CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Medical City Arlington

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $10,770
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Medical City Arlington is $10,770. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.90x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$10,770

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $10,770 (190%)
Ins. Median: $10,770 (190% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Texas Instruments $775 14%
Procare Advantge $995 - $11,086 18%
Healthsmart Preferred Care $1,023 18%
Blue Cross Blue Shield $1,184 - $13,312 21%
American Health Plan Of Texas, Inc. $1,275 - $11,086 22%
Oscar $1,575 - $8,295 28%
Aetna $2,433 - $10,421 43%
United $2,780 - $10,326 49%
Multiplan Phcs $8,513 150%
Healthcare Highways $9,959 175%
Humana $10,347 - $22,983 182%
Wellmed $10,527 185%
Amerigroup $10,559 186%
Integranet $10,559 186%
Triwest Veterans $10,559 186%
Wellcare $10,559 186%
Curative Administrators $10,640 187%
Care N Care $10,664 188%
Cigna $10,770 - $23,436 190%
Devoted Health $10,770 190%
Mutual Of Omaha $10,770 190%
Provider Partners Health Plan $10,770 190%
Texas Independent Health Plan $10,770 190%
Evry Health $11,012 194%
Superior Health Plan $11,086 195%
Imperial Insurance Company $11,192 197%
Universal Healthcare Group $11,403 201%
Molina $11,509 203%
Verda Health Plan $11,614 205%
Bravo Health $11,720 206%
Fidelis Securecare $11,931 210%
Molina Healthcare $14,182 250%
Usa Managed Care $14,344 253%
Corvel Corporation $14,948 263%
Superior $18,900 - $23,651 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals