Absorpt drg >16 <=48 without bdr at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$5.00
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.
$5.00
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.
$0.35 with Superior Health Plan vs $26.25 with Humana — 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 | $0.35 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $0.35 | ↓ -93% |
| Superior Health Plan | STARPLUS | $0.35 | ↓ -93% |
| Superior Health Plan | STARKids | $0.35 | ↓ -93% |
| Superior Health Plan | STARHealth | $0.35 | ↓ -93% |
| Aetna | QHPHIX | $0.68 | ↓ -86% |
| Cigna | IFP | $0.68 | ↓ -86% |
| Cigna | QHP | $0.70 | ↓ -86% |
| Aetna | NewBusiness | $0.99 | ↓ -80% |
| Oscar | HIX | $1.04 | ↓ -79% |
| Unicare | CHIP | $1.05 | ↓ -79% |
| Aetna | Meritain | $1.06 | ↓ -79% |
| Aetna | COMM | $1.06 | ↓ -79% |
| United | OptionsPPO | $1.07 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $1.23 | ↓ -75% |
| Aetna | OON | $1.25 | ↓ -75% |
| Evry Health | COMM | $1.29 | ↓ -74% |
| Cigna | NewBusiness | $1.32 | ↓ -74% |
| Cigna | LocalPlus | $1.32 | ↓ -74% |
| Cigna | OpenAccessPlus | $1.48 | ↓ -70% |
| Cigna | HMO | $1.48 | ↓ -70% |
| Cigna | NetworkBenefit | $1.48 | ↓ -70% |
| Healthcare Highways | CityofPlano | $1.69 | ↓ -66% |
| Cigna | AllOther | $1.86 | ↓ -63% |
| Curative Administrators | COMM | $2.00 | ↓ -60% |
| BCBS | Traditional | $2.22 | ↓ -56% |
| City of McKinney | COMM | $2.25 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $2.25 | ↓ -55% |
| National ChoiceCare | WCOMP | $2.50 | ↓ -50% |
| Aetna | ASA | $2.63 | ↓ -47% |
| PC Texas Partners | WCOMP | $2.75 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2.75 | ↓ -45% |
| Aetna | WCOMP | $2.75 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2.75 | ↓ -45% |
| Averde Health, Inc | PPO | $2.90 | ↓ -42% |
| Magellan Behavior Health | Summit | $3.00 | ↓ -40% |
| Magellan Behavior Health | Pinnacle | $3.00 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $3.50 | ↓ -30% |
| Mega Life | MGMCRPPO | $3.50 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $3.50 | ↓ -30% |
| Aetna Coventry First Health | COMM | $3.63 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $3.75 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.75 | ↓ -25% |
| BCBS | MyBlueHealth | $3.97 | ↓ -21% |
| BCBS | BlueAdvantageHMO | $3.97 | ↓ -21% |
| Cigna Behavioral Health | COMM | $4.00 | ↓ -20% |
| USA Managed Care | COMM | $4.00 | ↓ -20% |
| USC Health Services | COMM | $4.00 | ↓ -20% |
| Galaxy Health Network | PPO | $4.25 | ↓ -15% |
| Humana | Tricare | $4.50 | ↓ -10% |
| BCBS | BluePremier | $4.50 | ↓ -10% |
| BCBS | MCRPPO | $4.55 | ↓ -9% |
| BCBS | MGMCRHMO | $4.55 | ↓ -9% |
| WellMed | MGMCR | $4.62 | ↓ -8% |
| Devoted Health | MME | $4.64 | ↓ -7% |
| Devoted Health | SNP | $4.64 | ↓ -7% |
| Amerigroup | DualEligible | $4.64 | ↓ -7% |
| Humana | MGMCR | $4.64 | ↓ -7% |
