Brace knee hing pat open med at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$798.00
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.
$798.00
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.
$55.86 with Superior Health Plan vs $934.06 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $55.86 | ↓ -93% |
| Superior Health Plan | CHIP | $55.86 | ↓ -93% |
| Superior Health Plan | STARKids | $55.86 | ↓ -93% |
| Superior Health Plan | STARPLUS | $55.86 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $55.86 | ↓ -93% |
| Cigna | IFP | $107.73 | ↓ -87% |
| Cigna | QHP | $111.72 | ↓ -86% |
| Humana | Tricare | $160.37 | ↓ -80% |
| BCBS | MGMCRHMO | $162.09 | ↓ -80% |
| BCBS | MCRPPO | $162.09 | ↓ -80% |
| WellMed | MGMCR | $164.50 | ↓ -79% |
| Devoted Health | POS | $165.33 | ↓ -79% |
| TriWest Veterans | FEDERAL | $165.33 | ↓ -79% |
| Mutual of Omaha | MGMCR | $165.33 | ↓ -79% |
| Amerigroup | DualEligible | $165.33 | ↓ -79% |
| TriWest Health Alliance | TRCR | $165.33 | ↓ -79% |
| Humana | MGMCR | $165.33 | ↓ -79% |
| Devoted Health | SNP | $165.33 | ↓ -79% |
| Devoted Health | MME | $165.33 | ↓ -79% |
| Devoted Health | PPO | $165.33 | ↓ -79% |
| Devoted Health | HMO | $165.33 | ↓ -79% |
| Devoted Health | MCR | $165.33 | ↓ -79% |
| United | MGMCR | $166.16 | ↓ -79% |
| Aetna | MCR | $166.74 | ↓ -79% |
| Care N Care | MGMCR | $166.98 | ↓ -79% |
| Unicare | CHIP | $167.58 | ↓ -79% |
| Cigna Healthspring | MGMCR | $168.64 | ↓ -79% |
| Integranet | MGMCR | $170.29 | ↓ -79% |
| WellCare | MGMCR | $170.29 | ↓ -79% |
| United | OptionsPPO | $171.57 | ↓ -79% |
| American Health Plan of Texas, Inc. | MGMCR | $173.60 | ↓ -78% |
| Superior Health Plan | MGMCRHMO | $173.60 | ↓ -78% |
| Superior Health Plan | MGMCRPPO | $173.60 | ↓ -78% |
| Superior Health Plan | MGMCRDualEligible | $173.60 | ↓ -78% |
| Superior Health Plan | MGMCRPFFS | $173.60 | ↓ -78% |
| Superior Health Plan | MGMCRPOS | $173.60 | ↓ -78% |
| Superior Health Plan | MGMCRSNP | $173.60 | ↓ -78% |
| ProCare Advantge | MCR | $173.60 | ↓ -78% |
| Provider Partners Health Plan | MCR | $175.25 | ↓ -78% |
| Texas Independent Health Plan | MGMCR | $175.25 | ↓ -78% |
| Molina | MME | $180.21 | ↓ -77% |
| Molina | MCR | $180.21 | ↓ -77% |
| Cenpatico | BHMGMCR | $180.21 | ↓ -77% |
| Molina | MMP | $180.21 | ↓ -77% |
| Imperial Insurance Company | MCR | $181.86 | ↓ -77% |
| BCBS | MyBlueHealth | $197.11 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $197.11 | ↓ -75% |
| Universal Healthcare Group | MCR | $198.40 | ↓ -75% |
| Cigna | LocalPlus | $210.67 | ↓ -74% |
| Cigna | NewBusiness | $210.67 | ↓ -74% |
| Verda Health Plan | MGMCR | $214.93 | ↓ -73% |
| Cigna | HMO | $235.41 | ↓ -71% |
| Cigna | NetworkBenefit | $235.41 | ↓ -71% |
| Cigna | OpenAccessPlus | $235.41 | ↓ -71% |
| Bravo Health | MCRPPO | $248.00 | ↓ -69% |
| Bravo Health | MCRPFFS | $248.00 | ↓ -69% |
| Bravo Health | MCRPOS | $248.00 | ↓ -69% |
| Bravo Health | MCRHMO | $248.00 | ↓ -69% |
| Bravo Health | MCRSNP | $248.00 | ↓ -69% |
| BCBS | BlueEssentialsAccess | $254.56 | ↓ -68% |
| BCBS | BlueEssentials | $254.56 | ↓ -68% |
| BCBS | EPOSOA | $267.33 | ↓ -67% |
| Healthcare Highways | CityofPlano | $269.72 | ↓ -66% |
| BCBS | PPO | $279.30 | ↓ -65% |
| Superior | ValueHMO | $295.94 | ↓ -63% |
| Cigna | AllOther | $297.65 | ↓ -63% |
| USA Managed Care | WORKERSCOMP | $314.13 | ↓ -61% |
| Corvel Corporation | WORKERSCOMP | $327.35 | ↓ -59% |
| BCBS | Traditional | $354.31 | ↓ -56% |
| City of McKinney | COMM | $359.10 | ↓ -55% |
| Superior | HMO | $370.34 | ↓ -54% |
| Superior | EPO | $370.34 | ↓ -54% |
| National ChoiceCare | WCOMP | $399.00 | ↓ -50% |
| Aetna | ASA | $420.55 | ↓ -47% |
| Molina Healthcare | HIX | $433.16 | ↓ -46% |
| Aetna | WCOMP | $438.90 | ↓ -45% |
| PC Texas Partners | WCOMP | $438.90 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $438.90 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $438.90 | ↓ -45% |
| Averde Health, Inc | PPO | $462.84 | ↓ -42% |
| Magellan Behavior Health | Summit | $478.80 | ↓ -40% |
| Magellan Behavior Health | Pinnacle | $478.80 | ↓ -40% |
| Mega Life | MGMCRPPO | $558.60 | ↓ -30% |
| Aetna Coventry First Health | COMM | $580.15 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $598.50 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $598.50 | ↓ -25% |
| USC Health Services | COMM | $638.40 | ↓ -20% |
| Cigna Behavioral Health | COMM | $638.40 | ↓ -20% |
| USA Managed Care | COMM | $638.40 | ↓ -20% |
| Galaxy Health Network | PPO | $678.30 | ↓ -15% |
| Unicare | MCD | $798.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $798.00 | ↑ +0% |
| Independent Medical Systems | COMM | $798.00 | ↑ +0% |
| Humana | COMM | $934.06 | ↑ +17% |
Visitor-reported prices
Comments
Brace knee hing pat open med at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $292.34 | $82.83 – $389.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $138.23 | $28.45 – $207.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $138.23 | $27.65 – $184.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $292.34 | $77.96 – $389.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $138.23 | $44.37 – $207.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $138.23 | $71.42 – $207.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $138.23 | $46.08 – $207.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $292.34 | $77.96 – $389.79 |