Aco annual medicare visit (awv), subsq g0439aco at MEDICAL CITY NORTH HILLS HOSPITAL

4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$113.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$113.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$7.91 with Superior Health Plan vs $819.89 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 →

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
Superior Health Plan CHIP $7.91 ↓ -93%
Superior Health Plan MCDSTAR $7.91 ↓ -93%
Superior Health Plan STARPLUS $7.91 ↓ -93%
Superior Health Plan STARKids $7.91 ↓ -93%
Superior Health Plan STARHealth $7.91 ↓ -93%
Cigna IFP $15.26 ↓ -86%
Aetna QHPHIX $15.26 ↓ -86%
Cigna QHP $15.82 ↓ -86%
Aetna NewBusiness $22.49 ↓ -80%
Unicare CHIP $23.73 ↓ -79%
Aetna Meritain $24.07 ↓ -79%
Aetna COMM $24.07 ↓ -79%
United OptionsPPO $24.30 ↓ -78%
Healthcare Highways NarrowNetwork $27.68 ↓ -76%
Aetna OON $28.36 ↓ -75%
Evry Health COMM $29.15 ↓ -74%
Healthcare Highways CityofPlano $38.19 ↓ -66%
Curative Administrators COMM $45.20 ↓ -60%
BCBS Traditional $50.17 ↓ -56%
Fidelis SecureCare MGMCR $50.85 ↓ -55%
City of McKinney COMM $50.85 ↓ -55%
National ChoiceCare WCOMP $56.50 ↓ -50%
Aetna ASA $59.55 ↓ -47%
PC Texas Partners WCOMP $62.15 ↓ -45%
Aetna WCOMP $62.15 ↓ -45%
Physicians Coop of TX MGMCR $62.15 ↓ -45%
Rockport Health Group WORKERSCOMP $62.15 ↓ -45%
Averde Health, Inc PPO $65.54 ↓ -42%
Magellan Behavior Health Pinnacle $67.80 ↓ -40%
Magellan Behavior Health Summit $67.80 ↓ -40%
Multiplan PHCS PrimaryNetwork $79.10 ↓ -30%
Mega Life MGMCRPPO $79.10 ↓ -30%
Coastal Comp Health Networks WCOMP $79.10 ↓ -30%
Aetna Coventry First Health COMM $82.15 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $84.75 ↓ -25%
HealthSmart Preferred Care PPO $84.75 ↓ -25%
USC Health Services COMM $90.40 ↓ -20%
Cigna Behavioral Health COMM $90.40 ↓ -20%
USA Managed Care COMM $90.40 ↓ -20%
Galaxy Health Network PPO $96.05 ↓ -15%
Humana Tricare $104.40 ↓ -8%
TriWest Health Alliance TRCR $107.63 ↓ -5%
Independent Medical Systems COMM $113.00 ↑ +0%
Unicare MCD $113.00 ↑ +0%
National Healthcare Solutions COMM $113.00 ↑ +0%
BCBS MGMCRHMO $126.63 ↑ +12%
BCBS MCRPPO $126.63 ↑ +12%
WellMed MGMCR $135.98 ↑ +20%
Amerigroup DualEligible $136.66 ↑ +21%
Devoted Health PPO $136.66 ↑ +21%
Devoted Health HMO $136.66 ↑ +21%
Humana MGMCR $136.66 ↑ +21%
Devoted Health MCR $136.66 ↑ +21%
Devoted Health POS $136.66 ↑ +21%
Devoted Health MME $136.66 ↑ +21%
Mutual of Omaha MGMCR $136.66 ↑ +21%
TriWest Veterans FEDERAL $136.66 ↑ +21%
Devoted Health SNP $136.66 ↑ +21%
United MGMCR $137.34 ↑ +22%
Aetna MCR $137.82 ↑ +22%
Care N Care MGMCR $138.03 ↑ +22%
Cigna Healthspring MGMCR $139.39 ↑ +23%
Integranet MGMCR $140.76 ↑ +25%
WellCare MGMCR $140.76 ↑ +25%
Superior Health Plan MGMCRPOS $143.49 ↑ +27%
Superior Health Plan MGMCRSNP $143.49 ↑ +27%
Superior Health Plan MGMCRHMO $143.49 ↑ +27%
ProCare Advantge MCR $143.49 ↑ +27%
Superior Health Plan MGMCRDualEligible $143.49 ↑ +27%
Superior Health Plan MGMCRPFFS $143.49 ↑ +27%
Superior Health Plan MGMCRPPO $143.49 ↑ +27%
American Health Plan of Texas, Inc. MGMCR $143.49 ↑ +27%
Texas Independent Health Plan MGMCR $144.86 ↑ +28%
Provider Partners Health Plan MCR $144.86 ↑ +28%
Cenpatico BHMGMCR $148.96 ↑ +32%
Molina MCR $148.96 ↑ +32%
Molina MME $148.96 ↑ +32%
Molina MMP $148.96 ↑ +32%
Imperial Insurance Company MCR $150.33 ↑ +33%
Universal Healthcare Group MCR $163.99 ↑ +45%
Verda Health Plan MGMCR $177.66 ↑ +57%
Bravo Health MCRPFFS $204.99 ↑ +81%
Bravo Health MCRHMO $204.99 ↑ +81%
Bravo Health MCRPOS $204.99 ↑ +81%
Bravo Health MCRPPO $204.99 ↑ +81%
Bravo Health MCRSNP $204.99 ↑ +81%
Superior ValueHMO $244.62 ↑ +116%
USA Managed Care WORKERSCOMP $259.65 ↑ +130%
Corvel Corporation WORKERSCOMP $270.59 ↑ +139%
Superior HMO $306.12 ↑ +171%
Superior EPO $306.12 ↑ +171%
Molina Healthcare HIX $358.05 ↑ +217%
Humana COMM $819.89 ↑ +626%

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Aco annual medicare visit (awv), subsq g0439aco at other Texas hospitals

Hospital City Cash price Negotiated range
St. Joseph Health Madison Hospital Madisonville $27.83 $20.26 – $159.00
St. Joseph Health College Station Hospital College Station $27.83 $77.00 – $399.39
St. Joseph Health Grimes Hospital Navasota $27.83 $57.66 – $176.49
St. Joseph Health Burleson Hospital Caldwell $27.83 $34.98 – $159.00
Covenant Hospital Plainview Plainview $95.34 $132.78 – $144.42
Covenant Hospital Levelland Levelland $95.34 $132.78 – $144.42
CHRISTUS Children's Hospital San Antonio not published $305.55 – $305.55
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $109.85 – $299.43

All Texas hospitals for this procedure →