Athrectomy fem/pop/unilateral 37225 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.
$2,369.00 with Superior Health Plan vs $155,895.74 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| United | STARKids | $5,520.66 | — |
| Parkland Community Health Plan | MCD | $5,520.66 | — |
| Cook Childrens Health Plan | STAR | $5,520.66 | — |
| Cook Childrens Health Plan | CHIP | $5,520.66 | — |
| United | CHIP | $5,520.66 | — |
| United | STARPerinate | $5,520.66 | — |
| United | STAR | $5,520.66 | — |
| United | STARPLUS | $5,520.66 | — |
| Amerigroup | MGMCD | $5,796.69 | — |
| Cigna Healthspring | MGMCD | $5,796.69 | — |
| Amerigroup | CHIP | $5,796.69 | — |
| Molina | STAR+PLUS | $6,072.73 | — |
| Molina | CHIP | $6,072.73 | — |
| Molina | STARKIDS | $6,072.73 | — |
| Molina | MCDSTAR | $6,072.73 | — |
| Aetna Better Health | CHIP | $6,624.79 | — |
| Aetna Better Health | MCD | $6,624.79 | — |
| Humana | MGMCD | $6,900.82 | — |
| Oscar | HIX | $7,008.00 | — |
| Humana | COMM | $7,113.00 | — |
| Evry Health | COMM | $10,763.00 | — |
| BCBS | BluePremier | $13,178.28 | — |
| Cigna | IFP | $21,045.92 | — |
| Aetna | QHPHIX | $21,045.92 | — |
| Cigna | QHP | $21,825.40 | — |
| Aetna | NewBusiness | $31,023.25 | — |
| Unicare | CHIP | $32,738.11 | — |
| Aetna | Meritain | $33,205.79 | — |
| Aetna | COMM | $33,205.79 | — |
| United | OptionsPPO | $33,517.58 | — |
| BCBS | BlueAdvantageHMO | $38,506.25 | — |
| BCBS | MyBlueHealth | $38,506.25 | — |
| Aetna | OON | $39,129.83 | — |
| Cigna | LocalPlus | $41,156.48 | — |
| Cigna | NewBusiness | $41,156.48 | — |
| Cigna | NetworkBenefit | $45,989.24 | — |
| Cigna | OpenAccessPlus | $45,989.24 | — |
| Cigna | HMO | $45,989.24 | — |
| BCBS | BlueEssentialsAccess | $49,730.74 | — |
| BCBS | BlueEssentials | $49,730.74 | — |
| BCBS | EPOSOA | $52,225.07 | — |
| Healthcare Highways | CityofPlano | $52,692.76 | — |
| BCBS | PPO | $54,563.51 | — |
| Cigna | AllOther | $58,149.11 | — |
| Curative Administrators | COMM | $62,358.30 | — |
| BCBS | Traditional | $69,217.71 | — |
| Fidelis SecureCare | MGMCR | $70,153.08 | — |
| City of McKinney | COMM | $70,153.08 | — |
| National ChoiceCare | WCOMP | $77,947.87 | — |
| Aetna | ASA | $82,157.05 | — |
| PC Texas Partners | WCOMP | $85,742.66 | — |
| Aetna | WCOMP | $85,742.66 | — |
| Rockport Health Group | WORKERSCOMP | $85,742.66 | — |
| Physicians Coop of TX | MGMCR | $85,742.66 | — |
| Averde Health, Inc | PPO | $90,419.53 | — |
| Magellan Behavior Health | Summit | $93,537.44 | — |
| Magellan Behavior Health | Pinnacle | $93,537.44 | — |
| Coastal Comp Health Networks | WCOMP | $109,127.02 | — |
| Multiplan PHCS | PrimaryNetwork | $109,127.02 | — |
| Mega Life | MGMCRPPO | $109,127.02 | — |
| Aetna Coventry First Health | COMM | $113,336.20 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $116,921.80 | — |
| HealthSmart Preferred Care | PPO | $116,921.80 | — |
| Cigna Behavioral Health | COMM | $124,716.59 | — |
| USC Health Services | COMM | $124,716.59 | — |
| USA Managed Care | COMM | $124,716.59 | — |
| Galaxy Health Network | PPO | $132,511.38 | — |
| Unicare | MCD | $155,895.74 | — |
| Independent Medical Systems | COMM | $155,895.74 | — |
| National Healthcare Solutions | COMM | $155,895.74 | — |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $26,503.49 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,745.61 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22,902.90 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $26,503.49 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27,745.61 | $85.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27,745.61 | $14,096.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $22,902.90 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $26,503.49 | $7,038.00 – $43,439.01 |