Aco annual medicare visit (awv), subsq g0439aco at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$113.00
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.
$113.00
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.
$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 →
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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 | $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% |
Visitor-reported prices
Comments
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 |