Apl(pml-rara) quant - sendout 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$124.39 with Cook Childrens Health Plan vs $2,303.02 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 |
|---|---|---|---|
| Cook Childrens Health Plan | STAR | $124.39 | — |
| Cook Childrens Health Plan | CHIP | $124.39 | — |
| United | STARKids | $174.14 | — |
| United | STARPLUS | $174.14 | — |
| United | STARPerinate | $174.14 | — |
| Amerigroup | CHIP | $174.14 | — |
| Parkland Community Health Plan | MCD | $174.14 | — |
| United | STAR | $174.14 | — |
| Amerigroup | MGMCD | $174.14 | — |
| United | CHIP | $174.14 | — |
| Cigna Healthspring | MGMCD | $182.85 | — |
| Aetna Better Health | CHIP | $188.07 | — |
| Aetna Better Health | MCD | $188.07 | — |
| Molina | CHIP | $191.55 | — |
| Molina | MCDSTAR | $191.55 | — |
| Molina | STAR+PLUS | $191.55 | — |
| Molina | STARKIDS | $191.55 | — |
| WellMed | MGMCR | $206.27 | — |
| Humana | MGMCR | $207.31 | — |
| United | NarrowNetworkIndivExchange | $207.31 | — |
| Amerigroup | DualEligible | $207.31 | — |
| TriWest Veterans | FEDERAL | $207.31 | — |
| Devoted Health | MME | $207.31 | — |
| Devoted Health | MCR | $207.31 | — |
| United | SmallGroup | $207.31 | — |
| Devoted Health | POS | $207.31 | — |
| Devoted Health | SNP | $207.31 | — |
| BCBS | MGMCRHMO | $207.31 | — |
| BCBS | MCRPPO | $207.31 | — |
| Mutual of Omaha | MGMCR | $207.31 | — |
| Devoted Health | PPO | $207.31 | — |
| United | AllPayerAppendix | $207.31 | — |
| Devoted Health | HMO | $207.31 | — |
| United | MGMCR | $208.35 | — |
| Aetna | MCR | $209.07 | — |
| Care N Care | MGMCR | $209.38 | — |
| Cigna Healthspring | MGMCR | $211.46 | — |
| WellCare | MGMCR | $213.53 | — |
| Integranet | MGMCR | $213.53 | — |
| Humana | MGMCD | $217.67 | — |
| Superior Health Plan | MGMCRSNP | $217.68 | — |
| Superior Health Plan | MGMCRPFFS | $217.68 | — |
| Superior Health Plan | MGMCRHMO | $217.68 | — |
| ProCare Advantge | MCR | $217.68 | — |
| Superior Health Plan | MGMCRPOS | $217.68 | — |
| American Health Plan of Texas, Inc. | MGMCR | $217.68 | — |
| Superior Health Plan | MGMCRDualEligible | $217.68 | — |
| Superior Health Plan | MGMCRPPO | $217.68 | — |
| Texas Independent Health Plan | MGMCR | $219.75 | — |
| Provider Partners Health Plan | MCR | $219.75 | — |
| Molina | MMP | $225.97 | — |
| Molina | MCR | $225.97 | — |
| Cenpatico | BHMGMCR | $225.97 | — |
| Molina | MME | $225.97 | — |
| Imperial Insurance Company | MCR | $228.04 | — |
| Universal Healthcare Group | MCR | $248.77 | — |
| Aetna | QHPHIX | $263.71 | — |
| Verda Health Plan | MGMCR | $269.50 | — |
| Bravo Health | MCRHMO | $310.97 | — |
| Bravo Health | MCRPFFS | $310.97 | — |
| Bravo Health | MCRSNP | $310.97 | — |
| Bravo Health | MCRPOS | $310.97 | — |
| Bravo Health | MCRPPO | $310.97 | — |
| BCBS | BlueAdvantageHMO | $362.79 | — |
| BCBS | MyBlueHealth | $362.79 | — |
| Aetna | NewBusiness | $363.22 | — |
| Superior | ValueHMO | $371.08 | — |
| Aetna | COMM | $386.85 | — |
| Aetna | Meritain | $386.85 | — |
| USA Managed Care | WORKERSCOMP | $393.89 | — |
| BCBS | BluePremier | $402.18 | — |
| Corvel Corporation | WORKERSCOMP | $410.47 | — |
| Aetna | OON | $455.27 | — |
| Superior | EPO | $464.37 | — |
| Superior | HMO | $464.37 | — |
| BCBS | BlueEssentialsAccess | $512.06 | — |
| BCBS | BlueEssentials | $512.06 | — |
| BCBS | EPOSOA | $536.93 | — |
| Oscar | HIX | $539.01 | — |
| Molina Healthcare | HIX | $543.15 | — |
| BCBS | PPO | $561.81 | — |
| Cigna | LocalPlus | $790.25 | — |
| Cigna | NewBusiness | $791.04 | — |
| Cigna | HMO | $882.65 | — |
| Cigna | OpenAccessPlus | $882.65 | — |
| Cigna | NetworkBenefit | $882.65 | — |
| Cigna | AllOther | $1,117.10 | — |
| Humana | COMM | $2,303.02 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $650.81 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $567.00 | $12.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $650.81 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $650.81 | $8.00 – $735.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $567.00 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $673.04 | $10.00 – $613.12 |