Assay of sialic acid at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$680.29
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.
$680.29
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.
$8.06 with Cook Childrens Health Plan vs $680.29 with National Healthcare Solutions — 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 | $8.06 | ↓ -99% |
| Cook Childrens Health Plan | CHIP | $8.06 | ↓ -99% |
| United | STAR | $11.29 | ↓ -98% |
| United | STARKids | $11.29 | ↓ -98% |
| United | STARPLUS | $11.29 | ↓ -98% |
| Parkland Community Health Plan | MCD | $11.29 | ↓ -98% |
| Amerigroup | MGMCD | $11.29 | ↓ -98% |
| United | CHIP | $11.29 | ↓ -98% |
| United | STARPerinate | $11.29 | ↓ -98% |
| Amerigroup | CHIP | $11.29 | ↓ -98% |
| Cigna Healthspring | MGMCD | $11.85 | ↓ -98% |
| Aetna Better Health | CHIP | $12.19 | ↓ -98% |
| Aetna Better Health | MCD | $12.19 | ↓ -98% |
| Molina | STAR+PLUS | $12.42 | ↓ -98% |
| Molina | MCDSTAR | $12.42 | ↓ -98% |
| Molina | STARKIDS | $12.42 | ↓ -98% |
| Molina | CHIP | $12.42 | ↓ -98% |
| WellMed | MGMCR | $13.37 | ↓ -98% |
| BCBS | MGMCRHMO | $13.44 | ↓ -98% |
| Humana | MGMCR | $13.44 | ↓ -98% |
| United | SmallGroup | $13.44 | ↓ -98% |
| TriWest Veterans | FEDERAL | $13.44 | ↓ -98% |
| Devoted Health | MME | $13.44 | ↓ -98% |
| Devoted Health | MCR | $13.44 | ↓ -98% |
| Devoted Health | POS | $13.44 | ↓ -98% |
| Devoted Health | HMO | $13.44 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $13.44 | ↓ -98% |
| Devoted Health | PPO | $13.44 | ↓ -98% |
| BCBS | MCRPPO | $13.44 | ↓ -98% |
| United | AllPayerAppendix | $13.44 | ↓ -98% |
| Devoted Health | SNP | $13.44 | ↓ -98% |
| Mutual of Omaha | MGMCR | $13.44 | ↓ -98% |
| Amerigroup | DualEligible | $13.44 | ↓ -98% |
| United | MGMCR | $13.51 | ↓ -98% |
| Aetna | MCR | $13.55 | ↓ -98% |
| Care N Care | MGMCR | $13.57 | ↓ -98% |
| Cigna Healthspring | MGMCR | $13.71 | ↓ -98% |
| Integranet | MGMCR | $13.84 | ↓ -98% |
| WellCare | MGMCR | $13.84 | ↓ -98% |
| Superior Health Plan | MGMCRPOS | $14.11 | ↓ -98% |
| Superior Health Plan | MGMCRPFFS | $14.11 | ↓ -98% |
| American Health Plan of Texas, Inc. | MGMCR | $14.11 | ↓ -98% |
| ProCare Advantge | MCR | $14.11 | ↓ -98% |
| Superior Health Plan | MGMCRPPO | $14.11 | ↓ -98% |
| Humana | MGMCD | $14.11 | ↓ -98% |
| Superior Health Plan | MGMCRHMO | $14.11 | ↓ -98% |
| Superior Health Plan | MGMCRDualEligible | $14.11 | ↓ -98% |
| Superior Health Plan | MGMCRSNP | $14.11 | ↓ -98% |
| Provider Partners Health Plan | MCR | $14.25 | ↓ -98% |
| Texas Independent Health Plan | MGMCR | $14.25 | ↓ -98% |
| Humana | Tricare | $14.48 | ↓ -98% |
| Molina | MME | $14.65 | ↓ -98% |
| Cenpatico | BHMGMCR | $14.65 | ↓ -98% |
| Molina | MMP | $14.65 | ↓ -98% |
| Molina | MCR | $14.65 | ↓ -98% |
| Imperial Insurance Company | MCR | $14.78 | ↓ -98% |
| TriWest Health Alliance | TRCR | $14.93 | ↓ -98% |
| Universal Healthcare Group | MCR | $16.13 | ↓ -98% |
| Aetna | QHPHIX | $17.09 | ↓ -97% |
| Verda Health Plan | MGMCR | $17.47 | ↓ -97% |
| Bravo Health | MCRPOS | $20.16 | ↓ -97% |
| Bravo Health | MCRHMO | $20.16 | ↓ -97% |
| Bravo Health | MCRSNP | $20.16 | ↓ -97% |
| Bravo Health | MCRPFFS | $20.16 | ↓ -97% |
| Bravo Health | MCRPPO | $20.16 | ↓ -97% |
| BCBS | MyBlueHealth | $23.52 | ↓ -97% |
| BCBS | BlueAdvantageHMO | $23.52 | ↓ -97% |
| Aetna | NewBusiness | $23.54 | ↓ -97% |
| Superior | ValueHMO | $24.06 | ↓ -96% |
