Administration vaccine pneumococcal at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$122.32
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.
$122.32
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.
$8.56 with Superior Health Plan vs $256.43 with BCBS — 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 | $8.56 | ↓ -93% |
| Superior Health Plan | STARPLUS | $8.56 | ↓ -93% |
| Superior Health Plan | STARHealth | $8.56 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $8.56 | ↓ -93% |
| Superior Health Plan | STARKids | $8.56 | ↓ -93% |
| Aetna | QHPHIX | $16.51 | ↓ -87% |
| Cigna | IFP | $16.51 | ↓ -87% |
| Cigna | QHP | $17.12 | ↓ -86% |
| Aetna | NewBusiness | $24.34 | ↓ -80% |
| Oscar | HIX | $25.44 | ↓ -79% |
| Unicare | CHIP | $25.69 | ↓ -79% |
| Aetna | Meritain | $26.05 | ↓ -79% |
| Aetna | COMM | $26.05 | ↓ -79% |
| United | OptionsPPO | $26.30 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $29.97 | ↓ -75% |
| Aetna | OON | $30.70 | ↓ -75% |
| Evry Health | COMM | $31.56 | ↓ -74% |
| Cigna | LocalPlus | $32.29 | ↓ -74% |
| Cigna | NewBusiness | $32.29 | ↓ -74% |
| Cigna | OpenAccessPlus | $36.08 | ↓ -71% |
| Cigna | NetworkBenefit | $36.08 | ↓ -71% |
| Cigna | HMO | $36.08 | ↓ -71% |
| Healthcare Highways | CityofPlano | $41.34 | ↓ -66% |
| Cigna | AllOther | $45.63 | ↓ -63% |
| Curative Administrators | COMM | $48.93 | ↓ -60% |
| BCBS | Traditional | $54.31 | ↓ -56% |
| City of McKinney | COMM | $55.04 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $55.04 | ↓ -55% |
| National ChoiceCare | WCOMP | $61.16 | ↓ -50% |
| Aetna | ASA | $64.46 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $67.28 | ↓ -45% |
| Aetna | WCOMP | $67.28 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $67.28 | ↓ -45% |
| PC Texas Partners | WCOMP | $67.28 | ↓ -45% |
| Averde Health, Inc | PPO | $70.95 | ↓ -42% |
| Magellan Behavior Health | Pinnacle | $73.39 | ↓ -40% |
| Magellan Behavior Health | Summit | $73.39 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $85.62 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $85.62 | ↓ -30% |
| Mega Life | MGMCRPPO | $85.62 | ↓ -30% |
| Aetna Coventry First Health | COMM | $88.93 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $91.74 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $91.74 | ↓ -25% |
| Cigna Behavioral Health | COMM | $97.86 | ↓ -20% |
| USA Managed Care | COMM | $97.86 | ↓ -20% |
| USC Health Services | COMM | $97.86 | ↓ -20% |
| Galaxy Health Network | PPO | $103.97 | ↓ -15% |
| BCBS | BluePremier | $113.11 | ↓ -8% |
| Independent Medical Systems | COMM | $122.32 | ↑ +0% |
| Unicare | MCD | $122.32 | ↑ +0% |
| National Healthcare Solutions | COMM | $122.32 | ↑ +0% |
| BCBS | BlueAdvantageHMO | $131.81 | ↑ +8% |
| BCBS | MyBlueHealth | $131.81 | ↑ +8% |
| Humana | COMM | $142.43 | ↑ +16% |
| BCBS | BlueEssentialsAccess | $233.42 | ↑ +91% |
| BCBS | BlueEssentials | $233.42 | ↑ +91% |
| BCBS | EPOSOA | $244.92 | ↑ +100% |
| BCBS | PPO | $256.43 | ↑ +110% |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.50 | $12.04 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $45.91 | $9.45 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $45.91 | $9.18 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.50 | $11.33 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $45.91 | $14.74 – $117.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $45.91 | $23.72 – $117.68 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $45.91 | $15.30 – $117.68 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $42.50 | $11.33 – $117.68 |