Endoluminl ivus oct c ea 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.
$187.10 with Aetna vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $187.10 | — |
| Cigna | IFP | $187.10 | — |
| BCBS | BluePremier | $188.82 | — |
| Cigna | QHP | $194.03 | — |
| BCBS | BlueAdvantageHMO | $220.03 | — |
| BCBS | MyBlueHealth | $220.03 | — |
| Imperial Insurance Company | MCR | $263.33 | — |
| Aetna | NewBusiness | $275.80 | — |
| Unicare | CHIP | $291.05 | — |
| Aetna | Meritain | $295.20 | — |
| Aetna | COMM | $295.20 | — |
| United | OptionsPPO | $297.97 | — |
| Aetna | OON | $347.87 | — |
| BCBS | BlueEssentialsAccess | $389.65 | — |
| BCBS | BlueEssentials | $389.65 | — |
| BCBS | EPOSOA | $408.85 | — |
| BCBS | PPO | $428.05 | — |
| Healthcare Highways | CityofPlano | $468.44 | — |
| BCBS | Traditional | $615.35 | — |
| City of McKinney | COMM | $623.67 | — |
| Fidelis SecureCare | MGMCR | $623.67 | — |
| National ChoiceCare | WCOMP | $692.97 | — |
| Aetna | ASA | $730.39 | — |
| PC Texas Partners | WCOMP | $762.26 | — |
| Aetna | WCOMP | $762.26 | — |
| Physicians Coop of TX | MGMCR | $762.26 | — |
| Rockport Health Group | WORKERSCOMP | $762.26 | — |
| Averde Health, Inc | PPO | $803.84 | — |
| Magellan Behavior Health | Pinnacle | $831.56 | — |
| Magellan Behavior Health | Summit | $831.56 | — |
| Multiplan PHCS | PrimaryNetwork | $970.15 | — |
| Coastal Comp Health Networks | WCOMP | $970.15 | — |
| Mega Life | MGMCRPPO | $970.15 | — |
| Aetna Coventry First Health | COMM | $1,007.57 | — |
| HealthSmart Preferred Care | PPO | $1,039.45 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,039.45 | — |
| Cigna Behavioral Health | COMM | $1,108.74 | — |
| USA Managed Care | COMM | $1,108.74 | — |
| USC Health Services | COMM | $1,108.74 | — |
| Galaxy Health Network | PPO | $1,178.04 | — |
| Independent Medical Systems | COMM | $1,385.93 | — |
| National Healthcare Solutions | COMM | $1,385.93 | — |
| Unicare | MCD | $1,385.93 | — |
| United | SmallGroup | $1,580.00 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| United | NarrowNetworkIndivExchange | $2,361.00 | — |
| Oscar | HIX | $2,636.00 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Superior Health Plan | STARHealth | $5,591.00 | — |
| Superior Health Plan | MCDSTAR | $5,591.00 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Humana | COMM | $27,514.00 | — |
| Healthcare Highways | NarrowNetwork | $27,837.00 | — |
| Evry Health | COMM | $29,597.00 | — |
| Curative Administrators | COMM | $43,890.00 | — |
Visitor-reported prices
Comments
Endoluminl ivus oct c ea at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,739.50 | $245.63 – $5,297.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,466.77 | $241.63 – $3,700.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,158.95 | $241.63 – $2,698.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,739.50 | $187.22 – $5,297.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,466.77 | $295.24 – $3,700.16 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,466.77 | $1,274.50 – $3,700.16 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,158.95 | $241.63 – $3,238.43 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,739.50 | $245.63 – $5,297.62 |