| Aetna | COMM | $25.07 | ↓ -96% |
| Aetna | Meritain | $25.07 | ↓ -96% |
| USA Managed Care | WORKERSCOMP | $25.54 | ↓ -96% |
| BCBS | BluePremier | $26.07 | ↓ -96% |
| Corvel Corporation | WORKERSCOMP | $26.61 | ↓ -96% |
| Aetna | OON | $29.50 | ↓ -96% |
| Superior | HMO | $30.11 | ↓ -96% |
| Superior | EPO | $30.11 | ↓ -96% |
| BCBS | BlueEssentials | $33.20 | ↓ -95% |
| BCBS | BlueEssentialsAccess | $33.20 | ↓ -95% |
| BCBS | EPOSOA | $34.81 | ↓ -95% |
| Oscar | HIX | $34.94 | ↓ -95% |
| Molina Healthcare | HIX | $35.21 | ↓ -95% |
| BCBS | PPO | $36.42 | ↓ -95% |
| Superior Health Plan | STARHealth | $47.62 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $47.62 | ↓ -93% |
| Superior Health Plan | STARPLUS | $47.62 | ↓ -93% |
| Superior Health Plan | STARKids | $47.62 | ↓ -93% |
| Superior Health Plan | CHIP | $47.62 | ↓ -93% |
| Cigna | LocalPlus | $51.66 | ↓ -92% |
| Cigna | NewBusiness | $51.71 | ↓ -92% |
| Cigna | NetworkBenefit | $57.70 | ↓ -92% |
| Cigna | OpenAccessPlus | $57.70 | ↓ -92% |
| Cigna | HMO | $57.70 | ↓ -92% |
| Cigna | AllOther | $73.03 | ↓ -89% |
| Cigna | IFP | $91.84 | ↓ -86% |
| Cigna | QHP | $95.24 | ↓ -86% |
| Unicare | CHIP | $142.86 | ↓ -79% |
| United | OptionsPPO | $146.26 | ↓ -79% |
| Humana | COMM | $149.28 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $166.67 | ↓ -76% |
| Evry Health | COMM | $175.51 | ↓ -74% |
| Healthcare Highways | CityofPlano | $229.94 | ↓ -66% |
| BCBS | Traditional | $302.05 | ↓ -56% |
| City of McKinney | COMM | $306.13 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $306.13 | ↓ -55% |
| National ChoiceCare | WCOMP | $340.14 | ↓ -50% |
| Aetna | ASA | $358.51 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $374.16 | ↓ -45% |
| PC Texas Partners | WCOMP | $374.16 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $374.16 | ↓ -45% |
| Aetna | WCOMP | $374.16 | ↓ -45% |
| Averde Health, Inc | PPO | $394.57 | ↓ -42% |
| Magellan Behavior Health | Summit | $408.17 | ↓ -40% |
| Magellan Behavior Health | Pinnacle | $408.17 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $476.20 | ↓ -30% |
| Mega Life | MGMCRPPO | $476.20 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $476.20 | ↓ -30% |
| Aetna Coventry First Health | COMM | $494.57 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $510.22 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $510.22 | ↓ -25% |
| USA Managed Care | COMM | $544.23 | ↓ -20% |
| USC Health Services | COMM | $544.23 | ↓ -20% |
| Cigna Behavioral Health | COMM | $544.23 | ↓ -20% |
| Galaxy Health Network | PPO | $578.25 | ↓ -15% |
| Independent Medical Systems | COMM | $680.29 | ↑ +0% |
| Unicare | MCD | $680.29 | ↑ +0% |
| National Healthcare Solutions | COMM | $680.29 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Assay of sialic acid at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $113.47 | $12.00 – $170.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $102.00 | $11.29 – $127.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $113.47 | $12.00 – $170.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $113.47 | $8.00 – $170.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $102.00 | $11.29 – $153.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $113.47 | $11.29 – $141.83 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $113.47 | $11.29 – $170.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $102.00 | $11.29 – $153.00 |