 – $343.58 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $818.27 | $106.54 – $702.22 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $1,145.08 | $106.54 – $702.22 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $1,082.39 | $106.54 – $702.22 |
| Adventhealth Rollins Brook | Lampasas | not published | $356.55 – $356.55 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $109.84 – $954.62 |
| Covenant Children's Hospital | Lubbock | not published | $346.36 – $432.48 |