Clozapine, 25 mg 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.
$1.62 with BCBS vs $31.70 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 |
|---|---|---|---|
| BCBS | BlueAdvantageHMO | $1.62 | — |
| BCBS | MyBlueHealth | $1.62 | — |
| BCBS | BluePremier | $1.67 | — |
| Superior Health Plan | MCDSTAR | $2.22 | — |
| Superior Health Plan | STARHealth | $2.22 | — |
| Superior Health Plan | CHIP | $2.22 | — |
| Superior Health Plan | STARKids | $2.22 | — |
| Superior Health Plan | STARPLUS | $2.22 | — |
| BCBS | BlueEssentials | $2.37 | — |
| BCBS | BlueEssentialsAccess | $2.37 | — |
| BCBS | EPOSOA | $2.49 | — |
| BCBS | PPO | $2.61 | — |
| Cigna | LocalPlus | $3.99 | — |
| Cigna | NewBusiness | $4.00 | — |
| Aetna | QHPHIX | $4.28 | — |
| Cigna | IFP | $4.28 | — |
| Cigna | QHP | $4.44 | — |
| Cigna | HMO | $4.46 | — |
| Cigna | OpenAccessPlus | $4.46 | — |
| Cigna | NetworkBenefit | $4.46 | — |
| Cigna | AllOther | $5.64 | — |
| Aetna | NewBusiness | $6.31 | — |
| Superior | EPO | $6.34 | — |
| Superior | ValueHMO | $6.34 | — |
| Superior | HMO | $6.34 | — |
| Unicare | CHIP | $6.66 | — |
| Aetna | Meritain | $6.75 | — |
| Aetna | COMM | $6.75 | — |
| United | OptionsPPO | $6.82 | — |
| Humana | COMM | $7.23 | — |
| Molina Healthcare | HIX | $7.92 | — |
| Aetna | OON | $7.96 | — |
| Healthcare Highways | CityofPlano | $10.71 | — |
| BCBS | Traditional | $14.07 | — |
| City of McKinney | COMM | $14.27 | — |
| National ChoiceCare | WCOMP | $15.85 | — |
| Aetna | WCOMP | $17.43 | — |
| Rockport Health Group | WORKERSCOMP | $17.43 | — |
| Physicians Coop of TX | MGMCR | $17.43 | — |
| PC Texas Partners | WCOMP | $17.43 | — |
| Averde Health, Inc | PPO | $18.39 | — |
| Magellan Behavior Health | Pinnacle | $19.02 | — |
| Magellan Behavior Health | Summit | $19.02 | — |
| Coastal Comp Health Networks | WCOMP | $22.19 | — |
| Mega Life | MGMCRPPO | $22.19 | — |
| Aetna Coventry First Health | COMM | $23.05 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $23.77 | — |
| HealthSmart Preferred Care | PPO | $23.77 | — |
| USC Health Services | COMM | $25.36 | — |
| USA Managed Care | COMM | $25.36 | — |
| Cigna Behavioral Health | COMM | $25.36 | — |
| Galaxy Health Network | PPO | $26.95 | — |
| Independent Medical Systems | COMM | $31.70 | — |
| Unicare | MCD | $31.70 | — |
| National Healthcare Solutions | COMM | $31.70 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Clozapine, 25 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $18.67 | $1.62 – $7.23 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $4.99 | $1.62 – $7.23 |
| Adventhealth Rollins Brook | Lampasas | not published | $1.81 – $1.81 |
| CHRISTUS Children's Hospital | San Antonio | not published | $2.71 – $2.71 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.92 – $9.84 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.92 – $9.84 |
| Covenant Children's Hospital | Lubbock | not published | $1.76 – $1.88 |
| HCA HOUSTON CONROE | CONROE | not published | $0.92 – $9.84 |