Allograft epieffect 2x3cm-q4186-cost per sq cm at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$153.58 with Humana vs $2,235.00 with National Healthcare Solutions — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Humana | Tricare | $153.58 | — |
| Superior Health Plan | STARHealth | $156.45 | — |
| Superior Health Plan | CHIP | $156.45 | — |
| Superior Health Plan | STARKids | $156.45 | — |
| Superior Health Plan | STARPLUS | $156.45 | — |
| Superior Health Plan | MCDSTAR | $156.45 | — |
| TriWest Health Alliance | TRCR | $158.33 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| BCBS | BlueAdvantageHMO | $229.73 | — |
| BCBS | MyBlueHealth | $229.73 | — |
| BCBS | BluePremier | $260.36 | — |
| BCBS | BlueEssentialsAccess | $295.37 | — |
| BCBS | BlueEssentials | $295.37 | — |
| Aetna | QHPHIX | $301.73 | — |
| Cigna | IFP | $301.73 | — |
| BCBS | EPOSOA | $310.68 | — |
| Cigna | QHP | $312.90 | — |
| BCBS | PPO | $323.81 | — |
| Aetna | NewBusiness | $444.76 | — |
| Unicare | CHIP | $469.35 | — |
| Aetna | COMM | $476.06 | — |
| Aetna | Meritain | $476.06 | — |
| United | OptionsPPO | $480.52 | — |
| Aetna | OON | $560.99 | — |
| Healthcare Highways | CityofPlano | $755.43 | — |
| Cigna | LocalPlus | $909.65 | — |
| Cigna | NewBusiness | $910.55 | — |
| BCBS | Traditional | $992.34 | — |
| City of McKinney | COMM | $1,005.75 | — |
| Cigna | NetworkBenefit | $1,016.23 | — |
| Cigna | OpenAccessPlus | $1,016.23 | — |
| Cigna | HMO | $1,016.23 | — |
| National ChoiceCare | WCOMP | $1,117.50 | — |
| Aetna | ASA | $1,177.85 | — |
| Physicians Coop of TX | MGMCR | $1,229.25 | — |
| Rockport Health Group | WORKERSCOMP | $1,229.25 | — |
| Aetna | WCOMP | $1,229.25 | — |
| PC Texas Partners | WCOMP | $1,229.25 | — |
| Cigna | AllOther | $1,285.62 | — |
| Averde Health, Inc | PPO | $1,296.30 | — |
| Magellan Behavior Health | Pinnacle | $1,341.00 | — |
| Magellan Behavior Health | Summit | $1,341.00 | — |
| Mega Life | MGMCRPPO | $1,564.50 | — |
| Coastal Comp Health Networks | WCOMP | $1,564.50 | — |
| Aetna Coventry First Health | COMM | $1,624.85 | — |
| HealthSmart Preferred Care | PPO | $1,676.25 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,676.25 | — |
| USA Managed Care | COMM | $1,788.00 | — |
| USC Health Services | COMM | $1,788.00 | — |
| Cigna Behavioral Health | COMM | $1,788.00 | — |
| Galaxy Health Network | PPO | $1,899.75 | — |
| Independent Medical Systems | COMM | $2,235.00 | — |
| Unicare | MCD | $2,235.00 | — |
| National Healthcare Solutions | COMM | $2,235.00 | — |
Visitor-reported prices
Comments
Allograft epieffect 2x3cm-q4186-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,722.91 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,249.84 | $44.89 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $13,249.84 | $32.61 – $237.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,249.84 | $31.68 – $198.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,249.84 | $42.24 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $13,249.84 | $50.85 – $237.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $13,249.84 | $81.85 – $237.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,249.84 | $52.81 – $237.63 |