| Devoted Health | PPO | $4.64 | ↓ -7% |
| Devoted Health | HMO | $4.64 | ↓ -7% |
| Devoted Health | MCR | $4.64 | ↓ -7% |
| Devoted Health | POS | $4.64 | ↓ -7% |
| Mutual of Omaha | MGMCR | $4.64 | ↓ -7% |
| TriWest Health Alliance | TRCR | $4.64 | ↓ -7% |
| TriWest Veterans | FEDERAL | $4.64 | ↓ -7% |
| United | MGMCR | $4.66 | ↓ -7% |
| Aetna | MCR | $4.68 | ↓ -6% |
| Care N Care | MGMCR | $4.69 | ↓ -6% |
| Cigna Healthspring | MGMCR | $4.73 | ↓ -5% |
| WellCare | MGMCR | $4.78 | ↓ -4% |
| Integranet | MGMCR | $4.78 | ↓ -4% |
| Superior Health Plan | MGMCRDualEligible | $4.87 | ↓ -3% |
| Superior Health Plan | MGMCRSNP | $4.87 | ↓ -3% |
| Superior Health Plan | MGMCRPOS | $4.87 | ↓ -3% |
| Superior Health Plan | MGMCRPFFS | $4.87 | ↓ -3% |
| American Health Plan of Texas, Inc. | MGMCR | $4.87 | ↓ -3% |
| Superior Health Plan | MGMCRPPO | $4.87 | ↓ -3% |
| Superior Health Plan | MGMCRHMO | $4.87 | ↓ -3% |
| ProCare Advantge | MCR | $4.87 | ↓ -3% |
| Provider Partners Health Plan | MCR | $4.92 | ↓ -2% |
| Texas Independent Health Plan | MGMCR | $4.92 | ↓ -2% |
| Independent Medical Systems | COMM | $5.00 | ↑ +0% |
| Unicare | MCD | $5.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $5.00 | ↑ +0% |
| Molina | MMP | $5.06 | ↑ +1% |
| Molina | MCR | $5.06 | ↑ +1% |
| Molina | MME | $5.06 | ↑ +1% |
| Cenpatico | BHMGMCR | $5.06 | ↑ +1% |
| BCBS | BlueEssentialsAccess | $5.10 | ↑ +2% |
| BCBS | BlueEssentials | $5.10 | ↑ +2% |
| Imperial Insurance Company | MCR | $5.10 | ↑ +2% |
| BCBS | EPOSOA | $5.37 | ↑ +7% |
| Universal Healthcare Group | MCR | $5.57 | ↑ +11% |
| BCBS | PPO | $5.59 | ↑ +12% |
| Verda Health Plan | MGMCR | $6.03 | ↑ +21% |
| Bravo Health | MCRPOS | $6.96 | ↑ +39% |
| Bravo Health | MCRSNP | $6.96 | ↑ +39% |
| Bravo Health | MCRPFFS | $6.96 | ↑ +39% |
| Bravo Health | MCRHMO | $6.96 | ↑ +39% |
| Bravo Health | MCRPPO | $6.96 | ↑ +39% |
| Superior | ValueHMO | $8.31 | ↑ +66% |
| USA Managed Care | WORKERSCOMP | $8.82 | ↑ +76% |
| Corvel Corporation | WORKERSCOMP | $9.19 | ↑ +84% |
| Superior | EPO | $10.39 | ↑ +108% |
| Superior | HMO | $10.39 | ↑ +108% |
| Molina Healthcare | HIX | $12.16 | ↑ +143% |
| Humana | COMM | $26.25 | ↑ +425% |
Visitor-reported prices
Comments
Absorpt drg >16 <=48 without bdr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Smithville (Ascension Seton) | Smithville | $3.78 | $3.74 – $4.54 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $7.35 | $3.74 – $4.54 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne | $260.76 | not published |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $7.00 | $3.97 – $12.16 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $5.00 | $3.97 – $12.16 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $5.00 | $3.97 – $12.16 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $3.00 | $3.97 – $12.16 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $5.00 | $3.97 – $12.16 |