Factor ix idelvion inj at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$27.17
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.
$27.17
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.
$1.90 with Superior Health Plan vs $45.67 with Cigna — 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 | CHIP | $1.90 | ↓ -93% |
| Superior Health Plan | STARHealth | $1.90 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $1.90 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1.90 | ↓ -93% |
| Superior Health Plan | STARKids | $1.90 | ↓ -93% |
| Cigna | IFP | $3.67 | ↓ -86% |
| Aetna | QHPHIX | $3.67 | ↓ -86% |
| Cigna | QHP | $3.80 | ↓ -86% |
| Humana | Tricare | $5.02 | ↓ -82% |
| TriWest Health Alliance | TRCR | $5.18 | ↓ -81% |
| Aetna | NewBusiness | $5.41 | ↓ -80% |
| Unicare | CHIP | $5.71 | ↓ -79% |
| Aetna | COMM | $5.79 | ↓ -79% |
| Aetna | Meritain | $5.79 | ↓ -79% |
| United | OptionsPPO | $5.84 | ↓ -79% |
| Aetna | OON | $6.82 | ↓ -75% |
| United | AllPayerAppendix | $8.78 | ↓ -68% |
| United | NarrowNetworkIndivExchange | $8.78 | ↓ -68% |
| United | SmallGroup | $8.78 | ↓ -68% |
| Healthcare Highways | CityofPlano | $9.18 | ↓ -66% |
| BCBS | Traditional | $12.06 | ↓ -56% |
| City of McKinney | COMM | $12.23 | ↓ -55% |
| National ChoiceCare | WCOMP | $13.59 | ↓ -50% |
| Aetna | ASA | $14.32 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $14.94 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $14.94 | ↓ -45% |
| Aetna | WCOMP | $14.94 | ↓ -45% |
| PC Texas Partners | WCOMP | $14.94 | ↓ -45% |
| BCBS | MyBlueHealth | $15.01 | ↓ -45% |
| BCBS | BlueAdvantageHMO | $15.01 | ↓ -45% |
| BCBS | BluePremier | $15.49 | ↓ -43% |
| Averde Health, Inc | PPO | $15.76 | ↓ -42% |
| Magellan Behavior Health | Pinnacle | $16.30 | ↓ -40% |
| Magellan Behavior Health | Summit | $16.30 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $19.02 | ↓ -30% |
| Mega Life | MGMCRPPO | $19.02 | ↓ -30% |
| Aetna Coventry First Health | COMM | $19.75 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $20.38 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $20.38 | ↓ -25% |
| USC Health Services | COMM | $21.74 | ↓ -20% |
| Cigna Behavioral Health | COMM | $21.74 | ↓ -20% |
| USA Managed Care | COMM | $21.74 | ↓ -20% |
| BCBS | BlueEssentials | $21.97 | ↓ -19% |
| BCBS | BlueEssentialsAccess | $21.97 | ↓ -19% |
| BCBS | EPOSOA | $23.05 | ↓ -15% |
| Galaxy Health Network | PPO | $23.09 | ↓ -15% |
| BCBS | PPO | $24.14 | ↓ -11% |
| Independent Medical Systems | COMM | $27.17 | ↑ +0% |
| National Healthcare Solutions | COMM | $27.17 | ↑ +0% |
| Unicare | MCD | $27.17 | ↑ +0% |
| Humana | COMM | $30.62 | ↑ +13% |
| Cigna | LocalPlus | $32.31 | ↑ +19% |
| Cigna | NewBusiness | $32.34 | ↑ +19% |
| Cigna | NetworkBenefit | $36.10 | ↑ +33% |
| Cigna | OpenAccessPlus | $36.10 | ↑ +33% |
| Cigna | HMO | $36.10 | ↑ +33% |
| Cigna | AllOther | $45.67 | ↑ +68% |
Visitor-reported prices
Comments
Factor ix idelvion inj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $2.07 | $4.30 – $4.93 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $2.07 | $4.30 – $4.93 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $2.07 | $4.30 – $4.93 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $2.07 | $4.30 – $4.93 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $2.07 | $4.30 – $4.93 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $4.03 | $4.30 – $4.93 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $2.07 | $4.30 – $4.93 |
| Adventhealth Rollins Brook | Lampasas | not published | $16.75 – $16.75 |