X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at MEDICAL CITY ARLINGTON HOSPITAL

317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 23, 2026

not published by hospital

Cash price

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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

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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.

$63.69 with BCBS vs $2,742.79 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.

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Payer
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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
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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 MyBlueHealth $63.69
BCBS BlueAdvantageHMO $63.69
TEXAS HEALTH NETWORK MCD $77.02
Amerigroup CHIP $78.19
United STARPLUS $78.19
Amerigroup MGMCD $78.19
United STARPerinate $78.19
Parkland Community Health Plan MCD $78.19
Cook Childrens Health Plan STAR $78.19
Cook Childrens Health Plan CHIP $78.19
United CHIP $78.19
United STAR $78.19
United STARKids $78.19
Cigna Healthspring MGMCD $82.10
Aetna Better Health MCD $84.45
Aetna Better Health CHIP $84.45
Molina STARKIDS $86.01
Molina MCDSTAR $86.01
Molina CHIP $86.01
Molina STAR+PLUS $86.01
Humana MGMCD $97.74
Aetna NewBusiness $121.30
Aetna COMM $129.57
Aetna Meritain $129.57
Aetna OON $153.35
BCBS BlueEssentials $189.68
BCBS BlueEssentialsAccess $189.68
Superior Health Plan CHIP $192.00
Superior Health Plan STARKids $192.00
Superior Health Plan STARPLUS $192.00
Superior Health Plan MCDSTAR $192.00
Superior Health Plan STARHealth $192.00
BCBS EPOSOA $198.98
Cigna LocalPlus $205.04
Cigna NewBusiness $205.25
BCBS PPO $208.28
Cigna HMO $229.02
Cigna OpenAccessPlus $229.02
Cigna NetworkBenefit $229.02
Cigna AllOther $289.85
Cigna IFP $370.28
Cigna QHP $383.99
United OptionsPPO $501.93
Unicare CHIP $521.13
United SmallGroup $616.10
United NarrowNetworkIndivExchange $616.10
Healthcare Highways NarrowNetwork $671.98
Evry Health COMM $707.64
United AllPayerAppendix $828.27
Healthcare Highways CityofPlano $927.06
Curative Administrators COMM $1,097.12
BCBS Traditional $1,135.52
Fidelis SecureCare MGMCR $1,234.26
United GlobalBenefitPlan $1,234.26
City of McKinney COMM $1,234.26
National ChoiceCare WCOMP $1,371.39
Global Sports Services COMMPPO $1,371.39
Aetna ASA $1,385.11
PC Texas Partners WCOMP $1,508.53
Rockport Health Group WORKERSCOMP $1,508.53
Aetna WCOMP $1,508.53
Physicians Coop of TX MGMCR $1,508.53
Aetna Coventry First Health COMM $1,571.62
Averde Health, Inc PPO $1,590.82
Mega Life MGMCRPPO $1,919.95
Coastal Comp Health Networks WCOMP $1,919.95
HealthSmart Preferred Care PPO $1,947.38
Multiplan PHCSPrimaryNetwork $2,057.09
LEWISVILLE ISD/DLS CONSULTING COMMPPO $2,057.09
USC Health Services COMM $2,194.23
USA Managed Care COMM $2,194.23
Multiplan ComplementaryNetwork $2,331.37
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $2,468.51
National Healthcare Solutions COMM $2,742.79
Unicare MCD $2,742.79
Independent Medical Systems COMM $2,742.79

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $719.37 $78.19 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $849.37 $156.21 – $1,274.05
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $782.02 $78.19 – $977.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $719.37 $78.19 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $849.37 $83.66 – $1,274.05
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $849.37 $78.19 – $1,274.05
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $782.02 $78.19 – $1,173.02
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $719.37 $78.19 – $952.69

All Texas hospitals for this procedure →