Established Patient Office Visit (level 5) 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.
$12.95 with Superior Health Plan vs $603.48 with BCBS — 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 | STARPLUS | $12.95 | — |
| Superior Health Plan | MCDSTAR | $12.95 | — |
| Superior Health Plan | STARHealth | $12.95 | — |
| Superior Health Plan | CHIP | $12.95 | — |
| Superior Health Plan | STARKids | $12.95 | — |
| Aetna | QHPHIX | $24.98 | — |
| Cigna | IFP | $24.98 | — |
| Cigna | QHP | $25.90 | — |
| Imperial Insurance Company | MCR | $35.15 | — |
| Aetna | NewBusiness | $36.81 | — |
| Unicare | CHIP | $38.85 | — |
| Aetna | Meritain | $39.41 | — |
| Aetna | COMM | $39.41 | — |
| United | OptionsPPO | $39.77 | — |
| Healthcare Highways | NarrowNetwork | $45.33 | — |
| Aetna | OON | $46.44 | — |
| Evry Health | COMM | $47.73 | — |
| Healthcare Highways | CityofPlano | $62.53 | — |
| Curative Administrators | COMM | $74.00 | — |
| BCBS | Traditional | $82.14 | — |
| City of McKinney | COMM | $83.25 | — |
| Fidelis SecureCare | MGMCR | $83.25 | — |
| National ChoiceCare | WCOMP | $92.50 | — |
| Aetna | ASA | $97.50 | — |
| PC Texas Partners | WCOMP | $101.75 | — |
| Aetna | WCOMP | $101.75 | — |
| Physicians Coop of TX | MGMCR | $101.75 | — |
| Rockport Health Group | WORKERSCOMP | $101.75 | — |
| Averde Health, Inc | PPO | $107.30 | — |
| Magellan Behavior Health | Summit | $111.00 | — |
| Magellan Behavior Health | Pinnacle | $111.00 | — |
| Coastal Comp Health Networks | WCOMP | $129.50 | — |
| Mega Life | MGMCRPPO | $129.50 | — |
| Multiplan PHCS | PrimaryNetwork | $129.50 | — |
| Aetna Coventry First Health | COMM | $134.50 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $138.75 | — |
| HealthSmart Preferred Care | PPO | $138.75 | — |
| USC Health Services | COMM | $148.00 | — |
| Cigna Behavioral Health | COMM | $148.00 | — |
| USA Managed Care | COMM | $148.00 | — |
| Galaxy Health Network | PPO | $157.25 | — |
| Unicare | MCD | $185.00 | — |
| Independent Medical Systems | COMM | $185.00 | — |
| National Healthcare Solutions | COMM | $185.00 | — |
| Cigna | LocalPlus | $192.20 | — |
| Cigna | NewBusiness | $192.20 | — |
| Cigna | NetworkBenefit | $214.77 | — |
| Cigna | OpenAccessPlus | $214.77 | — |
| Cigna | HMO | $214.77 | — |
| Humana | COMM | $231.92 | — |
| Cigna | AllOther | $271.56 | — |
| BCBS | BlueAdvantageHMO | $310.20 | — |
| BCBS | MyBlueHealth | $310.20 | — |
| BCBS | BlueEssentialsAccess | $549.34 | — |
| BCBS | BlueEssentials | $549.34 | — |
| BCBS | EPOSOA | $576.41 | — |
| BCBS | PPO | $603.48 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $450.00 | $434.28 – $434.28 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $884.58 | $263.95 – $315.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,971.10 | $263.95 – $315.77 |
| Baylor St Luke's Medical Center | Houston | $174.65 | $82.00 – $499.00 |
| St. Joseph Health Madison Hospital | Madisonville | $113.58 | $30.45 – $224.47 |
| St. Luke's Health Memorial Lufkin | Lufkin | $253.49 | $83.24 – $499.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $174.65 | $74.00 – $499.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $174.65 | $74.00 – $499.00 |