Dlyd plmt xtn prosth ea addl 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.
$415.09 with BCBS vs $35,727.60 with Unicare — 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 |
|---|---|---|---|
| BCBS | BluePremier | $415.09 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Humana | COMM | $2,140.60 | — |
| Healthcare Highways | NarrowNetwork | $2,152.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Cigna | IFP | $4,823.23 | — |
| Cigna | QHP | $5,001.86 | — |
| BCBS | BlueEssentialsAccess | $5,068.50 | — |
| BCBS | BlueEssentials | $5,068.50 | — |
| BCBS | EPOSOA | $5,321.31 | — |
| BCBS | BlueAdvantageHMO | $5,464.87 | — |
| BCBS | MyBlueHealth | $5,464.87 | — |
| BCBS | PPO | $5,570.99 | — |
| Oscar | HIX | $6,587.00 | — |
| Imperial Insurance Company | MCR | $6,788.24 | — |
| Unicare | CHIP | $7,502.80 | — |
| United | OptionsPPO | $7,681.43 | — |
| United | SmallGroup | $8,954.00 | — |
| United | NarrowNetworkIndivExchange | $9,360.00 | — |
| United | AllPayerAppendix | $10,868.00 | — |
| Curative Administrators | COMM | $12,018.00 | — |
| Healthcare Highways | CityofPlano | $12,075.93 | — |
| BCBS | Traditional | $15,863.05 | — |
| City of McKinney | COMM | $16,077.42 | — |
| Cigna | LocalPlus | $17,220.00 | — |
| Cigna | NewBusiness | $17,238.00 | — |
| National ChoiceCare | WCOMP | $17,863.80 | — |
| Aetna | ASA | $18,828.45 | — |
| Cigna | HMO | $19,240.00 | — |
| Cigna | NetworkBenefit | $19,240.00 | — |
| Cigna | OpenAccessPlus | $19,240.00 | — |
| Physicians Coop of TX | MGMCR | $19,650.18 | — |
| PC Texas Partners | WCOMP | $19,650.18 | — |
| Rockport Health Group | WORKERSCOMP | $19,650.18 | — |
| Aetna | WCOMP | $19,650.18 | — |
| Averde Health, Inc | PPO | $20,722.01 | — |
| Magellan Behavior Health | Summit | $21,436.56 | — |
| Magellan Behavior Health | Pinnacle | $21,436.56 | — |
| Cigna | AllOther | $24,339.00 | — |
| Multiplan PHCS | PrimaryNetwork | $25,009.32 | — |
| Mega Life | MGMCRPPO | $25,009.32 | — |
| Coastal Comp Health Networks | WCOMP | $25,009.32 | — |
| Aetna Coventry First Health | COMM | $25,973.97 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $26,795.70 | — |
| HealthSmart Preferred Care | PPO | $26,795.70 | — |
| USC Health Services | COMM | $28,582.08 | — |
| Cigna Behavioral Health | COMM | $28,582.08 | — |
| USA Managed Care | COMM | $28,582.08 | — |
| Galaxy Health Network | PPO | $30,368.46 | — |
| National Healthcare Solutions | COMM | $35,727.60 | — |
| Independent Medical Systems | COMM | $35,727.60 | — |
| Unicare | MCD | $35,727.60 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Dlyd plmt xtn prosth ea addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,380.35 | $391.10 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,380.35 | $345.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,380.35 | $253.06 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,380.35 | $253.06 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,380.35 | $391.10 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,380.35 | $527.45 – $7,038.00 |