Aco annual medicare visit (awv), initial g0438aco at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$152.00
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.
$152.00
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.
$10.64 with Superior Health Plan vs $1,209.33 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 | $10.64 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $10.64 | ↓ -93% |
| Superior Health Plan | STARPLUS | $10.64 | ↓ -93% |
| Superior Health Plan | STARKids | $10.64 | ↓ -93% |
| Superior Health Plan | STARHealth | $10.64 | ↓ -93% |
| Cigna | IFP | $20.52 | ↓ -87% |
| Aetna | QHPHIX | $20.52 | ↓ -87% |
| Cigna | QHP | $21.28 | ↓ -86% |
| Aetna | NewBusiness | $30.25 | ↓ -80% |
| Unicare | CHIP | $31.92 | ↓ -79% |
| Aetna | Meritain | $32.38 | ↓ -79% |
| Aetna | COMM | $32.38 | ↓ -79% |
| United | OptionsPPO | $32.68 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $37.24 | ↓ -76% |
| Aetna | OON | $38.15 | ↓ -75% |
| Evry Health | COMM | $39.22 | ↓ -74% |
| Healthcare Highways | CityofPlano | $51.38 | ↓ -66% |
| Curative Administrators | COMM | $60.80 | ↓ -60% |
| BCBS | Traditional | $67.49 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $68.40 | ↓ -55% |
| City of McKinney | COMM | $68.40 | ↓ -55% |
| National ChoiceCare | WCOMP | $76.00 | ↓ -50% |
| Aetna | ASA | $80.10 | ↓ -47% |
| PC Texas Partners | WCOMP | $83.60 | ↓ -45% |
| Aetna | WCOMP | $83.60 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $83.60 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $83.60 | ↓ -45% |
| Averde Health, Inc | PPO | $88.16 | ↓ -42% |
| Magellan Behavior Health | Pinnacle | $91.20 | ↓ -40% |
| Magellan Behavior Health | Summit | $91.20 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $106.40 | ↓ -30% |
| Mega Life | MGMCRPPO | $106.40 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $106.40 | ↓ -30% |
| Aetna Coventry First Health | COMM | $110.50 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $114.00 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $114.00 | ↓ -25% |
| USC Health Services | COMM | $121.60 | ↓ -20% |
| Cigna Behavioral Health | COMM | $121.60 | ↓ -20% |
| USA Managed Care | COMM | $121.60 | ↓ -20% |
| Galaxy Health Network | PPO | $129.20 | ↓ -15% |
| Humana | Tricare | $132.51 | ↓ -13% |
| TriWest Health Alliance | TRCR | $136.61 | ↓ -10% |
| Independent Medical Systems | COMM | $152.00 | ↑ +0% |
| Unicare | MCD | $152.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $152.00 | ↑ +0% |
| BCBS | MGMCRHMO | $160.71 | ↑ +6% |
| BCBS | MCRPPO | $160.71 | ↑ +6% |
| WellMed | MGMCR | $172.39 | ↑ +13% |
| Amerigroup | DualEligible | $173.26 | ↑ +14% |
| Devoted Health | PPO | $173.26 | ↑ +14% |
| Devoted Health | HMO | $173.26 | ↑ +14% |
| Humana | MGMCR | $173.26 | ↑ +14% |
| Devoted Health | MCR | $173.26 | ↑ +14% |
| Devoted Health | POS | $173.26 | ↑ +14% |
| Devoted Health | MME | $173.26 | ↑ +14% |
| Mutual of Omaha | MGMCR | $173.26 | ↑ +14% |
| TriWest Veterans | FEDERAL | $173.26 | ↑ +14% |
| Devoted Health | SNP | $173.26 | ↑ +14% |
| United | MGMCR | $174.13 | ↑ +15% |
| Aetna | MCR | $174.73 | ↑ +15% |
| Care N Care | MGMCR | $174.99 | ↑ +15% |
| Cigna Healthspring | MGMCR | $176.73 | ↑ +16% |
| Integranet | MGMCR | $178.46 | ↑ +17% |
| WellCare | MGMCR | $178.46 | ↑ +17% |
| Superior Health Plan | MGMCRPOS | $181.92 | ↑ +20% |
| Superior Health Plan | MGMCRSNP | $181.92 | ↑ +20% |
| Superior Health Plan | MGMCRHMO | $181.92 | ↑ +20% |
| ProCare Advantge | MCR | $181.92 | ↑ +20% |
| Superior Health Plan | MGMCRDualEligible | $181.92 | ↑ +20% |
| Superior Health Plan | MGMCRPFFS | $181.92 | ↑ +20% |
| Superior Health Plan | MGMCRPPO | $181.92 | ↑ +20% |
| American Health Plan of Texas, Inc. | MGMCR | $181.92 | ↑ +20% |
| Texas Independent Health Plan | MGMCR | $183.66 | ↑ +21% |
| Provider Partners Health Plan | MCR | $183.66 | ↑ +21% |
| Cenpatico | BHMGMCR | $188.85 | ↑ +24% |
| Molina | MCR | $188.85 | ↑ +24% |
| Molina | MME | $188.85 | ↑ +24% |
| Molina | MMP | $188.85 | ↑ +24% |
| Imperial Insurance Company | MCR | $190.59 | ↑ +25% |
| Universal Healthcare Group | MCR | $207.91 | ↑ +37% |
| Verda Health Plan | MGMCR | $225.24 | ↑ +48% |
| Bravo Health | MCRPFFS | $259.89 | ↑ +71% |
| Bravo Health | MCRHMO | $259.89 | ↑ +71% |
| Bravo Health | MCRPOS | $259.89 | ↑ +71% |
| Bravo Health | MCRPPO | $259.89 | ↑ +71% |
| Bravo Health | MCRSNP | $259.89 | ↑ +71% |
| Superior | ValueHMO | $310.14 | ↑ +104% |
| USA Managed Care | WORKERSCOMP | $329.19 | ↑ +117% |
| Corvel Corporation | WORKERSCOMP | $343.05 | ↑ +126% |
| Superior | HMO | $388.10 | ↑ +155% |
| Superior | EPO | $388.10 | ↑ +155% |
| Molina Healthcare | HIX | $453.94 | ↑ +199% |
| Humana | COMM | $1,209.33 | ↑ +696% |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), initial g0438aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $41.30 | $30.07 – $236.00 |
| St. Joseph Health College Station Hospital | College Station | $41.30 | $77.00 – $507.58 |
| St. Joseph Health Grimes Hospital | Navasota | $41.30 | $77.00 – $261.96 |
| St. Joseph Health Burleson Hospital | Caldwell | $41.30 | $51.92 – $236.00 |
| Covenant Hospital Plainview | Plainview | $141.12 | $167.87 – $182.58 |
| Covenant Hospital Levelland | Levelland | $141.12 | $167.87 – $182.58 |
| CHRISTUS Children's Hospital | San Antonio | not published | $452.33 – $452.33 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $139.36 – $379.71 |